North Dakota › Walsh County › Grafton
Lutheran Sunset Home
333 Eastern Ave, Grafton, ND 58237
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Lutheran Sunset Home is a Non-profit, church related nursing home in Grafton, North Dakota, certified for 87 beds and caring for about 82 residents a day.
CMS gives it 3 of 5 stars overall, equal to the North Dakota median; the health inspection rating is 2, staffing 5 and quality measures 2.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (7, 7, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 23.0 per 100 beds, about the same as the state median of 27.1.
CMS lists 1 penalty in the period covered: fines totalling $11K.
Reported nurse staffing is 4.0 hours per resident per day (0.7 RN), close to the North Dakota median of 4.4; nursing staff turnover is 32.6%.
Compared with county, state and nation
| Measure | This facility | Walsh Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 29 | 13 | 28.7 |
| Citations per 100 beds | 23.0 | 65.9 | 27.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 4.4 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 32.6% | 47.4% | 50.0% | 45.8% |
| Fines listed | $11,057 | $42,181 | $9,030 | — |
County and state figures are medians across facilities (2 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Feb 2026, 19 Dec 2024.
Severity mix: G ×1 D ×14 E ×4 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 31 Mar 2026 |
| 26 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 31 Mar 2026 |
| 26 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 31 Mar 2026 |
| 26 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 31 Mar 2026 |
| 26 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Mar 2026 |
| 26 Feb 2026 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint investigation | 31 Mar 2026 |
| 26 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 31 Mar 2026 |
| 19 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Jan 2025 |
| 19 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Jan 2025 |
| 19 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Jan 2025 |
| 19 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Jan 2025 |
| 19 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Jan 2025 |
| 19 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 23 Jan 2025 |
| 19 Dec 2024 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | C | Standard survey | 23 Jan 2025 |
| 21 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 17 Jun 2024 |
| 25 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Feb 2024 |
| 2 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 21 Nov 2023 |
| 2 Nov 2023 | F0578 | 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 | Complaint investigation | 21 Nov 2023 |
| 2 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 21 Nov 2023 |
| 2 Nov 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Complaint investigation | 21 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 May 2024 | Fine | $11,057 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff 32.6%, RNs 30.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.6% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 4.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.9% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Lutheran Sunset Home Corporation.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Walsh County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Good Samaritan Society - Park River | Park River | 44 | 2 | 2 | 4 | 29 | 65.9 | $42K | 4 Dec 2025 |
All 2 facilities in Walsh County
Questions and answers
How many deficiencies has Lutheran Sunset Home been cited for?
20 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Lutheran Sunset Home been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Lutheran Sunset Home compare?
Reported total nurse staffing is 4.0 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.
Who operates Lutheran Sunset Home?
Ownership type is non-profit, church related. Individual owners and managers are not listed on this site.
When was Lutheran Sunset Home last inspected?
The most recent survey or investigation in the CMS record is dated 26 Feb 2026; the most recent standard health survey was 26 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.