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
In good standing
Non-profit
Data as of July 1, 2026
3 of 5 overall
LUTHERAN SUNSET HOME (GRAFTON, ND) has a 3-star overall rating. Its staffing is rated 5 stars, with reported nurse staffing at 4.04 hours per resident per day just below the federal benchmark of 4.1, while health inspections and quality measures are both 2 stars; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0431 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0431.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.71
- Nurse aides
- 2.67
- Weekend nursing
- 3.39
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 31%
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
22%23.2%Worsening
Residents with a fall causing major injury
3.8%4.9%Worsening
Residents with pressure ulcers (bedsores)
4.7%3.2%Improving
Residents with a urinary tract infection
2.7%0%Improving
Residents who lost too much weight
6%12.2%Worsening
Residents who were physically restrained
1.3%0%Improving
Residents needing more help with daily activities
17.9%17.6%No change
Residents whose ability to walk got worse
15%18.2%Worsening
Long-stay residents on antianxiety or sleep medication
21.1%19.7%Improving
Residents with a long-term catheter
5.2%1.1%Improving
Residents with new or worsening incontinence
25.2%23.1%Improving
Residents with depressive symptoms
0%0%No change
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
—98.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—59.1%—
Short-stay residents given the pneumonia vaccine
—98.3%—
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 was below the federal recommendation of 4.1 hours per resident per day.
- 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
- 81.8 residents on an average day (94% 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.