MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE – WATFORD CITY, ND

CMS Verified | 2026-03-01

Mckenzie County Healthcare Systems Long Term Care

709 4TH AVENUE NE, Watford City, ND 58854
(701) 444-2331
42 beds
All Watford City facilities
4.0*
Overall
3.0*
Health Inspection
4.0*
Quality Care
5.0*
Staffing
84.52
Score /100
#1852
National Rank

#1852
of 14703 facilities
National
87.4% position
#6
of 72 in ND
State Rank
#1
of 1 in Mckenzie
County Rank
#1
of 1 in Watford City
City Rank
#1
of 1 in ZIP 58854
ZIP Rank






About Mckenzie County Healthcare Systems Long Term CareMckenzie County Healthcare Systems Long Term Care is located at 709 4Th Avenue Ne, Watford City, ND, reachable at (701) 444-2331. This Non profit – Corporation facility operates 42.0 certified beds and serves an average of 35 residents per day. Medicare and Medicaid services have been provided since 1978-09-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Mckenzie County Healthcare Systems Long Term Care

Address

709 4Th Avenue Ne, Watford City, ND 58854

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 42 Certified Beds
  • Ownership: Non profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 6 fine(s) over 5 years
5-Year Trend
Improving over 5 years
84.52
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#1852 of 14703 nationally – #6 of 72 in North Dakota

Who Is This Facility Best For?

Mckenzie County Healthcare Systems Long Term Care offers a mid-range care option in Watford City, ND. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

3 / 5
Staffing Rating

5 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightMckenzie County Healthcare Systems Long Term Care currently provides 4 hours 41 minutes of total nurse staffing per resident per day, including 1 hour 1 minute of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. Total nursing staff turnover stands at 41.5% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 41 minutes
Nurse Aide Hours3 hours
Licensed Practical Nurse (LPN) Hours40 minutes
Registered Nurse (RN) Hours1 hour 1 minute
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 52 minutes
Weekend Registered Nurse (RN) Hours59 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $6,300. 6 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $6300.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 25.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#1,852
of 14,703
National
Top 13%
#6
of 72
ND State
Top 10% in ND
#1
of 1
️ Mckenzie County
Best in county
#1
of 1
️ Watford City
Best in city
#1
of 1
ZIP 58854
Best in ZIP

Nationally, Mckenzie County Healthcare Systems Long Term Care ranks 1852nd out of 14,703 facilities (composite score: 84.5/100), placing it in the top 25% nationwide. Within ND, it ranks 6th out of 72 nursing homes. For 2026 staffing: total nurse hours rank #1,844 nationally and RN hours rank #1,908 nationally (#24 in ND).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank ND State Rank Note
2022 4.43 #2,398 / 14,703 #31 / 72 Top 25%
2023 5.46 #614 / 14,703 #2 / 72 Top 5%
2024 4.42 #2,389 / 14,703 #35 / 72 Top 25%
2025 4.66 #1,860 / 14,703 #26 / 72 Top 25%
2026 4.69 #1,844 / 14,703 #25 / 72 Top 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank ND State Rank Note
2022 0.74 #4,562 / 14,703 #43 / 72 Above average
2023 1.11 #1,312 / 14,703 #12 / 72 Top 10%
2024 0.90 #2,404 / 14,703 #30 / 72 Top 25%
2025 1.08 #1,510 / 14,703 #11 / 72 Top 25%
2026 1.02 #1,908 / 14,703 #24 / 72 Top 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Mckenzie County Healthcare Systems Long Term Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1978-09-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (701) 444-2331 or your local Medicaid office to verify current eligibility.

Mckenzie County Healthcare Systems Long Term Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (5★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 84.5/100, placing it #1852 of 14703 facilities nationally and #6 of 72 in North Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Mckenzie County Healthcare Systems Long Term Care receives a reported average of 4 hours 41 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 1 minute; Licensed Practical Nurse (LPN) — 40 minutes; Nurse Aide — 3 hours. On weekends, total nurse staffing is 3 hours 52 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 41.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $6,300. 6 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $6,300, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 25.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Mckenzie County Healthcare Systems Long Term Care ranks 1852nd out of 14,703 facilities (composite score: 84.5/100), placing it in the top 25% nationwide. Within ND, it ranks 6th out of 72 nursing homes. For 2026 staffing: total nurse hours rank #1,844 nationally and RN hours rank #1,908 nationally (#24 in ND). Our composite quality score of 84.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Watford City, visit: https://nursinghomesnearme.org/north_dakota/watford-city/

Contact and Location

ADR
Address

709 4TH AVENUE NE, Watford City, ND 58854
Get directions on Google Maps

TEL
LLC
Legal Name

MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

MAP

Facility Details

Number of Certified Beds 42
Average Residents / Day 35 (85% occupancy)
Ownership Type Non profit – Corporation
Provider Type Medicare and Medicaid
County Mckenzie County, ND
City Watford City, ND
ZIP Code 58854
Approved Since September 1, 1978
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 355072
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org