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).
#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.
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).
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/
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.