Nursing home
Mckenzie County Healthcare Systems Long Term Care
709 4Th Avenue Ne, Watford City, ND 58854 · Map
Non profit - Corporation · 42 certified beds
Mckenzie County Healthcare Systems Long Term Care is a Medicare-certified nursing home in Watford City, North Dakota. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.69 hours per resident per day, above the North Dakota average of 4.41. Its most recent inspection on Jul 24, 2025 cited 4 deficiencies.
- 1 fine totaling $6,300In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Mckenzie County Healthcare Systems Long Term Care compares
This facility vs. the North Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.69 | 4.41 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.02 | 0.93 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.00 | 2.99 | 2.34 | above avg |
| Nursing staff turnover | 41.5% | 49.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 5.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 24, 2025 inspection was corrected by September 5, 2025
Penalties in CMS records: 1 fine totaling $6,300, 1 total penalty.
What inspectors found at Mckenzie County Healthcare Systems Long Term Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jun 20, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Jun 20, 2024 · Full report (PDF) - Potential for harm
Develop 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 Deficiencies · Jun 20, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 23, 2023 - Potential for harm
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.
Nutrition and Dietary Deficiencies · Jul 19, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 19, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 19, 2023 - Potential for harm
Develop 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 Deficiencies · Jul 19, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 709 4Th Avenue Ne
Watford City, ND 58854 - CMS certification #
- 355072
- Ownership
- Non profit - Corporation
- Certified beds
- 42
- Avg residents/day
- 35.7
- Provider type
- Medicare and Medicaid
- First certified
- 1978-09-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Mckenzie County Healthcare Systems Long Term Care using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Mckenzie County Healthcare Systems Inc, Watford City. 0.1 miles away, straight line.
- Nearest Medicare nursing home
- Bethel Lutheran Nursing & Rehabilitation Center, Williston. 29.6 miles away, straight line.
- Nearest home health agency office
- Chi Health At Home - Hha, Williston. 29.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Barrett Health Mart Pharmacy. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 58854 as small town (small town core).
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 58854.
- Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 259.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Watford City, ND, risk to homes is greater than 94% of communities in North Dakota and 80% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire relatively moderate, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Mckenzie County Healthcare Systems Long Term Care a good nursing home?
CMS gives Mckenzie County Healthcare Systems Long Term Care an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Mckenzie County Healthcare Systems Long Term Care staffed?
Mckenzie County Healthcare Systems Long Term Care reports 4.69 total nurse hours per resident per day, compared with the North Dakota average of 4.41.
Has Mckenzie County Healthcare Systems Long Term Care had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Mckenzie County Healthcare Systems Long Term Care have?
Mckenzie County Healthcare Systems Long Term Care is certified for 42 beds.