GRIGGS COUNTY CARE CENTER

107 12TH ST S
COOPERSTOWN, ND, 58425
7017972221
CCN: 355039
4
Overall
4
Health
4
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
HALVORSON, BENJAMINCORPORATE DIRECTORNOT APPLICABLE
JOHNSON, JANICECORPORATE DIRECTORNOT APPLICABLE
LARSON, DANIELCORPORATE DIRECTORNOT APPLICABLE
LARSON, JOANNCORPORATE DIRECTORNOT APPLICABLE
MONSON, JUDYCORPORATE OFFICERNOT APPLICABLE
JOHNSON, NICOLECORPORATE OFFICERNOT APPLICABLE
JOHNSON, NICOLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JOHNSON, NICOLEW-2 MANAGING EMPLOYEENOT APPLICABLE
MONSON, JUDYW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (5)
2025-08-06 · Health
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2024-07-31 · Health
F
F801 · 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.
2023-11-29 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-09-13 · Health
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.03
3.68
RN Hrs/Resident/Day
0.74
0.54
LPN Hrs/Resident/Day
0.47
0.81
CNA Hrs/Resident/Day
2.82
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01