facebook tracking Missouri Slope, Bismarck ND: CMS Ratings & Inspections
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Missouri Slope

All states › North Dakota › Bismarck › Missouri Slope

4916 N Washington St Bismarck, ND 58503 · Burleigh County

(701) 223-9407

All 5 nursing homes in Bismarck, ND (5 take Medicaid)

Accepts Medicare Accepts Medicaid 192 certified beds Non profit

CMS certification number 355128 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 20 citations in the last three years. CMS imposed 2 penalties, including $39,404 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 2 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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%).

Nursing care per resident per day 5.51 hours
Above the North Dakota median of 4.42 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.05 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.64 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 47.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 24.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds192
Residents per day 187 About 98% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceNovember 2021
Legal business nameMISSOURI SLOPE LUTHERAN CARE CENTER, INC.

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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 10, 2026)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 10, 2026)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 10, 2026)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Apr 21, 2025)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Apr 21, 2025)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Complaint inspection · Deficient, Provider has date of correction (Apr 21, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Apr 21, 2025)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Complaint inspection · Deficient, Provider has date of correction (Apr 21, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Apr 21, 2025)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Nov 1, 2024)

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.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jun 11, 2024)

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2024)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Mar 20, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2024)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2024)

DProvide or get specialized rehabilitative services as required for a resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0825 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2024)

Questions to ask on a tour of Missouri Slope

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on October 15, 2024. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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.

DateTypeAmount or length
Oct 15, 2024 Fine $30,580
Jun 12, 2024 Fine $8,824

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 3/5 5/5 4/5
August 2026 4/5 3/5 5/5 3/5
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Size and colour

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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.

  • 3.5 mi
    Sanford Medical Center Bismarck Bismarck
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 0m for patients treated and sent home
  • 3.6 mi
    St Alexius Medical Center Bismarck
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median 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

Good Samaritan Society Augusta Place a Prospera Community Bismarck · 0.7 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 48 beds · Medicaid
St Gabriel's Community Bismarck · 0.9 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 72 beds · Medicaid
Baptist Health & Rehab Bismarck · 2.2 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 140 beds · Medicaid
St Vincent's - a Prospera Community Bismarck · 3.6 mi away ★★★☆☆ Inspection 2/5 · Staffing 5/5 97 beds · Medicaid
Good Samaritan Society Miller Pointe a Prospera Community Mandan · 4.7 mi away ★★★☆☆ Inspection 2/5 · Staffing 5/5 120 beds · Medicaid

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

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.

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https://www.nursinghomesineachstate.com/north-dakota/bismarck/missouri-slope/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.