Nursing homeActiveSpecial Focus Facility candidate · what this means

St Vincent's - A Prospera Community

1021 N 26th St, Bismarck, ND 58501701323199997 certified beds · 95 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
35
1313
Penalties · 3 yrs
$44,606
2 fines
Last survey
2025-04-03
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · North Dakota Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-04-03Standard1172CMS-2567 (Care Compare)
2024-02-29Standard0111CMS-2567 (Care Compare)
2023-03-02Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · North Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-04-03Standard survey · 20 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-07Record 355060-20250403-F600
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-10Record 355060-20250403-F605
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F550
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F553
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F610
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F623
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F637
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F725
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F812
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F865
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 355060-20250403-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-05-07Record 355060-20250403-F732
2024-02-29Standard survey · 12 deficienciesOfficial report
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-08Record 355060-20240229-F692
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F684
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F693
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F725
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F759
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 355060-20240229-F880
2023-03-02Standard survey · 3 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-25Record 355060-20230302-F558
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-25Record 355060-20230302-F689
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-25Record 355060-20230302-F880

Penalties & enforcement

DateActionAmountSource
2025-04-03Civil money penalty$23,920CMS · Penalties
2024-02-29Civil money penalty$20,686CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.73
Facility
North Dakota
National
North Dakota 0.93 · National 0.69
Total nurse hours per resident day4.12
Facility
North Dakota
National
North Dakota 4.42 · National 3.86
Weekend total nurse hours3.42
Facility
North Dakota
National
North Dakota 3.80 · National 3.42
Total nursing staff turnover43%
Facility
North Dakota
National
North Dakota 49% · National 46%
Registered nurse turnover33%
Facility
North Dakota
National
North Dakota 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth DakotaNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.5%4.9%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
6.2%5.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
23.2%22.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.7%2.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
19.2%19.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
9.5%5.8%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
15.6%17.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Sanford
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
The Evangelical Lutheran Good Samaritan Society
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Al Rabadi, Issa
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kitelinger, Kaylene
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Morrison, Tony
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sandgren, Deeandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sanford
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
The Evangelical Lutheran Good Samaritan Society
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Al Rabadi, Issa
Individual
ADP OF THE SNFNOT APPLICABLE
Brown, George
Individual
CORPORATE DIRECTORNOT APPLICABLE
Brown, George
Individual
ADP OF THE SNFNOT APPLICABLE
Dtn Staffing Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Dykhouse, Dana
Individual
ADP OF THE SNFNOT APPLICABLE
Dykhouse, Dana
Individual
CORPORATE DIRECTORNOT APPLICABLE
Engbrecht, Wesley
Individual
ADP OF THE SNFNOT APPLICABLE
Engbrecht, Wesley
Individual
CORPORATE DIRECTORNOT APPLICABLE
Fluit, Joel
Individual
CORPORATE OFFICERNOT APPLICABLE
Fluit, Joel
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Fluit, Joel
Individual
ADP OF THE SNFNOT APPLICABLE
Focusone Solutions
Organization
ADP OF THE SNFNOT APPLICABLE
Gassen, William
Individual
CORPORATE OFFICERNOT APPLICABLE
Gassen, William
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gassen, William
Individual
ADP OF THE SNFNOT APPLICABLE
Grape Tree Medical Staffing LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Gulsvig, Neil
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gulsvig, Neil
Individual
ADP OF THE SNFNOT APPLICABLE
Herseth Sandlin, Stephanie
Individual
ADP OF THE SNFNOT APPLICABLE
Herseth Sandlin, Stephanie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kitelinger, Kaylene
Individual
ADP OF THE SNFNOT APPLICABLE
Lundeen, Mark
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lundeen, Mark
Individual
ADP OF THE SNFNOT APPLICABLE
Mccausland, Maureen
Individual
ADP OF THE SNFNOT APPLICABLE
Mccausland, Maureen
Individual
CORPORATE DIRECTORNOT APPLICABLE
Middleton, Aimee
Individual
CORPORATE OFFICERNOT APPLICABLE
Middleton, Aimee
Individual
ADP OF THE SNFNOT APPLICABLE
Molbert, Lauris
Individual
ADP OF THE SNFNOT APPLICABLE
Molbert, Lauris
Individual
CORPORATE DIRECTORNOT APPLICABLE
Morrison, Tony
Individual
ADP OF THE SNFNOT APPLICABLE
North, Andrew
Individual
CORPORATE DIRECTORNOT APPLICABLE
North, Andrew
Individual
ADP OF THE SNFNOT APPLICABLE
Olson, Nicholas
Individual
CORPORATE OFFICERNOT APPLICABLE
Olson, Nicholas
Individual
ADP OF THE SNFNOT APPLICABLE
Sandgren, Deeandra
Individual
ADP OF THE SNFNOT APPLICABLE
Sanford
Organization
ADP OF THE SNFNOT APPLICABLE
Schema, Nathan
Individual
CORPORATE OFFICERNOT APPLICABLE
Schema, Nathan
Individual
ADP OF THE SNFNOT APPLICABLE
Schieffer, Kevin
Individual
ADP OF THE SNFNOT APPLICABLE
Schieffer, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Shulkin, David
Individual
CORPORATE DIRECTORNOT APPLICABLE
Shulkin, David
Individual
ADP OF THE SNFNOT APPLICABLE
Teiken, Brent
Individual
CORPORATE DIRECTORNOT APPLICABLE
Teiken, Brent
Individual
ADP OF THE SNFNOT APPLICABLE
The Evangelical Lutheran Good Samaritan Society
Organization
ADP OF THE SNFNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
ADP OF THE SNFNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wenzel, Thomas
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wenzel, Thomas
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Good Samaritan Society92 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Dakota.

No county cost figures on file for Burleigh.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Baptist Health & Rehab
Bismarck
1.9 mi2026-07-010104
St Gabriel's Community
Bismarck
3.2 mi2026-02-12090
Good Samaritan Society Augusta Place A Prospera Co
Bismarck
3.0 mi2026-02-110112
Missouri Slope
Bismarck
3.6 mi2026-05-140182
Good Samaritan Society Miller Pointe A Prospera Co
Mandan
4.8 mi2025-12-310142
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01