All states › North Dakota › Bismarck › Missouri Slope
4916 N Washington St Bismarck, ND 58503 · Burleigh County
All 5 nursing homes in Bismarck, ND (5 take Medicaid)
CMS certification number 355128 · See this home on Medicare Care Compare
Is Missouri Slope a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Missouri Slope as of October 2026.
CMS rates it 4 out of 5 stars overall, above the North Dakota average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.51 hours per resident per day at Missouri Slope, above the North Dakota median of 4.42 (US median: 3.72). About 1.05 of those hours are from registered nurses. On weekends it falls to 4.64 hours, 16% below its all-week average. Ask how weekends are staffed. 47.6% of nursing staff left within a year (North Dakota median 47.6%).
About this nursing home
Paying for care at Missouri Slope: Medicare and Medicaid
Missouri Slope is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 14, 2026 and found 3 deficiencies. In total, inspectors issued 20 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 20 citations at Missouri Slope across 5 inspection dates, 16 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on October 15, 2024. The most common areas cited were quality of life and care (8) and infection control (3). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, October 15, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 14, 2026 · 3 citations
EProvide and implement an infection prevention and control program.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
March 27, 2025 · 6 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DAllow residents to self-administer drugs if determined clinically appropriate.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
October 15, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
June 12, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 15, 2024 · 9 citations · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DImplement 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.
DProvide or get specialized rehabilitative services as required for a resident.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Missouri Slope
- Inspectors cited the home at the actual-harm level on October 15, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 15, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $39,404 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 15, 2024 | Fine | $30,580 |
| Jun 12, 2024 | Fine | $8,824 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 5/5 | 4/5 |
| August 2026 | 4/5 | 3/5 | 5/5 | 3/5 |
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Location
Hospitals near Missouri Slope
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.5 mi
Sanford Medical Center Bismarck BismarckEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 0m for patients treated and sent home
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3.6 mi
St Alexius Medical Center BismarckEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 56m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Missouri Slope › All nursing homes in Bismarck ›
Compare Missouri Slope with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Good Samaritan Society Augusta Place a Prospera Community · Bismarck · 5 stars · 0.7 mi
- St Gabriel's Community · Bismarck · 5 stars · 0.9 mi
- Baptist Health & Rehab · Bismarck · 5 stars · 2.2 mi
- Dakota Alpha · Mandan · 5 stars · 5.7 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.