nursing home in Bismarck, ND
Missouri Slope
4916 N Washington St, Bismarck, ND 58503 · (701) 223-9407
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Missouri Slope at a glance
Missouri Slope is a 192-bed non-profit nursing home in Bismarck, North Dakota (Burleigh County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the North Dakota average of 3.2.
Residents receive about 5.4 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 4.4 hours.
Its most recent standard health inspection (May 14, 2026) found 3 health citations. The North Dakota average is 5.6.
Federal regulators fined it 2 times in the past three years, totaling $39,404.
Nursing staff turnover is 52.2% per year (state average 48.8%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 192
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- November 22, 2021
- Resident/family council
- Resident
- County
- Burleigh County
- CMS Certification Number
- 355128
Ratings
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 4.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 2.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.45 hrs | 4.42 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.90 hrs | 0.93 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.94 hrs | 2.97 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.60 hrs | 3.80 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 52.2% | 48.8% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 40.3% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 38 | 54.1 | 80.6 | Better |
Penalties
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $39,404 | $27,629 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 192 | 68 | 107 | |
| Average residents per day | 185 | 63 | 86 | |
| Occupancy | 96.4% | 91.9% | 80.9% |
Long-stay residents
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.6% | 5.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 4.9% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 19.1% | 22.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.6% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.4% | 1.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 20.7% | 19.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21% | 17.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.8% | 5.8% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 4.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0.5% | 0.2% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.1% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 26.9% | 24.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.7% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 95.9% | 88.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.4% | 92.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 14, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 14, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 10, 2026 |
| May 14, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 14, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 10, 2026 |
| March 27, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected April 2, 2025 |
| March 27, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected April 21, 2025 |
| March 27, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 21, 2025 |
| March 27, 2025 Complaint | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected April 21, 2025 |
| March 27, 2025 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 21, 2025 |
| March 27, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 21, 2025 |
| March 27, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 21, 2025 |
| October 15, 2024 Complaint | 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 · Tag F0600 | G Actual harm, isolated | Corrected November 1, 2024 |
| June 12, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected June 11, 2024 |
| February 15, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected March 19, 2024 |
| February 15, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 15, 2024 Complaint | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 15, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 15, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 15, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 15, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 15, 2024 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 15, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 15, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 20, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $39,404 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 15, 2024 | Fine | $30,580 |
| June 12, 2024 | Fine | $8,824 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MISSOURI SLOPE LUTHERAN CARE CENTER, INC. Organization | 5% or greater direct ownership interest | 100% | 11/06/2019 |
| HEBERT, BRIAN Individual | adp of the snf | NOT APPLICABLE | 04/23/2025 |
| MISSOURI SLOPE LUTHERAN CARE CENTER, INC. Organization | adp of the snf | NOT APPLICABLE | 02/13/2025 |
| THOMPSON, REIER Individual | adp of the snf | NOT APPLICABLE | 11/06/2021 |
| ANDRIST, STEVE Individual | corporate director | NOT APPLICABLE | 11/06/2019 |
| NITSCHKE, DARRELL Individual | corporate director | NOT APPLICABLE | 09/26/2022 |
| SAUDE, JERRY Individual | corporate director | NOT APPLICABLE | 11/06/2019 |
| THOMPSON, REIER Individual | corporate officer | NOT APPLICABLE | 11/06/2019 |
| HEBERT, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 04/23/2025 |
| MISSOURI SLOPE LUTHERAN CARE CENTER, INC. Organization | operational/managerial control | NOT APPLICABLE | 11/06/2019 |
| THOMPSON, REIER Individual | operational/managerial control | NOT APPLICABLE | 11/06/2019 |
Other nursing homes near Missouri Slope
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Non-profit · 48 beds · Part of Good Samaritan Society
- CMS high performer
★★★★★5Much above averageSt Gabriel's Community
4580 Coleman Street, Suite 1, Bismarck, ND 58503 · under 1 mi
Non-profit · 72 beds · Part of Benedictine Health System
- CMS high performer
★★★★★5Much above averageBaptist Health & Rehab
3400 Nebraska Drive, Bismarck, ND 58503 · 2.2 mi
Non-profit · 140 beds · Part of Cassia
★★★★★4Above averageSt Vincent's - A Prospera Community
1021 N 26th St, Bismarck, ND 58501 · 3.6 mi
Non-profit · 97 beds · Part of Good Samaritan Society
★★★★★2Below averageGood Samaritan Society Miller Pointe A Prospera Co
3500 21st St SE, Mandan, ND 58554 · 4.7 mi
Non-profit · 120 beds · Part of Good Samaritan Society
★★★★★3Average- ★★★★★5Much above average
Frequently asked questions
What is Missouri Slope's rating?
Missouri Slope has 4 out of 5 stars on the CMS overall star rating. The average for North Dakota nursing homes is 3.2 stars.
How many inspection citations did Missouri Slope receive?
Its most recent standard health inspection found 3 citations, compared with a North Dakota average of 5.6. Every citation is listed on this page with its severity.
Does Missouri Slope accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Missouri Slope?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Missouri Slope and how do I contact it?
Missouri Slope is at 4916 N Washington St, Bismarck, ND 58503. Phone: (701) 223-9407.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.