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McKenzie County Healthcare Systems Long Term Care

All states › North Dakota › Watford City › McKenzie County Healthcare Systems Long Term Care

709 4th Avenue NE Watford City, ND 58854 · Mckenzie County

(701) 444-2331

Accepts Medicare Accepts Medicaid 42 certified beds Non profit

CMS certification number 355072 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is McKenzie County Healthcare Systems Long Term Care a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for McKenzie County Healthcare Systems Long Term Care as of October 2026.

CMS rates it 4 out of 5 stars overall, above the North Dakota average of 3.3. Inspectors issued 11 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.35 hours per resident per day at McKenzie County Healthcare Systems Long Term Care, about the same as the North Dakota median of 4.42 (US median: 3.72). About 1.20 of those hours are from registered nurses. On weekends it falls to 3.83 hours, 12% below its all-week average.

Nursing care per resident per day 4.35 hours
Below the North Dakota median of 4.42 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.20 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.83 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds42
Residents per day 40 About 95% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 1978
Legal business nameMCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Paying for care at McKenzie County Healthcare Systems Long Term Care: Medicare and Medicaid

McKenzie County Healthcare Systems Long Term Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 24, 2025 and found 4 deficiencies. In total, inspectors issued 11 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 11 citations at McKenzie County Healthcare Systems Long Term Care across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 11 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident rights (3) and infection control (2). The most serious was cited under the CMS rule to "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" (tag F0801, level F, July 19, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.

July 24, 2025 · 4 citations

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 5, 2025)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Sep 5, 2025)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Sep 5, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Sep 5, 2025)

June 20, 2024 · 3 citations

EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Jul 25, 2024)

ENotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Jul 25, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jul 25, 2024)

July 19, 2023 · 4 citations

FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (Aug 23, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Aug 23, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 23, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Aug 23, 2023)

Questions to ask on a tour of McKenzie County Healthcare Systems Long Term Care

  1. CMS cited the home under its abuse and neglect rules on July 24, 2025. How are staff trained, and how are concerns reported?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 4/5 2/5
August 2026 3/5 3/5 4/5 3/5
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Location

Hospitals near McKenzie County Healthcare Systems Long Term Care

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Bethel Lutheran Nursing & Rehabilitation Center Williston · 29.6 mi away ★★★☆☆ Inspection 2/5 · Staffing 5/5 90 beds · Medicaid
Hill Top Home of Comfort Killdeer · 38.4 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 60 beds · Medicaid
Tioga Medical Center LTC Tioga · 44.2 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 30 beds · Medicaid
Mountrail Bethel Home Stanley · 54.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 5/5 36 beds · Medicaid
St Luke's Home Dickinson · 67.0 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 88 beds · Medicaid

More nursing homes near McKenzie County Healthcare Systems Long Term Care ›   All nursing homes in Watford City ›

Compare McKenzie County Healthcare Systems Long Term Care with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-dakota/watford-city/mckenzie-county-healthcare-systems-long-term-care/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.