Skilled nursing facility · CMS certification number 355039
GRIGGS COUNTY CARE CENTER
COOPERSTOWN, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 40
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 19, 2026.
None of these figures is carried on this report.
CMS report record 1447946, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2025.
None of these figures is carried on this report.
CMS report record 1420627, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2024.
None of these figures is carried on this report.
CMS report record 1375150, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2023.
None of these figures is carried on this report.
CMS report record 1343502, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 30, 2022.
None of these figures is carried on this report.
CMS report record 1313248, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 23, 2021.
None of these figures is carried on this report.
CMS report record 1282845, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 20, 2020.
None of these figures is carried on this report.
CMS report record 1252924, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 4, 2019.
None of these figures is carried on this report.
CMS report record 1218942, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 3, 2017.
None of these figures is carried on this report.
CMS report record 1177910, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 16, 2016.
None of these figures is carried on this report.
CMS report record 1146451, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 30, 2015.
None of these figures is carried on this report.
CMS report record 1112058, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 3, 2015.
None of these figures is carried on this report.
CMS report record 1085363, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2014.
None of these figures is carried on this report.
CMS report record 1056234, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 25, 2013.
None of these figures is carried on this report.
CMS report record 1025184, read from the public cost report file SNF10FY2011.zip.
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 |
|---|---|---|---|---|
| HALVORSON, BENJAMIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/19/2022 |
| JOHNSON, JANICE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/06/2021 |
| LARSON, DANIEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/19/2022 |
| LARSON, JOANN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/16/2023 |
| JOHNSON, NICOLE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/19/2014 |
| MONSON, JUDY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2023 |
| JOHNSON, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2013 |
| JOHNSON, NICOLE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2014 |
| MONSON, JUDY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GRIGGS COUNTY NURSING HOME (enrollment ID O20110819000150).
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 |
|---|---|---|---|---|---|
| BENJAMIN HALVORSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/19/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL LARSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/19/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANICE JOHNSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 2/6/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOANN LARSON | Individual | CORPORATE DIRECTOR | 0 | 8/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDY MONSON | Individual | CORPORATE OFFICER | 0 | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICOLE JOHNSON | Individual | CORPORATE OFFICER | 0 | 1/19/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICOLE JOHNSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 8/15/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDY MONSON | Individual | W-2 MANAGING EMPLOYEE | 0 | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICOLE JOHNSON | Individual | W-2 MANAGING EMPLOYEE | 0 | 2/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2024: BARBARA ANDERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BARBARA ANDERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MARK LUNDE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JAYNE OTT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JOANN LARSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JUDY MONSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JUDY MONSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 17, 2023: KENT DICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: HEALTH MANAGEMENT SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: HELENE FOSSUM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: DANIEL LARSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since April 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JANICE JOHNSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since February 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BARBARA ANDERSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since August 19, 2014. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BARBARA ANDERSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since August 19, 2014. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MARK LUNDE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since March 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: NICOLE JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since August 15, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: NICOLE JOHNSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since February 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BENJAMIN HALVORSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since April 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- February 19, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- April 18, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- July 1, 2024: BARBARA ANDERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BARBARA ANDERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MARK LUNDE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JAYNE OTT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JOANN LARSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since August 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JUDY MONSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JUDY MONSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- March 18, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- July 17, 2023: KENT DICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: HEALTH MANAGEMENT SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: HELENE FOSSUM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: DANIEL LARSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since April 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JANICE JOHNSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since February 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BARBARA ANDERSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since August 19, 2014. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BARBARA ANDERSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since August 19, 2014. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MARK LUNDE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since March 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: NICOLE JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since August 15, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: NICOLE JOHNSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since February 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BENJAMIN HALVORSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since April 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- February 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- March 30, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- April 23, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- March 20, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- February 4, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- November 3, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- November 16, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- October 30, 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- February 3, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- March 3, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- February 25, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 6, 2025 | August 6, 2025 | 2 | 1 |
| 2 | July 31, 2024 | July 31, 2024 | 1 | 4 |
| 3 | September 13, 2023 | September 13, 2023 | 2 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
5 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 6, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | September 9, 2025 |
| August 6, 2025 | 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 | September 9, 2025 |
| July 31, 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | September 4, 2024 |
| November 29, 2023 | 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. | G | Yes | Deficient, Provider has date of correction | December 28, 2023 |
| September 13, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | October 5, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | GRIGGS COUNTY NURSING HOME |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Griggs |
| Telephone Number | 7017972221 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 40 |
| Average Number of Residents per Day | 37.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| 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 GRIGGS COUNTY CARE CENTER: 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 February 19, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for GRIGGS COUNTY CARE CENTER
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 355039.