MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE
709 4TH AVENUE NE
WATFORD CITY, ND, 58854
7014442331
CCN: 355072
4
Overall3
Health5
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BROWN, GARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BULZOMI, MONTY | CORPORATE DIRECTOR | NOT APPLICABLE |
| CEYNAR, VIRGINIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| DODGE, JAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| FAULKNER, CHERYL | CORPORATE DIRECTOR | NOT APPLICABLE |
| HEEN, KRISTA | CORPORATE DIRECTOR | NOT APPLICABLE |
| MERKLE, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| QUALE, RANDY | CORPORATE DIRECTOR | NOT APPLICABLE |
| VOLL, JUSTIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| WISNESS, CHASE | CORPORATE DIRECTOR | NOT APPLICABLE |
| MERKLE, WILLIAM | CORPORATE OFFICER | NOT APPLICABLE |
| EDIS, PETER | CORPORATE OFFICER | NOT APPLICABLE |
| LOUGHMAN, AMANDA | CORPORATE OFFICER | NOT APPLICABLE |
| EDIS, PETER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-07-19 | Fine | $6K |
Health Deficiencies (12)
2025-07-24 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F605 · 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.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2024-06-20 · Health
D
F657 · 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.
E
F625 · 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.
E
F623 · 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.
2023-08-23 · 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.
2023-07-19 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
E
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.
D
F657 · 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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.69
RN Hrs/Resident/Day0.54
1.02
LPN Hrs/Resident/Day0.81
0.67
CNA Hrs/Resident/Day2.33
3.00
PT Hrs/Resident/Day0.12
0.00
Data as of 2026-03-01