Nursing homeActive
Missouri Slope
4916 N Washington St, Bismarck, ND 585037012239407192 certified beds · 185 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2024
Deficiencies
20
● 0● 18● 2
Penalties · 3 yrs
$39,404
2 fines
Last survey
2026-05-14
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-14 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-03-27 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-10-15 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-06-12 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-02-15 | Standard | 090 | CMS-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.
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 2026-06-10Record 355128-20260514-F689
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 2026-06-10Record 355128-20260514-F761
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 2026-06-10Record 355128-20260514-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-21Record 355128-20250327-F550
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-21Record 355128-20250327-F554
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 2025-04-21Record 355128-20250327-F658
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 2025-04-21Record 355128-20250327-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-21Record 355128-20250327-F812
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 2025-04-21Record 355128-20250327-F880
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 2024-11-01Record 355128-20241015-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-06-11Record 355128-20240612-F689
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 2024-03-20Record 355128-20240215-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 2024-03-20Record 355128-20240215-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 355128-20240215-F688
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 2024-03-20Record 355128-20240215-F689
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 2024-03-20Record 355128-20240215-F695
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 355128-20240215-F697
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 2024-03-20Record 355128-20240215-F758
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 355128-20240215-F825
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 2024-03-20Record 355128-20240215-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-10-15 | Civil money penalty | $30,580 | CMS · Penalties |
| 2024-06-12 | Civil money penalty | $8,824 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.90
Facility
North Dakota
National
North Dakota 0.93 · National 0.69
Total nurse hours per resident day5.45
Facility
North Dakota
National
North Dakota 4.42 · National 3.86
Weekend total nurse hours4.60
Facility
North Dakota
National
North Dakota 3.80 · National 3.42
Total nursing staff turnover52%
Facility
North Dakota
National
North Dakota 49% · National 46%
Registered nurse turnover29%
Facility
North Dakota
National
North Dakota 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.5% | 4.9% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.6% | 5.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.1% | 22.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.6% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.5% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.7% | 19.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.8% | 5.8% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 11.1% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Missouri Slope Lutheran Care Center, Inc. Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Hebert, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Missouri Slope Lutheran Care Center, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thompson, Reier Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Andrist, Steve Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hebert, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Missouri Slope Lutheran Care Center, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nitschke, Darrell Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Saude, Jerry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Thompson, Reier Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thompson, Reier Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
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
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Good Samaritan Society Augusta Place A Prospera Co Bismarck | 0.7 mi | 2026-02-11 | 0112 |
| St Gabriel's Community Bismarck | 0.9 mi | 2026-02-12 | 090 |
| Baptist Health & Rehab Bismarck | 2.2 mi | 2026-07-01 | 0104 |
| St Vincent's - A Prospera Community Bismarck | 3.6 mi | 2025-04-03 | 1283 |
| Good Samaritan Society Miller Pointe A Prospera Co Mandan | 4.7 mi | 2025-12-31 | 0142 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |