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B

82.5/100

Above average

Mckenzie County Healthcare Systems Long Term Care

709 4Th Avenue Ne, Watford City, ND 58854

CMS 4/5 stars (701) 444-2331
Certified beds
42
Occupancy
91%
Ownership
Non-profit
Accepts
Medicare + Medicaid

Our read on Mckenzie County Healthcare Systems Long Term Care

Mckenzie County Healthcare Systems runs a 42-bed nonprofit home in Watford City, and its nurse staffing sits at 4.27 hours per resident day, roughly 11% above the national average. That's a real cushion, though weekends run about 10% leaner than weekdays, so coverage isn't perfectly even across the week. The inspection record is where things get mixed: 12 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $6,300 fine. The most recent inspection was in July 2025, so the picture is current. For a small rural home, the staffing strength is genuine, but those two serious deficiencies deserve a direct question before you decide.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing26/30Stability7.5/15Outcomes9/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →5.12 total nurse hours per resident per day (national median 3.77)
  • →1.17 RN hours per resident per day
  • →Weekend staffing drops 10% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →No turnover figure reported, scored neutral

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day4.27 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours1.17 hrs
National average 0.69 hrsBetter than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours3.82 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnoverNot reported

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: July 24, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Mckenzie County Healthcare Systems Long Term Care

What is the ElderGrade for Mckenzie County Healthcare Systems Long Term Care? +

Mckenzie County Healthcare Systems Long Term Care holds an ElderGrade of B (82.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Mckenzie County Healthcare Systems Long Term Care? +

Residents receive an average of 4.27 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Mckenzie County Healthcare Systems Long Term Care been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Mckenzie County Healthcare Systems Long Term Care accept Medicaid? +

Yes, Mckenzie County Healthcare Systems Long Term Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.