Skilled nursing · WATFORD CITY, ND

MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE

709 4TH AVENUE NE, WATFORD CITY, ND 58854

42 bedsNon profit - Corporation
4.3Clarity
Score history
Aug 20264.3 flagged
Jul 20264.3 flagged
Jun 20264.3 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 10 Jul 2026

Read this record before you tour: CMS rates it 2 out of 5 stars overall, inspectors levied $6,300 in federal fines over the last 36 months, and antipsychotic use runs 2.0 times the national median. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

palmelle

Written by Palmelle from federal and state records. Last updated 10 Jul 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.

The record

CMS Care Compare · Jun 2026
Federal ratings
Overall★★☆☆☆ 2 of 5
Health inspection★★★☆☆ 3 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailynot reported

This facility has not reported this measure to CMS.

All nursing time with each resident, dailynot reported

This facility has not reported this measure to CMS.

Nurses who quit each yearnot reported

This facility has not reported this measure to CMS.

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
27.5%
National
14%

On sedatives / sleep medicationlower is better

This home
11.9%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
3.7%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$6,300 · 1 penalty
Abuse iconNone
Conflict flags in latest reconcile2

ND does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Mixed — worth touring with these questions in hand.

  • Antipsychotic use runs high. 27% of long-stay residents are on antipsychotics against a 14% national median — ask what share have a qualifying diagnosis.
  • The falls number is the outlier: 2× the national rate. 3.7% of long-stay residents had a fall with major injury vs 1.6% nationally. Combined with the staffing picture, ask hard questions: one bad cluster, a reporting artifact, or a real problem.
  • $6,300 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE?
MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE has an overall CMS Care Compare rating of 2 out of 5 stars.
Has MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE been cited for resident harm?
MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE has $6,300 in federal fines across 1 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.