Garrison Mem Hosp Nursing Facility

    407 3rd Ave SE, Garrison, ND 58540
    • Assisted Living
    • Skilled Nursing

    Compassionate staff kept me connected

    I felt genuinely cared for - the staff were kind, courteous, and clearly dedicated. Their Zoom visits during COVID kept me connected; I appreciate the compassionate, high-quality care and plan to visit again soon.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    5.00·(3)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      5.0
    • Meals

      5.0
    • Amenities

      5.0
    • Value

      5.0

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Garrison Mem Hosp Nursing Facility

    Garrison Mem Hosp Nursing Facility is located at 407 3rd Ave SE, Garrison, ND, 58540.

    About Garrison Mem Hosp Nursing Facility

    Garrison Mem Hosp Nursing Facility is a nonprofit nursing home and hospital that's been helping people for over 70 years out in Garrison, North Dakota, where you just see a calm setting with gardens, ponds, and outdoor spots that patients and residents say make the days feel a bit nicer, and the place feels homey but you're still getting modern care. The facility has 26 nursing beds for skilled nursing and long-term care, plus another 28-bed skilled nursing facility and a 22-bed Critical Access Hospital that work right alongside swing beds for folks who need care between the hospital and going back home, and they see a good amount of short-term rehabilitation, for example if someone just had surgery and they're too weak to go home and just need a little bit more time. They see a lot of people with back and neck pain, osteoarthritis, muscle sprains, trouble walking, diabetes issues, nerve injuries, weakness, and just general deconditioning that happens to folks over time.

    They've got emergency services with four emergency rooms in a newly updated Emergency Department, certified as a Level 5 state emergency room running 24 hours a day, with about 1,680 visits in 2024, and they run a rural health clinic right next door for regular check-ups, so they try to cover anything from a small cut to much more serious problems. Staff numbers are about 100, including providers, and the place is National Health Service Corps certified, so they're used to serving people from several counties, about 6,000 people or so.

    The nursing facility provides all sorts of medical therapy, physical and occupational therapy, IV treatments, cardiac rehab, radiology, lab work, and regular pharmacy and medication checks, with short-term and long-term residents who might need a lot of nursing help or just a bridge before heading home. They help with family caregiver programs and offer things like respite care, hospice care, support with assistive technology, and even in-home help if someone can't come in. There are programs for different health needs, and they focus on making care personalized, with regular fall prevention checks and a full plan for anyone with chronic illness.

    They accept Medicaid, Medicare, and private insurance, charging everyone the same rate, and if you can't pay or don't have much insurance, their sliding fee scale makes sure anyone who qualifies gets discounted or free care, sometimes even writing off everything as charity if your budget is tight. They offer help for people who need language services or have disabilities, with interpreters, written materials, and sign language on hand. Charting is well-organized and they keep strong records, so staff always know what each patient is working through, and the hospital includes a dedicated purchasing department to keep supplies in good order. Life here is steady, with day-in, day-out services that cover nursing, medical needs, therapy, rehabilitation, surgery, and plenty to keep residents safe and comfortable, and the whole place centers on compassion and the belief that anyone deserves solid, clear care.

    People often ask...

    Garrison Mem Hosp Nursing Facility offers assisted living and skilled nursing.

    The full address for this community is 407 3rd Ave SE, Garrison, ND 58540.

    No, Garrison Mem Hosp Nursing Facility does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.

    License numberSNF-garrison-memorial-hospital-nursing-facility-garrison
    Facility typeSkilled Nursing Facility

    Inspection Reports

    35

    Reports

    126

    Citations

    0

    Complaints

    17

    Years

    08 Apr 2026Inspection
    Investigated multiple deficiencies: residents were not adequately informed about psychotropic medications, care plans were not updated, orders for catheters and oxygen were missing, infections control and food safety standards were not met, and there were issues with medication administration and notifications.
    • 483.10(c)(1)(4)(5)Right to be Informed/Make Treatment Decisions
    • 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • 483.60(i)Food Procurement, Store/Prepare/Serve-Sanitary
    • 483.10(g)(14)-(15)Notify of Changes
    • 483.45(e) and 483.12(a)(2)Psychotropic Drugs/Unnecessary Drugs; Chemical Restraints
    • 483.25Quality of Care
    • 483.25(e)(1)-(3)Bowel/Bladder Incontinence, Catheter, UTI
    • 483.25(i)Respiratory Care and Suctioning
    • 483.80Infection Prevention & Control
    10 Mar 2025Life Safety
    Found deficiencies regarding the west-side means of egress and the emergency generator's testing/load requirements.
    • NFPA 101, 7.7; 7.1.6; 7.2.5; 18.2.7; 19.2.7Discharge from Exits
    • NFPA 99 6.4.4.1.1.4; NFPA 110 8.4.2; NFPA 111; NFPA 70 700.10Electrical Systems - Essential Electric System
    27 Feb 2025Inspection
    Identified multiple deficiencies across dietary oversight, care planning, medication administration, equipment safety, nutrition monitoring, insulin labeling, infection control, and quality improvement processes.
    • NDAC 33-07-03.2-16(1b)Dietary oversight by licensed dietitian
    • CFR 483.21(b)(2)Care plan timing and revision
    • CFR 483.21(b)(3)Care plans must meet professional standards
    • CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
    • CFR 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
    • CFR 483.45(g)(h)(1)(2); 483.45(h)Labeling and Storage of Drugs and Biologicals
    • CFR 483.75QAPI
    • CFR 483.80(a)-(f)Infection prevention and control program
    20 Dec 2023Inspection
    Investigated a complaint and found multiple deficiencies across medication self-administration, privacy, bed-hold notices, care standards, staffing, medication errors, dietary qualifications, and hospice documentation.
    • CFR 483.10(c)(7)Resident Self-Admin Meds-Clinically Appropriate
    • CFR 483.10(h)(1)-(3)(ii)Privacy and Confidentiality of Records
    • CFR 483.15(d)Bed-Hold Notice and Transfer Notice
    • CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • CFR 483.35(b)(1)-(3)RN Staffing
    • CFR 483.45(f)(1)Medication Error Rate
    • CFR 483.60(a)(1)-(2)Qualified Dietary Staff
    • CFR 483.70(o)(1)-(4)Hospice Services Documentation
    19 Dec 2023Life Safety
    Found that a sidewalk was added outside the west exit without department plans approval, and smoke detectors were not tested or maintained per NFPA standards.
    • 33-07-04.2-08,2Plans and Specifications
    • NFPA 72; NFPA 101 19.3.4.5; 19.3.6.1Smoke Detection
    12 Jul 2023Inspection
    Found no infection control deficiencies during the focused infection control survey.
    31 Jan 2023Life Safety
    Investigated found multiple life-safety and emergency-preparedness deficiencies, including lack of coordination with local emergency officials and no system to track staff or residents during emergencies. Additional issues were found in exits, hazardous areas, cooking facilities, fire drills, and electrical systems.
    • CFR 483.73(a)(4)Emergency Plan
    • CFR 483.73(b)(2)Policies and Procedures – Tracking during an Emergency
    • CFR 483.73(b)(7)Arrangements with Other Facilities
    • NFPA 101 Life Safety Code (2012) - 7.7.3.4; 19.2; 18.2.7Stairways and Smokeproof Enclosures
    • NFPA 101 Life Safety Code (2012) - 7.7; 7.7.1; 19.2.7Discharge from Exits
    • NFPA 101 Life Safety Code (2012) - 19.3.2; 7.2.1.8; 19.3.2.1; 19.3.2.1.3; 19.3.2.1.4Hazardous Areas - Enclosure
    • NFPA 96; NFPA 70; NFPA 12; NFPA 17A; NFPA 96-10.4Cooking Facilities
    • NFPA 101 Life Safety Code (2012) - 19.7.1.4; 19.7.1.6; 19.7.1.7Fire Drills
    • NFPA 99; NFPA 70; NFPA 6.3.3.2-6.3.4.2.1Electrical Systems - Maintenance and Testing
    • NFPA 101 Life Safety Code (2012) - 19.5; NFPA 110; NFPA 70Electrical Systems - Essential Electric System
    • NFPA 72; NFPA 70; NFPA 96; NFPA 70; NFPA 14.3Fire Alarm System - Testing and Maintenance
    20 Dec 2022Life Safety
    Found multiple deficiencies related to fire safety and emergency power systems, including issues with means of egress, fire doors, exit discharge access, kitchen hood suppression testing, fire alarm testing, fire drills, and generator battery/annunciator testing.
    • NFPA 101, Means of Egress - General; 18.2.1; 19.2.1; 7.1.10.1; NFPA 80Means of Egress - General
    • NFPA 101; 18.2.7; 19.2.7; 7.7.1Discharge from Exits
    • NFPA 96; 11.2.1; 9.2.3Cooking Facilities
    • NFPA 70; NFPA 72; NFPA 99Fire Alarm System - Testing and Maintenance
    • NFPA 101; 19.7.1.4-19.7.1.7Fire Drills
    • NFPA 99; NFPA 110; NFPA 70Electrical Systems - Essential Electric System
    • NFPA 99; NFPA 72; NFPA 70Electrical Systems - Essential Electric System - Alarm Annunciator
    • NFPA 99; NFPA 110; NFPA 70Electrical Systems - Essential Electric System - Maintenance and Testing
    30 Nov 2022Inspection
    Identified multiple deficiencies in care practices, including resident rights, skin care, accident prevention, meal safety, staff competency, staffing data posting, and psychotropic medication oversight.
    • 483.10Resident Rights
    • 483.21(b)(3)(i)Comprehensive Care Plans
    • 483.25(b)(1)(i)(ii)Quality of Care
    • 483.25(d)(1)(2)Accidents
    • 483.35(a)(3)(4)(c)Nursing Services
    • 483.35(g)(1)-(4)Nurse Staffing Information
    • 483.45(e)(1)-(5)Psychotropic Drugs
    18 Aug 2021Life Safety
    Found three deficiencies related to exit discharge, electrical safety, and fire drills. Exit discharge didn't terminate to a public way; several outlets lacked GFCI protection; fire drills didn't include simulated emergency calls.
    • NFPA 101, 7.7.1; 18.2.7, 19.2.7Discharge from Exits
    • NFPA 70; NEC 210.8Ground-fault circuit-interrupter protection
    • NFPA 101, 19.7.1.4-19.7.1.7Fire Drills
    10 Aug 2021Inspection
    Investigated deficiencies found across medication self-administration, code status documentation, assessment accuracy, oxygen management, and infection control. Found failures to ensure appropriate processes and documentation were in place.
    • CFR 483.10(c)(7)Resident Self-Administration of Medications
    • CFR 483.10(g)(12)Advance Directives/Code Status
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.25(i)Respiratory Care and Oxygen Therapy
    • CFR 483.80Infection Prevention and Control
    15 Dec 2020Inspection
    Found no deficiencies related to COVID-19 preparedness or infection control.
    15 Nov 2020Inspection
    Found no deficiencies related to infection control during a COVID-19 focused survey; ten residents were COVID-19 positive.
    16 Mar 2020Inspection
    Confirmed compliance with infection control requirements for COVID-19 and related CMS/CDC practices.
    21 Nov 2019Inspection
    Found multiple deficiencies across Medicare/Medicaid notices, abuse reporting, transfers and bed-hold notices, care planning, dietary portions, and infection control.
    • CFR §483.10(g)(17)-(18)(i)-(v)Medicaid/Medicare Coverage/Liability Notice
    • CFR §483.12(c)Reporting of Alleged Violations
    • CFR §483.15(c)(3)-(6)(8)Notice Requirements Before Transfer/Discharge
    • CFR §483.15(d)(1)-(2)Notice of Bed-Hold Policy Before/Upon Transfer
    • CFR §483.21(b)(3)(i)Services Provided Meet Professional Standards
    • CFR §483.60(c)(1)-(7)Menus Meet Resident Nds/Prep in Adv/Followed
    • CFR §483.80(a)-(f)Infection Prevention & Control
    11 Sept 2019Life Safety
    Identified several life-safety deficiencies, including a missing smoke detector in a staff sleeping room, an exterior exit not terminating at a public way, a hazardous area door that did not self-close, and a lack of monthly maintenance on a kitchen wet chemical extinguishing system.
    • NFPA 101, 26.3.4.5.3; 9.6.2.10; 6.1.14General Requirements - Other
    • NFPA 101, 18.2.7; 19.2.7; 7.7.1Discharge from Exits
    • NFPA 101, 8.7.1; 19.3.2.1; 19.3.5.9Hazardous Areas - Enclosure
    • NFPA 17A; NFPA 96; 7.2.1; 7.2.2; 18.3.2.5.1-5; 9.2.3Cooking Facilities
    31 Oct 2018Inspection
    Found failures in coordination of psychiatric assessments, insulin administration, and safety practices, including inadequate supervision, unsecured medications/chemicals, and cluttered hallways.
    • CFR 483.20(e)(1)(2)Coordination of PASARR and Assessments
    • CFR 483.21(b)(3)(i)Comprehensive Care Plans
    • CFR 483.25(d)(1)(2)Accidents
    01 Aug 2018Life Safety
    Observed multiple life safety deficiencies, including uninspected fire doors, inadequate exit discharge to a public way, missing itemized fire alarm testing records, improper smoke detector placement, sprinkler gauge maintenance gaps, and missing quarterly fire drills.
    • NFPA 101 - Means of Egress - GeneralMeans of Egress - General
    • NFPA 101 - Discharge from ExitsDischarge from Exits
    • NFPA 101 - Fire Alarm System - Testing and Maintenance; NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
    • NFPA 101 - Smoke Detection; NFPA 72Smoke Detection
    • NFPA 101 - Sprinkler System - Maintenance and Testing; NFPA 25Sprinkler System - Maintenance and Testing
    • NFPA 101 - Fire DrillsFire Drills
    07 Nov 2017Inspection
    Found deficiencies related to resident rights notices and nutrition management. The facility did not confirm a Medicare demand bill request for one resident, and failed to adequately address weight loss in another resident.
    • CFR 483.10(d)(3)(g)(1)(4)(5)(13)(16)-(18)Notice of Rights, Rules, Services, Charges
    • CFR 483.25(g)(1)(3)Maintain Nutrition Status
    28 Aug 2017Life Safety
    Identified multiple life safety deficiencies, including unsafe exit discharge access, incomplete fire alarm testing, improper sprinkler installation, and inadequate maintenance of sprinkler and emergency power systems.
    • NFPA 101 19.2.7, 7.7.1; CMS S&C-05-38Discharge from Exits
    • NFPA 101 9.3.4.1; NFPA 70; NFPA 72; 9.6.1.3; NFPA 25Fire Alarm System - Testing and Maintenance
    • NFPA 13 8.3.2; 8.3.2.5(10)Sprinkler System - Installation
    • NFPA 25; NFPA 13; 19.7.6, 4.6.12Sprinkler System - Maintenance and Testing
    • NFPA 99; NFPA 110; NFPA 70Electrical Systems - Essential Electric System
    12 Oct 2016Inspection
    Found multiple deficiencies in resident care and safety practices, including insufficient assessment for wedge cushion use, privacy lapses, incomplete status-change assessments, improper insulin pen use and labeling, unsecured chemicals, unsanitary ice machines, and gaps in infection control.
    • 483.13(a)Right to be free from physical restraints
    • 483.15(a)Dignity and respect of individuality
    • 483.20(b)(2)(ii)Comprehensive assessment after significant change
    • 483.20(k)(3)(i)Services provided meet professional standards
    • 483.25(h)Free of accident hazards/supervision/devices
    • 483.60(b)-(e)Sanitary conditions – food procure/store/prepare/serve
    • 483.60(b)-(e)Drug records, label/store drugs & biologicals
    • 483.65Infection control, prevent spread, linens
    10 Aug 2016Life Safety
    Found fire safety deficiencies including hazardous areas not properly separated and an exterior exit path not terminating at a public way.
    • NFPA 101 Life Safety Code 19.3.2.1Hazardous areas not separated by smoke-resisting partitions and self-closing doors
    • NFPA 101 Life Safety Code 7.7.1; 19.2.1Exterior exit discharge did not terminate at a public way
    14 Oct 2015Inspection
    Found no deficiencies after evaluating the complaint issues; the issues investigated were not substantiated.
    04 Sept 2014Inspection
    Investigated the complaint and identified multiple deficiencies related to dignity and respect, hydration and nutrition, and care during personal hygiene and meals.
    • Dignity and Respect of Individuality
    • Incontinence care and perineal hygiene
    • Dietary/Nutrition and fluid intake
    • Menu/portion control
    14 Aug 2014Life Safety
    Identified multiple life-safety deficiencies, including exit design and latching issues, inadequate smoke detector installation, sprinkler coverage gaps, and problems with emergency power and related equipment; documented corrective actions planned.
    • NFPA 101 Life Safety Code – ExitsExit termination and exit discharge requirements
    • NFPA 101 Life Safety Code; NFPA 101 Life Safety Code – FSESFire Safety Evaluation System (FSES) evaluation
    • NFPA 72 – National Fire Alarm CodeSmoke detectors not installed per NFPA 72
    • NFPA 101 Life Safety Code; NFPA 110; NFPA 25; NFPA 99Emergency power and related systems not maintained per standards
    • NFPA 99; NFPA 110; NFPA 25Generator testing frequency not fully compliant
    • NFPA 13; NFPA 25; NFPA 110Additional backflow and spray system considerations; QA monitoring
    05 Sept 2013Inspection
    Identified deficiencies in resident assessment accuracy, inappropriate use of PRN psychoactive medications, and improper medication storage/record-keeping.
    • 483.20(g) - (i) ASSESSMENT ACCURACY/COORDINATION/CERTIFIEDASSESSMENT ACCURACY/COORDINATION/CERTIFIED
    • 483.25(i) DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGSDRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS
    • 483.60(b), (d), (e) DRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALSDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS
    11 Oct 2012Inspection
    Investigated safety concerns from transfer activities; gait belts were used improperly, with belts remaining loose and shifting during transfers, and chair alarms and care-plan guidance for gait belt use were not consistently in place.
    • Gait belt safety during transfers
    30 Aug 2012Inspection
    Investigated allegations of neglect and mistreatment; found deficiencies in supervision and incident reporting related to resident safety.
    • 483.13(c)Prohibition of mistreatment, neglect and misappropriation
    30 Apr 2012Life Safety
    Investigated an exit discharge issue and found deficiencies in terminating exits at a public way and in required width/size for the exit discharge.
    • NFPA 101 Life Safety Code, 7.7.1Exit discharge to public way
    29 Sept 2011Inspection
    Determined deficiencies in maintaining a safe resident environment and in infection-control practices.
    • Accident hazards; supervision and assistance
    • Infection control program
    29 Jun 2011Life Safety
    Investigated a deficiency where an exterior exit discharge did not terminate directly at a public way but traversed grassy surfaces; an FSES was used to justify the exit arrangement.
    • NFPA 101 Life Safety Code - Exit discharge requirements (7.7.1)Exit discharge to public way
    13 Oct 2010Inspection
    Identified deficiencies in preventing mistreatment/neglect and misappropriation of resident property and in implementing required policies.
    • 483.13(c)MISTREATMENT/NEGLECT/MISAPPROPRIATION
    15 Sept 2010Life Safety
    Found noncompliance with exit discharge requirements; exterior exit discharged across the lawn instead of terminating at a public way.
    • NFPA 101 Life Safety Code, 2000 edition, Chapter 19; 42 CFR 483.70(a)Exit discharge not terminating at a public way; inadequate width and surfacing
    28 Oct 2009Inspection
    Identified deficiencies included failure to provide CMS-10123 notices to residents when Medicare coverage ended, unsafe storage of hazardous chemicals, and inadequate resident-rights information and QA oversight.
    • Notice of Medicare coverage ending (CMS-10123) not provided to residents
    • Hazardous materials not stored securely or properly
    • Resident rights information and contact procedures deficient
    • Quality assurance and reporting deficiencies
    28 Jul 2009Life Safety
    Found deficiencies in Life Safety Code related to exit access and the exterior exit discharge, including a west exterior exit discharge traversing the lawn to reach a public way.
    • NFPA 101 Life Safety Code StandardExit access and egress to public way

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