About Mckenzie County Healthcare Systems Long Term Care
Mckenzie County Healthcare Systems Long Term Care is a 42-bed nonprofit nursing home in Watford City, ND. Medicare rates it 4 out of 5 stars overall (above average); the average in North Dakota is 3.2.
Inspections: 4 problems at its last full inspection (Jul 2025), fewer than the North Dakota average of 5.6. None of its recent citations were for residents being harmed.
Staffing: nurses and aides spend about 4 hr 16 min a day with each resident, about the same as the North Dakota average of 4 hr 25 min.
Fines: no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameMckenzie County Healthcare Systems Long Term Care
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Overall rating4 of 5Above average
Health inspections4 of 5Above average
Quality measures3 of 5Average
Staffing4 of 5Above average
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
Serious health citationsNone since Jul 2025No citations for actual harm or immediate jeopardy since Jul 2025.
Strength
Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
Strength
Health citations at last inspection4 (Jul 2025)North Dakota average: 5.6.
Strength
Registered nurse time per resident1 hr 10 min a dayNorth Dakota average: 56 min
Strength
About average
Nurse staffing per resident4 hr 16 min a dayNorth Dakota average: 4 hr 25 min
About average
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.
Long-term care
For residents who live at the home for months or years.
★★★★★ Medicare quality rating: 3 of 5 (average)
Falls with a major injury4.2%State average: 5.1%
About average
Pressure sores (bedsores)0.0%State average: 4.9%
Better than average
Given antipsychotic drugs30.5%State average: 22.7%
Worse than average
Hospital stays per 1,000 resident days1.3State average: 1.5
About average
Source: Medicare (CMS) quality measures, compared with the North Dakota average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 4 stars now, up from 3 stars in January 2019. It has ranged from 1 to 4 stars and changed 19 times.
Overall rating4★
Health inspections4★
Staffing4★
Quality of care3★
Nurse hours per resident per day4.3
20192020202120222023202420252026
Show the values by year
Month
Overall
Inspections
Staffing
Quality
Nurse hours
Jan 2019
3
3
1
5
–
Jan 2020
4
3
4
3
3.8
Jan 2021
4
3
5
2
5.1
Jan 2022
2
2
5
1
4.4
Jan 2023
3
3
4
2
5.5
Jan 2024
3
2
5
4
4.4
Feb 2025
4
3
5
3
4.7
Feb 2026
4
3
5
4
4.7
Sep 2026
4
4
4
3
4.3
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.
Loading…
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.
All inspection citations
Every health and fire-safety citation from this home’s recent state inspections, combined, and how serious CMS rated each one. The “Health citations at last inspection” figure above counts only health citations from the most recent inspection.
Fire safety citation detail
Violations found during this facility's separate fire and life-safety inspection - things like sprinklers, exits, and emergency plans.
Deficiencies by category
How this facility's citations break down by type, so you can see whether problems concentrate in clinical care or in the building itself.
Care & clinical
Fire safety & building
Staffing detail
Reported nursing hours per resident per day, with state and national averages where available.
Resident outcome measures (this facility's actual rates)
This facility's own rates on things like falls, pressure ulcers, and hospital readmissions, based on real resident assessment data CMS collects.
Claims-based quality measures
Outcomes calculated from Medicare claims data rather than the facility's own reporting, including hospitalizations and ER visits.
Medicare Value-Based Purchasing performance
How this facility scored in Medicare's pay-for-performance program, which raises or lowers its Medicare payments based on hospital readmission rates.
Full comparison — state & national context
How this facility's key metrics stack up against state and national averages, side by side.
How health inspection ratings are scored
State-specific deficiency point thresholds for the health inspection rating.
Facility classifications
No flags on record
Other nursing homes near Watford City
Looking at more than one home? Here are other facilities from the directory in Watford City and the nearby area.