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Nursing homeFAID #9353

Garrison Mem Hosp Nsg Fac

407 3RD AVE SE, GARRISON, ND, 58540
(701) 463-2275
26 licensed beds

CMS rates Garrison Mem Hosp Nsg Fac 1 out of 5 overall. Federal inspectors issued 34 citations across 9 inspections in the last three years, with $22,380 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
26
CMS facility ID
355115
Care type
Nursing home
County
Mclean
Facility name
Garrison Mem Hosp Nsg Fac
Street address
407 3RD AVE SE
City / state / ZIP
Garrison, ND 58540
Phone
(701) 463-2275

Garrison Mem Hosp Nsg Fac is a Medicare/Medicaid-certified skilled nursing facility in Garrison, North Dakota. It is licensed for 26 beds — well below the median for skilled nursing facilities in North Dakota (52 beds).

It is one of 2 senior care facilities in Garrison and 72 skilled nursing facilities across North Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Commonspirit Health, a group of 18 facilities on this site.

Federal inspectors have cited Garrison Mem Hosp Nsg Fac 34 times across 9 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $22,380 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Commonspirit Health
Ownership type
Non profit - Church related

Registered owners & officers

Commonspirit Health
Direct owner — 100% stake — since 2019
Bopp, Timothy
Director — since 2018
Dahmen, Kevin
Director — since 2018
Garrison Memorial Hospital
Direct owner — since 1998
Giese, John
Director — since 2007
Hyder, Syed Shiraz
Director — since 2019
Kuiper, Evert
Director — since 2022
Kunze, Nicole
Director — since 2020
Lefor, Michael
Officer — since 2016
Miller, Nancy
Director — since 2008
Mongeon, John
Director — since 2018
Preszler, Todd
Director — since 2016
Reyman, Reed
Officer · Operational control — since 2022
St Alexius Medical Center
Direct owner — since 1998
Weisbeck, Mike
Director — since 2019

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1992-01-01
CMS overall rating
1 of 5 stars
Health deficiencies
19 at the last standard inspection
Federal fines
$22,380 total
Last standard inspection
2026-04-08
Nurse staffing
5.8 hours per resident per day

Services & coverage

Licensed beds
26
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-07Health inspectionComplaint-triggered10 citations
F-0580
E · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-07-29
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-09-03
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-07-29
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-07-29
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-07-29
F-0712
D · No harm foundFrom a complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2026-07-28
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-07-28
F-0744
G · Actual harmFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2026-07-29
F-0745
F · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2026-09-03
F-0838
F · No harm foundFrom a complaint
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.
Corrected 2026-07-28
2026-04-08Health inspection9 citations
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-05-05
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-05-05
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-05-05
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-05-05
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-05-05
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-05-05
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-05-05
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-05
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-05
2 earlier / fire-safety inspections (15 citations)
2025-02-27Health inspectionComplaint-triggered7 citations
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-03-28
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-28
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-28
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-28
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2025-03-28
F-0865
E · No harm foundFrom a complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-03-28
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-03-28
2023-12-20Health inspectionComplaint-triggered8 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-01-29
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2024-01-29
F-0625
D · No harm found
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.
Corrected 2024-01-29
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-29
F-0727
F · No harm foundFrom a complaint
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.
Corrected 2024-01-29
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-29
F-0801
F · No harm foundFood safety
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.
Corrected 2024-01-29
F-0849
D · No harm found
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.
Corrected 2024-01-29

Federal penalties

2026-07-07Fine$22,380
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 355115.
How it compares in North Dakota.
Inspection citations, 3 years
34
More than 85% of nursing homes in the state
State median: 15
Federal fines, 3 years
$22,380
More than 57% of nursing homes in the state
State median: $13,627
Nurse staffing, hours per resident per day
5.8
Higher than 97% of nursing homes in the state
State median: 4.4
Nursing staff turnover, annual
56%
Higher than 74% of nursing homes in the state
State median: 49%

Resident outcomes

On 14 federal quality measures, this facility does better than the North Dakota average on 5 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased15.2%19.9%13.5%Better than state
Lose too much weight10.4%5.8%5.1%Worse than state
With a catheter inserted and left in their bladder1.5%1.4%0.7%Near state average
With a urinary tract infection1.5%2.5%1.5%Better than state
Have depressive symptoms4.5%4.2%13.5%Near state average
Were physically restrained0.0%0.2%0.1%Better than state
Experiencing one or more falls with major injury2.9%5.1%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine98.6%98.5%93.7%Near state average
Ability to walk independently worsened15.3%16.3%12.7%Near state average
Received an antianxiety or hypnotic medication35.8%17.6%19.5%Worse than state
With pressure ulcers1.3%4.7%4.5%Better than state
With new or worsened bowel or bladder incontinence34.5%24.0%18.3%Worse than state
Received an antipsychotic medication35.4%22.8%15.4%Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine81.5%91.3%82.3%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0580 2 inspections. Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.
  • F-0658 2 inspections. Ensure services provided by the nursing facility meet professional standards of quality.

What its owners also hold

  • Commonspirit Health has an ownership stake on file at 18 nursing homes, averaging 2.7 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in North Dakota

  • Licensing: North Dakota Department of Health and Human Services, Health Facilities Unit
  • File a complaint: 701-328-2352 · Online
  • Long-Term Care Ombudsman: 855-462-5465. A free advocate for residents and families.
  • Adult Protective Services: 855-462-5465. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Garrison Memorial Hospital, less than 0.1 miles.
  • Chi St Alexius Health Turtle Lake, about 26 miles.
  • Sakakawea Medical Center - Cah, about 26 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 34 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered