Benedictine Living Center of Garrison
609 4th Ave Ne · Garrison, ND · 58540 · 7014632226
52 certified beds Non profit - Church related Chain: Benedictine Health System
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $8,278 |
Inspection citations (14 in the current record)
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Potential for harm · D July 22, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 22, 2025
Provide and implement an infection prevention and control program.
Corrected August 13, 2025 · Infection Control
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Actual harm · G June 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 22, 2025 · Resident Rights
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Potential for harm · E July 24, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected August 23, 2024 · Pharmacy Service
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Potential for harm · D September 7, 2023 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 12, 2023 · Resident Rights
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Potential for harm · E September 7, 2023 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected October 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 7, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 7, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 12, 2023 · Quality of Life and Care
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Potential for harm · D September 7, 2023 · found via complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected October 12, 2023 · Nursing and Physician Services
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Potential for harm · E September 7, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 12, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 18, 2025 | Fine | $8,278 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355064 · certified since July 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.