Skilled nursing facility · CMS certification number 355034
TIOGA MEDICAL CENTER LTC
TIOGA, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 30
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $11,408.00 · Payment denials: 0. The most recent penalty on file: February 11, 2025, Fine, $11,408. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BECKER, JEREMY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/18/2019 |
| BOOTH, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/20/2013 |
| GERMUNDSON, NATHAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/16/2020 |
| JOYCE, PATRICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/20/2023 |
| KUEHN, KRISTOPHER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/20/2023 |
| LENZEN, WENDY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/20/2023 |
| ODEGAARD, BRODIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/20/2017 |
| OLSON, LEE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/20/2017 |
| WISTHOFF, SETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/18/2019 |
| BRYANT, HOLLY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/21/2023 |
| ERAAS, JAMIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/27/2023 |
| BRYANT, HOLLY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/21/2023 |
| ERAAS, JAMIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/27/2023 |
| TIOGA MEDICAL CENTER | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1978 |
| BRYANT, HOLLY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/21/2023 |
| ERAAS, JAMIE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/27/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of TIOGA MEDICAL CENTER (enrollment ID O20050706000086).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BRODIE ODEGAARD | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/20/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES W BOOTH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/20/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEREMY BECKER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/18/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRISTOPHER KUEHN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/20/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEE A OLSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/20/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHAN GERMUNDSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/16/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICK JOYCE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/20/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SETH WISTHOFF | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/18/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WENDY LENZEN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/20/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HOLLY BRYANT | Individual | CORPORATE OFFICER | Not stated in the filing | 2/21/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMIE ERAAS | Individual | CORPORATE OFFICER | Not stated in the filing | 1/27/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HOLLY BRYANT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/21/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMIE ERAAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/27/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIOGA MEDICAL CENTER | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 1/1/1978 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOLLY BRYANT | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 2/21/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMIE ERAAS | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 1/27/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2024: BRANDON HAUGE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SCOTT SUNDHAGEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: RANDALL K PEDERSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: RANDALL K PEDERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: CAROLYN EIDE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: RYAN L MICKELSEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: RYAN L MICKELSEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: ARLENE GRUBB no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: NATHAN GERMUNDSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE ERAAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE ERAAS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE ERAAS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: HOLLY BRYANT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since February 21, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: HOLLY BRYANT (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since February 21, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: HOLLY BRYANT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since February 21, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JEREMY BECKER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: KRISTOPHER KUEHN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: PATRICK JOYCE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: WENDY LENZEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
Recent changes on this record
- May 1, 2024: BRANDON HAUGE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SCOTT SUNDHAGEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: RANDALL K PEDERSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: RANDALL K PEDERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: CAROLYN EIDE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: RYAN L MICKELSEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: RYAN L MICKELSEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: ARLENE GRUBB no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: NATHAN GERMUNDSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE ERAAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE ERAAS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE ERAAS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: HOLLY BRYANT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since February 21, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: HOLLY BRYANT (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since February 21, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: HOLLY BRYANT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since February 21, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JEREMY BECKER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: KRISTOPHER KUEHN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: PATRICK JOYCE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: WENDY LENZEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 3, 2026 | June 3, 2026 | 3 | 0 |
| 2 | March 12, 2025 | March 12, 2025 | 6 | 2 |
| 3 | February 5, 2024 | February 5, 2024 | 6 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
15 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 3, 2026 | Health | F 0578 | 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. | D | No | Deficient, Provider has date of correction | June 30, 2026 |
| June 3, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | June 30, 2026 |
| June 3, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 30, 2026 |
| March 12, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | April 11, 2025 |
| March 12, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 11, 2025 |
| March 12, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | April 11, 2025 |
| March 12, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | April 11, 2025 |
| March 12, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 11, 2025 |
| February 11, 2025 | Health | F 0600 | 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. | G | Yes | Deficient, Provider has date of correction | March 7, 2025 |
| February 5, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 5, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 5, 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 5, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 5, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 5, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 11, 2025 | Fine | $11,408 | 99634 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | TIOGA MEDICAL CENTER |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-03-01 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Williams |
| Telephone Number | 7016643305 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 30 |
| Average Number of Residents per Day | 25.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on TIOGA MEDICAL CENTER LTC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On May 1, 2024: BRANDON HAUGE no longer appears as DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for TIOGA MEDICAL CENTER LTC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in North Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 355034.