| Garrison Mem Hosp Nsg Fac | |
| 407 3rd Ave Se, Garrison, North Dakota 58540 | |
| (701) 463-2275 | |
| Name | Garrison Mem Hosp Nsg Fac |
|---|---|
| Location | 407 3rd Ave Se, Garrison, North Dakota |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 26 |
| Occupancy Rate | 76.15% |
| Medicare ID (CCN) | 355115 |
| Legal Business Name | Garrison Memorial Hospital |
| Ownership Type | Non Profit - Church Related |
| Chain | Commonspirit Health (18 nursing homes) |
| Chain Average Overall Rating | 2.7 out of 5 |
| NPI Number | 1669442257 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Garrison Memorial Hospital |
| Address | 407 3rd Ave Se, Garrison, ND 58540 |
| Phone Number | 701-463-2275 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.34 | 3.86 |
| Registered nurse (RN) hours per resident per day | 2.42 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.06 | 0.86 |
| Nurse aide hours per resident per day | 1.85 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.45 | 3.42 |
| RN hours per resident per day on the weekend | 2.08 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 66.7% | 45.8% |
| Registered nurse turnover | 68.8% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 8, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 5, 2026 |
| Apr 8, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 5, 2026 |
| Apr 8, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 5, 2026 |
| Apr 8, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2026 |
| Apr 8, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2026 |
| Apr 8, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2026 |
| Apr 8, 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. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2026 |
| Apr 8, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2026 |
| Apr 8, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2026 |
| Feb 27, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Mar 28, 2025 |
| Feb 27, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Mar 28, 2025 |
| Feb 27, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 28, 2025 |
| Feb 27, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 28, 2025 |
| Feb 27, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 28, 2025 |
| Feb 27, 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. F0761, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 28, 2025 |
| Feb 27, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 28, 2025 |
| Dec 20, 2023 | 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. F0727, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Jan 29, 2024 |
| Dec 20, 2023 | 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. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jan 29, 2024 |
| Dec 20, 2023 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2024 |
| Dec 20, 2023 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 29, 2024 |
| Dec 20, 2023 | 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. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2024 |
| Dec 20, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2024 |
| Dec 20, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2024 |
| Dec 20, 2023 | 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. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.33 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.2 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.55 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.23 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.17 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.24 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.89 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.24 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.23 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.86 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.72 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 26.19 | 15.38 |
Benedictine Living Center of Garrison Location: 609 4th Ave Ne, Garrison, North Dakota 58540 Phone: (701) 463-2226 |