Garrison Mem Hosp Nsg Fac

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.02 therapist hours per resident per day in 2026Q1 — more than 1% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 26 beds and averages 19.8 residents a day — about 76% occupied, or roughly 6 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.34 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.42 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.85 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.45 hrs/resident/day on weekends vs 4.70 on weekdays — 27% thinner on weekends — a notable drop. RN hours go from 2.56 to 2.08 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 67% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · E2026-04-08 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview the facility failed to fully inform the resident or resident representative regarding treatment with psychotropic medications for 5 of 5 sampled residents (#2, #4, #5, #9, and #16) reviewed for unnecessary medications. Failure to fully inform the resident or the resident's representative of the risks, benefits, alternatives and obtain consent for psychotropic medications does not allow the right to choose treatment options. Findings include: - Review of Resident #2's medical record occurred on all days of survey. Physician's orders included Buspirone (antianxiety), Duloxetine (antidepressant), Lorazepam (antianxiety), Mirtazapine (antidepressant), and Risperidone (antipsychotic). The medical record lacked documentation the facility informed the resident and/or their representatives of treatment risks, benefits, options, or obtain their consent to the treatment prescribed. - Review of Resident #4's medical record occurred on all days of survey. Physician's orders included Citalopram (antidepressant) and Quetiapine (antipsychotic). The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-08 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of facility policy, and staff interview, the facility failed to review and revise care plans to reflect the resident's current status for 6 of 12 sampled residents (Resident #2, #3, #4, #8, #16, and #21). Failure to update care plans limited staffs' ability to communicate needs and ensure continuity of care for each resident.Findings include: Review of the facility policy titled Care Conference and Resident Centered Care Plan occurred on 04/08/26. This undated policy stated, . A comprehensive resident-centered care plan will be developed and implemented for each resident, consistent with their resident rights, that include measurable goals and timeframes to meet the resident's medical, nursing, mental and psychosocial needs, and will contain the following: Services to be furnished to the resident to attain or maintain their highest practicable physical, mental, and psychosocial well-being . Care plans will then be reviewed a minimum of quarterly, as the resident/representative requests, or as needed. Care plans will be reviewed by the team at regularly…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-08 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, review of the dishwasher temperature and chemical concentration logs, review of the manufacturers' guidelines, and vendor and staff interview, the facility failed to ensure the low temperature dishwasher provided adequate heat and sanitization for dishes and utensils washed in 1 of 1 kitchen (main kitchen). Failure to ensure the appropriate wash temperature for the dishwash cycle may result in inadequate cleaning and sanitation of dishware. Findings include:Review of manufacturer specifications for Energy Series 'Green' Machine American Dish Service, Edwardsville, Kansas identified Water Temperature - 120 degrees [Fahrenheit] F.Product specifications for Ultra San Liquid Sanitizer, Ecolab, 2023 Ecolab USA, stated, For Sanitizing Tableware in low-temperature warewashing machines, inject Ultra San into the final rinse water at concentration of 100 ppm available chlorine. Do not exceed 200 ppm .Observation in the main kitchen on 04/08/26 at 8:15 a.m. showed a low temperature chemical sanitizing dishwasher in use. A dietary aide checked the temperature of the wash…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-08 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of facility policy, and staff interview, the facility failed to notify the resident's physician of a change in condition for 1 of 1 sampled resident (Resident #2) reviewed for a fall with injury. Failure to notify the physician of the fall, potential fracture, and pain prevented the physician from altering the treatment and care for the resident. Findings include:Review of the facility policy titled Fall Protocol occurred on April 7, 2026. This policy dated June 2023 stated, . Post-Fall Management . Immediately perform and document complete head-to-toe assessment. including assessment for possible injuries. Notification. 1. Notify the LP [Licensed Practitioner] immediately at the time of the fall; provide the following: . b. Injury or complaint of pain . d. Obtain order for medical interventions/diagnostic procedures . 3. Patient's representative, as appropriate. Review of Resident #2's medical record occurred on all days of survey. Diagnoses included a right femur fracture. The current care plan stated, . Resident is at risk for falls due to cognitive…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-08 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure residents remained free of chemical restraints for 1 of 5 residents (Resident #2) reviewed for unnecessary medications. Failure to document an assessment and appropriate diagnosis for the use of an antipsychotic medication does not allow the resident to attain and/or maintain his/her highest level of practicable well-being.Findings include:Review of the facility policy titled Antipsychotic Drugs occurred on 04/08/26. This policy, dated September 2022 stated, . Based on a comprehensive assessment of a resident, the facility must ensure that: A. Residents who have not used antipsychotic drugs are not given these drugs unless antipsychotic drug therapy is necessary to treat a specific condition as diagnosed and documented in the clinical record. Review of Resident #2's medical record occurred on all days of survey. Diagnoses included Alzheimer's disease, dementia, and anxiety. Medications included Risperidone (antipsychotic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-08 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to provide the necessary care and services to maintain the highest practicable physical well-being for 1 of 1 sampled resident (Resident #5) observed to self-administer medications (SAM). Failure to assist/observe residents who are not SAM take their medications may result in adverse health consequences.Findings include:Review of the facility policy Self-Administration of Medication occurred on 04/08/26. This policy, dated January 2024, stated, . Drugs can be left at the bedside and self-administered by the resident only if ordered by the physician. nursing will assess resident/patient for appropriateness of self-administering, this form will be kept in the MAR [medication administration record] . Observation on 04/06/26 at 5:00 p.m. showed Resident #5 seated in the dining room and a medication cup containing several pills on the meal tray in front of the resident. The nurse (#2) administered medications to other residents in the dining room. Resident #5 picked up the medication…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-08 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure appropriate care and services for 1 of 1 sampled resident (Resident #8) with an indwelling urinary catheter. Failure to obtain a physician's order for an indwelling catheter and catheter cares may result in urinary tract infections (UTIs), discomfort, skin issues, and sepsis.Findings include: Review of Resident #8's medical record occurred on all days of survey and identified an indwelling urinary catheter since admission on [DATE]. The physician's orders failed to include an order for an indwelling urinary catheter or how often to replace the catheter. The record showed facility staff changed the catheter 01/18/26, 15 weeks after admission. Review of Resident #8's progress note, dated 01/18/26 at 5:19 p.m., stated . resident reported severe pain to his catheter insertion site. Urine in tubing noted to be puss [sic] like with some blood noted. Catheter was irrigated with approx [sic] 40 cc [cubic centimeter a unit of measure] of normal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-08 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, professional reference review, and staff interview, the facility failed to obtain an order for oxygen for 1 of 1 sampled resident (Resident #12) observed with oxygen. Failure to obtain a physician's order for oxygen use may result in complications and compromise the residents' respiratory status.Findings include: Kozier & Erb's Fundamentals of Nursing, Concepts, Process and Practice, 11th Edition eText, 2021, Pearson, Boston, Massachusetts, page 1292, stated, . Oxygen Therapy . The medical administration of supplemental oxygen is considered to be a process similar to that of administering medications and requires similar nursing actions. Oxygen therapy is prescribed by the healthcare provider, who orders the concentration, method of delivery, and depending on the method, liter flow per minute .Review of Resident #12's medical record occurred on April 7-8, 2026, and identified the resident returned to the facility the afternoon of 04/06/26 following an acute hospital stay for pneumonia and exacerbation (flare up) of congestive heart failure.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-08 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 3 of 6 sampled residents (Resident #5, #6, and #8) observed during cares. Failure to practice infection control standards related to enhanced barrier precautions (EBP), personal protective equipment (PPE), hand hygiene, and surface disinfection has the potential to spread infection throughout the facility. Findings include: Review of the facility policy Enhanced Barrier Precautions occurred on 04/08/26. This policy, revised March 2026, stated, . Enhanced Barrier Precautions (EBP) are an infection control intervention designed to reduce transmission of resistant organisms that employ targeted gown and glove use during high contact resident care activities. Examples of high-contact resident care activities requiring gown and glove use for Enhanced Barrier Precautions include: Dressing .Transferring, Providing hygiene, Changing linens, Changing briefs or assisting with toileting . Wound care: any skin opening requiring a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-27 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of facility policies, and staff interview, the facility failed to review and revise care plans to reflect the residents' current status for 4 of 12 sampled residents (Residents #1, #4, #5, and #7). Failure to update care plans limited the staffs' ability to communicate needs and ensure continuity of care. Findings include: Review of the facility policy titled Interdisciplinary Care Plan and Care Plan Meeting occurred on 02/26/25. This policy, dated December 2023, stated, . C. Develop a care plan based upon information from the Interdisciplinary Team. Review of the facility policy titled Care Conference and Resident Centered Care Plan occurred on 02/26/25. This policy, dated June 1985, stated, . 2. The care plan will include . b) Physician orders . c) Dietary orders . 3. The . care plan will be . b. Developed by an interdisciplinary team, that includes . i. the attending physician . iv. dietary staff member . c. Reviewed and revised . by each member . 5. A comprehensive resident-centered care plan will be developed and implemented for . a) Services .…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to COMMONSPIRIT HEALTH — 18 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in ND