01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-24 | 4 | 2025-07-24 | 1 |
| Cycle 2 | 2024-06-20 | 3 | 2024-06-20 | 0 |
| Cycle 3 | 2023-07-19 | 5 | 2023-07-19 | 1 |
CMS CCN 3550722026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mckenzie County Healthcare Systems Long Term Care
709 4Th Avenue Ne · Watford City, ND 58854 · Mckenzie County
Certified beds42CMS provider file
Recent citation rows14current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
14 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-24 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-07-24 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-07-24 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-07-24 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-07-24 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-09-052024-06-20 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-07-252024-06-20 · HEALTHF0625Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-07-252024-06-20 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-07-252023-08-23 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2023-07-30 · complaint2023-07-19 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-08-232023-07-19 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-08-232023-07-19 · HEALTHF0801Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-08-232023-07-19 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-08-232023-07-19 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-09-0703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MCKENZIE COUNTY HEALTHCARE SYSTEMS INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 07/01/2004
- BROWN, GARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- BULZOMI, MONTYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- CEYNAR, VIRGINIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- DODGE, JANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- FAULKNER, CHERYLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2004
- HEEN, KRISTAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/30/2024
- MERKLE, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2023
- QUALE, RANDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/27/2021
- VOLL, JUSTINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- WISNESS, CHASEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- EDIS, PETERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/31/2021
- LOUGHMAN, AMANDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/09/2025
- MERKLE, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2023
- EDIS, PETERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2021
- EDIS, PETERIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/23/2025
- FAULKNER, CHERYLIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/23/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.27per resident day
RN hours1.17per resident day
Weekend nurse hours3.82per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the North Dakota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.