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Mckenzie County Healthcare Systems Long Term Care

Summary: Mckenzie County Healthcare Systems Long Term Care is located in Watford City, North Dakota. It was first approved by Medicare and Medicaid to provide nursing home services on 1978-09-01. It currently has 47 certified beds and 37 residents in the certified beds. Mckenzie County Healthcare Systems Long Term Care earned a 4-star overall rating in the lasted Medicare and Medicaid Health Inspections (2015-08-01) [1]. See following table for more details.

Information of Mckenzie County Healthcare Systems Long Term Care

Nursing Home Profile
Address 709 4TH AVE NE, Watford City, ND 58854
Phone 701-444-2331
Number Certified Beds / Residents in Certified Beds 47 / 37
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★★ (4)  
Health Inspection Rating ★★★ ☆☆ (3)
Quality Rating ★★★★ (4)
Staffing Rating ★★★★ (4)
RN Staffing Rating ★★★★★ (5)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 2.42027
Reported LPN Staffing Hours per Resident per Day 0.69054
Reported RN Staffing Hours per Resident per Day 0.88784
Reported Licensed Staffing Hours per Resident per Day 1.57838
Reported Total Nurse Staffing Hours per Resident per Day 3.99865
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00811
Expected CNA Staffing Hours per Resident per Day 2.36065
Expected LPN Staffing Hours per Resident per Day 0.56764
Expected RN Staffing Hours per Resident per Day 0.72411
Expected Total Nurse Staffing Hours per Resident per Day 3.65240
Adjusted CNA Staffing Hours per Resident per Day 2.51567
Adjusted LPN Staffing Hours per Resident per Day 1.00970
Adjusted RN Staffing Hours per Resident per Day 0.91615
Adjusted Total Nurse Staffing Hours per Resident per Day 4.41303
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 24
Cycle 1 Standard Survey Health Date 2014-08-21
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 24
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Survey Health Date 2013-08-14
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Survey Health Date 2012-08-23
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 52
Total Weighted Health Survey Score 26.000
Complaints, Fines & Penalties
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 0
Number of Fines 0
Total Amount of Fines in Dollars 0
Number of Payment Denials 0
Total Number of Penalties 0
Facility Information
Ownership Non profit - Corporation
Date First Approved to Provide Medicare and Medicaid 1978-09-01
Provider Resides in Hospital NO
Continuing Care Retirement Community N
Special Focus Facility N
Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Processing Date 2015-08-01

Ownership Information

Owner NameOwner RoleOwner Type%
Mckenzie County Healthcare Systems IncOperational/managerial ControlOrganizationn/a
Brenna, DavidDirectorIndividualn/a
Dahl, NylaDirectorIndividualn/a
Haugen, ShellyDirectorIndividualn/a
Johnson, BarbaraDirectorIndividualn/a
Larsen, LarryDirectorIndividualn/a
Levang, PatsyDirectorIndividualn/a
Nordby, DouglasDirectorIndividualn/a
Peterson, KellyDirectorIndividualn/a
Sax, MichonDirectorIndividualn/a
Shipman, NealDirectorIndividualn/a
Swearingen, LeroyDirectorIndividualn/a
Swenson, ScottDirectorIndividualn/a
Taylor, TimothyDirectorIndividualn/a
Wisness, JulieDirectorIndividualn/a
Woolsey, RoseOfficerIndividualn/a
Kelly, DanielManaging EmployeeIndividualn/a
Wahus, EvelynManaging EmployeeIndividualn/a