North Dakota › Burleigh County › Bismarck
Missouri Slope
4916 N Washington St, Bismarck, ND 58503
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.
Certified for 192 beds, Missouri Slope serves Bismarck in Burleigh County, North Dakota and has taken Medicare and Medicaid residents since 2021.
CMS gives it 4 of 5 stars overall, above the North Dakota median of 3; the health inspection rating is 3, staffing 5 and quality measures 3.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (3, 7, 10 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 10.4 per 100 beds, fewer than the state median of 27.1.
CMS lists 2 penalties in the period covered: fines totalling $39K.
Reported nurse staffing is 5.4 hours per resident per day (0.9 RN), close to the North Dakota median of 4.4; nursing staff turnover is 52.2%.
Compared with county, state and nation
| Measure | This facility | Burleigh Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 14 | 13 | 28.7 |
| Citations per 100 beds | 10.4 | 18.1 | 27.1 | 26.8 |
| Total nurse hours per resident day | 5.4 | 4.4 | 4.4 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 52.2% | 42.9% | 50.0% | 45.8% |
| Fines listed | $39,404 | $35,323 | $9,030 | — |
County and state figures are medians across facilities (5 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: 14 May 2026, 27 Mar 2025.
Severity mix: G ×2 D ×15 E ×3
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 |
|---|---|---|---|---|---|
| 14 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Jun 2026 |
| 14 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Jun 2026 |
| 14 May 2026 | F0761 | 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. | D | Standard survey | 10 Jun 2026 |
| 27 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 21 Apr 2025 |
| 27 Mar 2025 | 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 Apr 2025 |
| 27 Mar 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 21 Apr 2025 |
| 27 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 21 Apr 2025 |
| 27 Mar 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 21 Apr 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Apr 2025 |
| 15 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 1 Nov 2024 |
| 12 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 11 Jun 2024 |
| 15 Feb 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 | Complaint investigation | 20 Mar 2024 |
| 15 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Mar 2024 |
| 15 Feb 2024 | F0688 | 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. | D | Standard survey | 20 Mar 2024 |
| 15 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Mar 2024 |
| 15 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 20 Mar 2024 |
| 15 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 20 Mar 2024 |
| 15 Feb 2024 | F0758 | 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. | D | Complaint investigation | 20 Mar 2024 |
| 15 Feb 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 20 Mar 2024 |
| 15 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Mar 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Oct 2024 | Fine | $30,580 | |
| 12 Jun 2024 | Fine | $8,824 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff 52.2%, RNs 28.6%; 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 | 20.7% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 4.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 0.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.1% | 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, corporation. Legal business name: Missouri Slope Lutheran Care Center, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Missouri Slope Lutheran Care Center, Inc. | 5% or greater direct ownership interest | 100% | 11/06/2019 |
| Missouri Slope Lutheran Care Center, Inc. | Operational/managerial control | NOT APPLICABLE | 11/06/2019 |
| Missouri Slope Lutheran Care Center, Inc. | Adp of the snf | NOT APPLICABLE | 02/13/2025 |
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 Burleigh County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Good Samaritan Society Augusta Place A Prospera Co | Bismarck | 48 | 5 | 4 | 5 | 13 | 27.1 | $16K | 30 Jan 2025 |
| St Gabriel'S Community | Bismarck | 72 | 5 | 4 | 5 | 13 | 18.1 | — | 12 Feb 2026 |
| Baptist Health & Rehab | Bismarck | 140 | 4 | 4 | 4 | 14 | 10.0 | $35K | 22 Jul 2025 |
| St Vincent'S - A Prospera Communityabuse iconSFF Candidate | Bismarck | 97 | 1 | 1 | 4 | 35 | 36.1 | $45K | 3 Apr 2025 |
All 5 facilities in Burleigh County
Questions and answers
How many deficiencies has Missouri Slope been cited for?
20 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Missouri Slope been fined?
Yes. CMS lists fines totalling $39K in the period covered.
How does staffing at Missouri Slope compare?
Reported total nurse staffing is 5.4 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.
Who operates Missouri Slope?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Missouri Slope Lutheran Care Center, Inc. and Missouri Slope Lutheran Care Center, Inc.. Individual owners and managers are not listed on this site.
When was Missouri Slope last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 14 May 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.