Benedictine Living Center of Garrison
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 10 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
Below average in ND · Meets national RN staffing standard · Significantly below average staffing · Below chain average · $8,278 in fines
What this means for your family
Families often praise the facility for its warm, empathetic staff and family-like atmosphere. However, given past reports of delayed response times during off-hours, we strongly recommend asking the administration specifically about their weekend staffing ratios and call-light response protocols.
Google Reviews
Google Reviews
10 reviews analyzed“Benedictine Living Center of Garrison receives praise for its friendly, empathetic staff and ability to create a warm, family-like environment for residents. However, the facility has faced serious historical concerns regarding staffing levels, particularly during off-hours, which some families have linked to critical lapses in patient care.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and accommodating staff
- Warm, family-like environment
- Empathetic care approach
- Effective health and rehab services
Concerns
- Inadequate staffing levels during weekends and off-hours (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1With a capacity of 52 residents, how do you ensure that each family member receives consistent, personalized attention throughout the entire week, including weekends and holidays?
- 2I noticed your team has been active in responding to feedback online; how do you incorporate that kind of open communication into your daily care planning for residents?
- 3Given the recent health inspection findings, what specific steps has the facility taken to improve processes and ensure the highest standard of safety for residents?
- 4What does a typical weekend schedule look like for residents in terms of social engagement and staff presence?
- 5How does your nursing team coordinate with local medical providers to handle urgent health changes or emergencies, especially during off-hours?
- 6Many families describe a warm, family-like environment here; how do you foster that sense of community while balancing the clinical needs of the residents?
Personalized based on this facility's data
Key Review Excerpts
“The staff made the stay as a family environment. They take the time to get to know individual needs. Not only was the health and rehab care excellent, their empathy is in abundance.”
“Friendly staff. Very accomodating.”
“My mom lives there. She likes it”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
8
measures
5
measures
2
measures
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering 10 of 18 deficiencies, indicating ongoing concerns about care quality at this facility. The most recurring issues involve care planning and quality standards, protection from abuse and neglect, and infection control. While the facility has provided correction dates for most deficiencies, the pattern of family complaints and repeated problems in core care areas suggests persistent quality challenges that warrant careful consideration during any visit.
Jul 22, 2025Routine2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 18, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 5, 2025Complaint1
Resident Rights Deficiencies
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.
Jul 24, 2024Routine4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Sep 7, 2023Complaint6
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Sep 7, 2023Routine2
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Federal Penalties
Fine
Jun 18, 2025
$8,278
Ownership & Operations
Who Operates This Facility
Benedictine Living Center of Garrison
nonprofit
Chain Affiliation
Benedictine Health System
22 facilities nationwide
Chain avg rating: 2.9/5 · Rank 17 of 22
Ownership & Management
Owners
Benedictine Living Communities INC
Owner · Organization
Benedictine Health System
Owner (parent company) · Organization
Carley, Gerald
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Official Website
Visit benedictineliving.org
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.