The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
LUTHERAN SUNSET HOME
GRAFTON, ND · Medicare-certified · 87 beds
Needs attention
Non-profit
3 of 5 overall
LUTHERAN SUNSET HOME (GRAFTON, ND) has a 3 out of 5 overall rating, with a low 2-star health inspection score but a 5-star staffing score. It reports 4.36 nurse hours per resident per day versus the 4.1 federal benchmark, and it has had $11,057 in fines in the last 24 months with a recent federal penalty flag.
Facility ratings
Health inspections
Staffing
4.3576 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $11,057recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3576.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.69
- Nurse aides
- 3.04
- Weekend nursing
- 3.79
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 31%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.7%Steady
Residents with a fall causing major injury
3.5%Improving
Residents with pressure ulcers (bedsores)
5.5%Worsening
Residents with a urinary tract infection
2%Steady
Residents who lost too much weight
3.3%Worsening
Residents who were physically restrained
0.9%Improving
Residents needing more help with daily activities
19%Worsening
Residents whose ability to walk got worse
11.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
21.2%Improving
Residents with a long-term catheter
3.1%Improving
Residents with new or worsening incontinence
25.2%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
98.8%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
59.1%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
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 December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $11,057 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $11,057 in total fines.
- $11,057
Federal fine
May 21, 2024
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 81.3 residents on an average day (93% of 87 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.