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Nursing home report

NORTH DAKOTA VETERANS HOME

LISBON, ND · Medicare-certified · 52 beds

Needs attention
Government-run
5 of 5 overall

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.

Facility ratings

Health inspections

Staffing

4.7194 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal fine of $9,620 was recorded.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. 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.