The home failed to have enough qualified staff to properly provide food and nutrition services. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Nursing home report
DAKOTA ALPHA
MANDAN, ND · Medicare-certified · 20 beds
In good standing
Non-profit
5 of 5 overall
Dakota Alpha in Mandan, ND has a 5 out of 5 overall rating, with 5-star health inspection and staffing ratings and 4-star quality measures. It reports 4.99 nurse hours per resident per day versus the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.9856 hrs/resident/day
Quality measures
Last inspection: July 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9856.
Staffing detail
- Registered nurses
- 1.27
- Licensed practical nurses
- 0.70
- Nurse aides
- 3.02
- Weekend nursing
- 4.21
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—75.6%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
7.9%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%5%Worsening
Residents who were physically restrained
0%5%Worsening
Residents needing more help with daily activities
25%15%Improving
Residents whose ability to walk got worse
—5.2%—
Long-stay residents on antianxiety or sleep medication
25%15%Improving
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
26.5%16.8%Improving
Residents with depressive symptoms
15%25%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
95%95%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2023 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited July 2025 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 19.8 residents on an average day (99% of 20 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.