Federal inspection record · CMS data as of October 1, 2026
Mckenzie County Healthcare Systems Long Term Care
709 4th Avenue Ne, Watford City, ND · (701) 444-2331
- Certified beds
- 42
- Residents per day
- 40
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1978
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Dakota.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Dakota homes
Mckenzie County Healthcare Systems Long Term Care carries 20 inspection points. That is fewer than 70% of North Dakota's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–10 pts
- 4★ 10–23 pts
- 3★ 23–42.5 pts
- 2★ 42.5–76 pts
- 1★ over 76 pts
Bars show every rated home in North Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights3E
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care2E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning2D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nutrition and Dietary1F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspection history
2025-07-24
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-06-20
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2023-07-19
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 21 min of nursing staff time a day, 1 h 12 min of it from a registered nurse.
This home
4 h 21 min
North Dakota average
4 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 1.9 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.9 pts worse | 4.7 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 100.0% | 98.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 100.0% | 98.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 6.1% | 5.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 0.7% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 4.3% | 5.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts better | 13.6% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.2 pts worse | 31.0% | 22.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.3 pts better | 8.0% | 16.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts better | 17.4% | 19.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.8% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 1.4% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.6 pts better | 16.4% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 1.0% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better | 100.0% | 91.3% | 82.3% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mckenzie County Healthcare Systems Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Brown, Gary | Corporate Director · Individual | 0% | 15 facilities |
| Bulzomi, Monty | Corporate Director · Individual | 0% | 1 facilities |
| Ceynar, Virginia | Corporate Director · Individual | 0% | 1 facilities |
| Dodge, Jan | Corporate Director · Individual | 0% | 1 facilities |
| Edis, Peter | Corporate Officer · Individual | 0% | 1 facilities |
| Edis, Peter | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Edis, Peter | Adp Of The SNF · Individual | 0% | 1 facilities |
| Faulkner, Cheryl | Corporate Director · Individual | 0% | 1 facilities |
| Faulkner, Cheryl | Adp Of The SNF · Individual | 0% | 1 facilities |
| Heen, Krista | Corporate Director · Individual | 0% | 1 facilities |
| Loughman, Amanda | Corporate Officer · Individual | 0% | 1 facilities |
| Merkle, William | Corporate Director · Individual | 0% | 1 facilities |
| Merkle, William | Corporate Officer · Individual | 0% | 1 facilities |
| Quale, Randy | Corporate Director · Individual | 0% | 1 facilities |
| Voll, Justin | Corporate Director · Individual | 0% | 1 facilities |
| Wisness, Chase | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
-
Bethel Lutheran Nursing & Rehabilitation Center
Williston, ND
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 6 min
- Fines
- $66,325
-
Hill Top Home Of Comfort Inc
Killdeer, ND
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 26 min
- Fines
- $198,960
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Sidney Health Center Extended Care
Sidney, MT
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 48 min
- Fines
- $60,401