Garrison · 58540
Garrison Mem Hosp Nsg Fac
407 3rd Ave Se
Garrison, ND 58540
Knife River Care Center
⌖ Beulah, ND · Mercer County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds86
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Knife River Care Center
Knife River Care Center is a 86-bed nonprofit nursing home in Beulah, ND. Medicare rates it 3 out of 5 stars overall (average); the average in North Dakota is 3.2. At its last full inspection (Apr 2026), inspectors found 1 problem, fewer than the North Dakota average of 5.6. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 55 min a day with each resident, more than the North Dakota average of 4 hr 25 min. About 54% of its nursing staff left in the past year. Medicare fined it $35,890 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameKnife River Care Center
LocationMercer County, North Dakota
Phone(701) 873-4322
Address118 22nd St Ne, Beulah, ND 58523 · Mercer County
CMS provider number355053
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 1, 1978 (48 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2025.Strength
- Health citations at last inspection1 (Apr 2026)North Dakota average: 5.6. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident4 hr 55 min a dayNorth Dakota average: 4 hr 25 minStrength
- Registered nurse time per resident1 hr 06 min a dayNorth Dakota average: 56 minStrength
About average
- Nursing staff turnover54% a yearNorth Dakota average: 49%About average
Things to ask about
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- Fines and penalties1 fine totaling $35,890Federal penalties from the last three years, most recently in Jul 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the North Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs0.0%State average: 1.5%Better than average
Physical therapist time: about 2 minutes per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury6.8%State average: 5.1%Worse than average
- Pressure sores (bedsores)3.7%State average: 4.9%Better than average
- Given antipsychotic drugs18.9%State average: 22.7%About average
- Hospital stays per 1,000 resident days1.4State average: 1.5About average
Source: Medicare (CMS) quality measures, compared with the North Dakota average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In North Dakota, Medicaid pays for 52% of resident days at a typical home.
- 64% Medicaid
- 2% Medicare
- 34% Private pay, insurance and other
Beds in use, on average95%North Dakota typical: 95%
Cost of care per resident day$430North Dakota typical: $424
Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, up from 1 star in January 2019. It has ranged from 1 to 3 stars and changed 10 times.
Overall rating3★
Health inspections2★
Staffing5★
Quality of care2★
Nurse hours per resident per day4.9
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 5 | 1 | 4.6 |
| Jan 2020 | 2 | 1 | 5 | 2 | 4.2 |
| Jan 2021 | 3 | 2 | 5 | 3 | 4.1 |
| Jan 2022 | 3 | 2 | 5 | 2 | 4.2 |
| Jan 2023 | 2 | 2 | 4 | 2 | 4.3 |
| Jan 2024 | 1 | 1 | 4 | 1 | 5.2 |
| Feb 2025 | 1 | 1 | 4 | 3 | 4.8 |
| Feb 2026 | 3 | 2 | 5 | 3 | 5.2 |
| Sep 2026 | 3 | 2 | 5 | 2 | 4.9 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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