The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
MISSOURI SLOPE
BISMARCK, ND · Medicare-certified · 192 beds
Needs attention
Non-profit
2 of 5 overall
MISSOURI SLOPE in Bismarck, ND has an overall 2 out of 5 stars, with a 2-star health inspection rating, a 4-star staffing rating, and 3-star quality rating. It reports 5.48 nursing hours per resident per day versus the 4.1 federal benchmark, and it had $39,404 in fines in the last 24 months plus a recent federal penalty, with recent inspection concerns including abuse prevention, accident hazards/supervision, and medication errors.
Facility ratings
Health inspections
Staffing
5.4833 hrs/resident/day
Quality measures
Last inspection: March 27, 2025Penalties, last 24 months: $39,404recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.4833.
Staffing detail
- Registered nurses
- 0.84
- Licensed practical nurses
- 0.60
- Nurse aides
- 4.04
- Weekend nursing
- 4.79
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 40%
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
18.4%17.6%Improving
Residents with a fall causing major injury
5.2%2.7%Improving
Residents with pressure ulcers (bedsores)
7.5%4.2%Improving
Residents with a urinary tract infection
3.4%4%Worsening
Residents who lost too much weight
7.3%5.6%Improving
Residents who were physically restrained
0%0.7%Worsening
Residents needing more help with daily activities
25.4%21%Improving
Residents whose ability to walk got worse
22.3%24.4%Worsening
Long-stay residents on antianxiety or sleep medication
14.3%9.7%Improving
Short-stay residents newly given an antipsychotic
1.8%1.8%No change
Residents with a long-term catheter
2.4%2.4%No change
Residents with new or worsening incontinence
34%29.3%Improving
Residents with depressive symptoms
0.7%0.7%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.9%—
Short-stay residents given the pneumonia vaccine
96.4%97.5%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $30,580 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,824 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $39,404 in total fines.
- $30,580
Federal fine
Oct 15, 2024
- $8,824
Federal fine
Jun 12, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 175.5 residents on an average day (91% of 192 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 4 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.