Nursing HomeInspections

McKenzie County Healthcare Systems Long Term Care

Nursing home in Watford City, ND

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
709 4th Avenue Ne, Watford City, ND 58854
Phone
(701) 444-2331
Listed under
Nonprofit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
355072
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
42
Average residents per day
40
Ownership
Nonprofit, corporation
Legal business name
McKenzie County Healthcare Systems INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1978
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 355072. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 24, 2025. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 19, 2023 to Jul 24, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 24, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 24, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 24, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 24, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Jun 20, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 20, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Jun 20, 2024Notify 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Jul 19, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 19, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jul 19, 2023Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Jul 19, 2023Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.35 hours
Registered nurse (RN) time per resident per day
1.20 hours
Nurse aide time per resident per day
2.82 hours
Total nurse staffing on weekends
3.83 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error