North Dakota Veterans Home in Lisbon, ND has a 5 out of 5 overall star rating, with 5 stars for health inspections and staffing and 3 stars for quality measures. It reports 4.72 nurse staffing hours per resident per day, above the 4.1 federal benchmark, but also has $9,620 in fines in the last 24 months and a recent federal penalty.
Last inspection: August 6, 2025Penalties, last 24 months: $9,620recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7194.
Staffing detail
Registered nurses
1.27
Licensed practical nurses
0.12
Nurse aides
3.33
Weekend nursing
4.17
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 27%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—18.2%—
Residents with a fall causing major injury
8%1.9%Improving
Residents with pressure ulcers (bedsores)
8.7%17.4%Worsening
Residents with a urinary tract infection
6.1%1.9%Improving
Residents who lost too much weight
7%4.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.6%15.6%Improving
Residents whose ability to walk got worse
18.1%17.5%Improving
Long-stay residents on antianxiety or sleep medication
6.8%8.3%Worsening
Residents with a long-term catheter
5.3%2.6%Improving
Residents with new or worsening incontinence
19.8%24.8%Worsening
Residents with depressive symptoms
6.4%2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.1%Worsening
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — 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 make sure each resident got an accurate assessment of their needs and condition. Cited June 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal fine of $9,620 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $32,128 in total fines.
Federal fine
Mar 13, 2025
$9,620
Federal fine
Aug 2, 2023
$22,508
Operator & ownership
Ownership
Government - State
Occupancy
51.8 residents on an average day (100% of 52 beds)
Medicare history
Certified for 34 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.