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Inspection reports on Medicare Care Compare →

Special Focus Facility candidate

Medicare lists this nursing home as a candidate for its Special Focus Facility program, for nursing homes with a history of serious quality problems.

Nursing home

Garrison Memorial Hospital Nursing Fac

Also listed as: Garrison Mem Hosp NSG Fac

Garrison, North Dakota · Mclean County

  • 407 3rd Ave SE, Garrison, ND 58540 · Directions
  • (701) 463‑2275
  • Medicare overall rating: 1 of 5 starsMedicare overall rating
  • Ownership: Non-profit – church related
  • 34 health citations in its last 3 inspection cycles (most serious: level K), $22,380 in fines. See the inspection record

Summary

Garrison Memorial Hospital Nursing Fac is a Medicare-certified nursing home in Garrison, North Dakota, with 26 certified beds. Medicare overall rating: 1 of 5 stars. Most recent standard health inspection: 2026-04-08, with 19 health deficiencies. Medicare lists 1 fine. Ownership: non-profit – church related. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 1 of 5 starsMedicare overall rating
26Certified beds
Health inspections: 1 of 5 starsHealth inspections

Quick answers

Where is Garrison Memorial Hospital Nursing Fac?
407 3rd Ave SE, Garrison, ND 58540, in Mclean County, North Dakota.
What is the phone number of Garrison Memorial Hospital Nursing Fac?
(701) 463-2275, as listed by Medicare (CMS).
What is the Medicare star rating of Garrison Memorial Hospital Nursing Fac?
Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
Has Garrison Memorial Hospital Nursing Fac been fined?
Medicare lists 1 fine totaling $22,380.
What did inspectors find at Garrison Memorial Hospital Nursing Fac?
In its last three inspection cycles (December 20, 2023 to July 7, 2026), Medicare lists 34 health citations; the most serious was level K. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 1 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 1 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 3 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 3 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (December 20, 2023 to July 7, 2026), Garrison Memorial Hospital Nursing Fac had 34 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $22,380 in total (1 fine, the latest on July 7, 2026). Nurse staffing is 5.77 hours per resident per day; the North Dakota average is 4.47 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: April 8, 2026 — 19 health citations

Inspections in this cycle: April 8, 2026 (standard health inspection); July 7, 2026 (complaint investigation).

  • F0600 Level K July 7, 2026 · from a complaint · corrected September 3, 2026

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

    immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • F0689 Level K July 7, 2026 · from a complaint · corrected July 29, 2026

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies

  • F0744 Level G July 7, 2026 · from a complaint · corrected July 29, 2026

    “Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 16 less serious citations (levels A to F)
  • F0745 Level F July 7, 2026 · from a complaint · corrected September 3, 2026

    “Provide medically-related social services to help each resident achieve the highest possible quality of life.”

  • F0838 Level F July 7, 2026 · from a complaint · corrected July 28, 2026

    “Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.”

  • F0580 Level E July 7, 2026 · from a complaint · corrected July 29, 2026

    “Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

  • F0609 Level E July 7, 2026 · from a complaint · corrected July 29, 2026

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

  • F0610 Level E July 7, 2026 · from a complaint · corrected July 29, 2026

    “Respond appropriately to all alleged violations.”

  • F0552 Level E April 8, 2026 · corrected May 5, 2026

    “Ensure that residents are fully informed and understand their health status, care and treatments.”

  • F0657 Level E April 8, 2026 · corrected May 5, 2026

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0812 Level E April 8, 2026 · corrected May 5, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0712 Level D July 7, 2026 · from a complaint · corrected July 28, 2026

    “Ensure that the resident and his/her doctor meet face-to-face at all required visits.”

  • F0580 Level D April 8, 2026 · corrected May 5, 2026

    “Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

  • F0605 Level D April 8, 2026 · corrected May 5, 2026

    “Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”

  • F0684 Level D April 8, 2026 · corrected May 5, 2026

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0690 Level D April 8, 2026 · corrected May 5, 2026

    “Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

  • F0695 Level D April 8, 2026 · corrected May 5, 2026

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0880 Level D April 8, 2026 · corrected May 5, 2026

    “Provide and implement an infection prevention and control program.”

  • F0732 Level C July 7, 2026 · from a complaint · corrected July 28, 2026

    “Post nurse staffing information every day.”

Previous cycle: February 27, 2025 — 7 health citations

Inspections in this cycle: February 27, 2025 (complaint investigation); February 27, 2025 (standard health inspection).

Show 7 citations (levels A to F, no actual harm)
  • F0657 Level E February 27, 2025 · from a complaint · corrected March 28, 2025

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0865 Level E February 27, 2025 · from a complaint · corrected March 28, 2025

    “Have a plan that describes the process for conducting QAPI and QAA activities.”

  • F0658 Level D February 27, 2025 · from a complaint · corrected March 28, 2025

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0689 Level D February 27, 2025 · from a complaint · corrected March 28, 2025

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0692 Level D February 27, 2025 · from a complaint · corrected March 28, 2025

    “Provide enough food/fluids to maintain a resident's health.”

  • F0761 Level D February 27, 2025 · from a complaint · corrected March 28, 2025

    “Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”

  • F0880 Level D February 27, 2025 · from a complaint · corrected March 28, 2025

    “Provide and implement an infection prevention and control program.”

Earlier cycle: December 20, 2023 — 8 health citations

Inspections in this cycle: December 20, 2023 (complaint investigation); December 20, 2023 (standard health inspection).

Show 8 citations (levels A to F, no actual harm)
  • F0727 Level F December 20, 2023 · from a complaint · corrected January 29, 2024

    “Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”

  • F0801 Level F December 20, 2023 · corrected January 29, 2024

    “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.”

  • F0554 Level D December 20, 2023 · corrected January 29, 2024

    “Allow residents to self-administer drugs if determined clinically appropriate.”

  • F0583 Level D December 20, 2023 · from a complaint · corrected January 29, 2024

    “Keep residents' personal and medical records private and confidential.”

  • F0625 Level D December 20, 2023 · corrected January 29, 2024

    “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.”

  • F0658 Level D December 20, 2023 · corrected January 29, 2024

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0759 Level D December 20, 2023 · corrected January 29, 2024

    “Ensure medication error rates are not 5 percent or greater.”

  • F0849 Level D December 20, 2023 · corrected January 29, 2024

    “Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fines and payment denials

Total fines over about the last three years: $22,380 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
July 7, 2026Fine$22,380

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeNorth DakotaNational
Registered nurse (RN) hours per resident per day2.110.930.69
Licensed practical nurse (LPN) hours per resident per day0.280.500.86
Nurse aide hours per resident per day3.373.042.35
Total nurse staff hours per resident per day5.774.473.90
Total nurse staff hours per resident per day on the weekend4.833.803.43
RN hours per resident per day on the weekend1.650.600.48
Nursing staff turnover (per year)55.6%47.5%45.3%
RN turnover (per year)56.3%38.7%42.5%
Administrators who left in the last year1.00.20.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 18 nursing homes: Commonspirit Health.

Legal business name: Garrison Memorial Hospital.

Owners and managers Medicare lists (3)
NameRoleShareSince
Commonspirit HealthDirect owner100%February 1, 2019
Garrison Memorial HospitalDirect owner—June 22, 1998
St Alexius Medical CenterDirect owner—June 22, 1998

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds26
Average residents per day23
Takes part inMedicare and Medicaid
OwnershipNon-profit – church related
Group or chain (affiliated entity)Commonspirit Health
Legal business nameGarrison Memorial Hospital
First approved by Medicare/Medicaid1992-01-01
Located inside a hospitalYes
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address407 3rd Ave SE, Garrison, ND 58540
CountyMclean County
StateNorth Dakota
Phone(701) 463‑2275
CMS Certification Number355115
Name in Medicare recordsGARRISON MEM HOSP NSG FAC
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13