All states › North Dakota › Grafton › Lutheran Sunset Home
333 Eastern Ave Grafton, ND 58237 · Walsh County
CMS certification number 355084 · See this home on Medicare Care Compare
Is Lutheran Sunset Home 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 Lutheran Sunset Home as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as 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 4.41 hours per resident per day at Lutheran Sunset Home, about the same as the North Dakota median of 4.42 (US median: 3.72). About 0.65 of those hours are from registered nurses. On weekends it falls to 3.68 hours, 16% below its all-week average. Ask how weekends are staffed. 31.7% of nursing staff left within a year (North Dakota median 47.6%). That is lower than most homes in North Dakota, a sign of a steadier team.
About this nursing home
Paying for care at Lutheran Sunset Home: Medicare and Medicaid
Lutheran Sunset Home 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 February 26, 2026 and found 0 deficiencies, plus 7 from complaint inspections in the same period. 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 Lutheran Sunset Home across 5 inspection dates, 13 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 21, 2024. The most common areas cited were resident assessment and care planning (4) and resident rights (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, May 21, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
February 26, 2026 · 7 citations · includes complaint inspection
EHonor 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DProvide and implement an infection prevention and control program.
December 19, 2024 · 7 citations
EProvide and implement an infection prevention and control program.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CAssure the security of all personal funds of residents deposited with the facility.
May 21, 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.
January 25, 2024 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 2, 2023 · 4 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor 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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
Questions to ask on a tour of Lutheran Sunset Home
- Inspectors cited the home at the actual-harm level on May 21, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 26, 2026. 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
1 penalty in the last three years, including $11,057 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 21, 2024 | Fine | $11,057 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 5/5 | 2/5 |
| August 2026 | 3/5 | 2/5 | 5/5 | 2/5 |
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Location
Hospitals near Lutheran Sunset Home
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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1.0 mi
Unity Medical Center GraftonEmergency roomMedian ER visit 2h 6m for patients treated and sent home
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15.9 mi
First Care Health Center Park RiverEmergency roomMedian ER visit 1h 51m 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
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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.