4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Luther Memorial Home is a 41-bed nursing facility owned and operated by Brett Ulrich in North Dakota. Financial structures at the property support several billing configurations, accepting Medicare, Medicaid, and private pay. For visitors, the surrounding neighborhood carries a walkability score of 55 out of 100, which means the area is moderately pedestrian-friendly, allowing family members to handle a few basic errands on foot while most trips require a vehicle.
Operating for 42 years, the facility maintains a stable baseline with a 91 percent occupancy level. To manage clinical routines, the 24-hour staffing model delivers an average of 6 hours and 11 minutes of total nursing care per resident each day through an on-staff physician, registered nurses, licensed practical nurses, and nurse aides. This level of clinical staffing supports an operational load focused on comprehensive daily medical oversight and long-term residency.
State oversight logs document the property’s recurring regulatory compliance reviews. While historical inspection reports have tracked themes centered on infection control practices and resident assessment accuracy, recent files confirm the administration monitors these protocols to align with state rules, maintaining a cumulative citations-per-inspection rate of zero.
Individuals have access to physical, occupational, and speech therapy loops alongside temporary respite setups and scheduled spiritual programs. The property features a secured outdoor courtyard, an on-site barber shop, and a licensed beautician. The daily schedule balances targeted rehabilitation sessions and personal care support with individual and group activities, laundry assistance, and open visiting windows for family members.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 58m per day | ▲ 3% State avg: 56m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 36m per day | ▲ 21% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 38m per day | ▲ 22% State avg: 2h 59m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 23m per day | ▲ 17% State avg: 3h 45m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 54% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 34m per day | ■ Avg State avg: 35m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
In North Dakota, the Department of Health and Human Services, Health Facilities Division is the agency authorized to perform unannounced inspections and issue official health quality reports.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | ND Average | vs. ND Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 14 | 22 | This facility has 36% fewer total deficiencies than a typical North Dakota assisted living residence (14 vs. ND avg 22).↓ 36% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 4.7 | 7.3 | This facility has 36% fewer deficiencies per year than a typical North Dakota assisted living residence (4.7 vs. ND avg 7.3).↓ 36% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Oct 2024
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 8 citations resulted from standard inspections; 1 of 8 resulted from complaint investigations; and 2 of 8 came from combined inspections (standard and complaint).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 12 full-time employees and 2 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
10 total: 7 full-time employees and 3 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
89 total: 67 full-time employees and 22 contractors.
89
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8,305 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 67 | 22 | 89 | 18,633 | 92 | 100% | 7.3 |
| Registered Nurse | 12 | 2 | 14 | 3,593 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 7 | 3 | 10 | 3,178 | 92 | 100% | 8.1 |
| Dietitian | 9 | 0 | 9 | 1,999 | 91 | 99% | 7.1 |
| Medication Aide/Technician | 6 | 1 | 7 | 1,693 | 79 | 86% | 8.1 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,327 | 61 | 66% | 8.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 871 | 62 | 67% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 476 | 60 | 65% | 7.9 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 415 | 55 | 60% | 7.3 |
| RN Director of Nursing | 1 | 0 | 1 | 204 | 28 | 30% | 7.3 |
| Speech Language Pathologist | 0 | 2 | 2 | 160 | 48 | 52% | 3.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 86 | 36 | 39% | 2.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 70 | 14 | 15% | 5 |
| Medical Director | 0 | 1 | 1 | 64 | 64 | 70% | 1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 35 | 30 | 33% | 1.2 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 10 | 4 | 4% | 2.5 |
| Qualified Social Worker | 0 | 1 | 1 | 1 | 2 | 2% | 0.4 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
85% lower than State averageState average: $39K
35% fewer fines than State averageState average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 5, 2024 · $6K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 5, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.9
22% better than State averageState average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.7
11% better than State averageState average: 22.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
9% better than State averageState average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
16.9%
18% better than State averageState average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.5%
6% better than State averageState average: 25.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
36% better than State averageState average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
5.5%
In line with State averageState average: 5.6%
Percent of long-stay residents with a urinary tract infection
0.9%
72% better than State averageState average: 3.4%
Percent of long-stay residents who lose too much weight
0.5%
91% better than State averageState average: 5.7%
Percent of long-stay residents who have depressive symptoms
2.0%
55% better than State averageState average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
29.2%
37% worse than State averageState average: 21.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
In line with State averageState average: 98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State averageState average: 98.8%
Number of hospitalizations per 1,000 long-stay resident days.
0.63
57% better than State averageState average: 1.45
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.40
25% worse than State averageState average: 1.92
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than State averageState average: 94.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
13% better than State averageState average: 88.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
32% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Luther Memorial Home from 2020–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #10 / 22Payroll — State benchmarkedThis home is ranked 10th out of 22 homes in North Dakota for Payroll. Shows total annual staff payroll benchmarked to the North Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #3 / 22Payroll % — State benchmarkedThis home is ranked 3rd out of 22 homes in North Dakota for Payroll %. Shows payroll as a percentage of revenue versus the North Dakota average. Well-run North Dakota facilities typically land around 67–77% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 1 - 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Mayville's city center to Luther Memorial Home's address, calculated via Google Maps.
Add your location
The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
| Luther Memorial Home | NH ADC AL MC SNF | Se Mayville | - | 41 | A+ | 55 | - |
| SMP Health – Ave Maria | NH AL PC SNF | Ne Jamestown (Midway Township) | - | 58 | - | 63 | - |
Luther Memorial Home has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Luther Memorial Home's occupancy is 90.7%.
No, Luther Memorial Home has a no-pet policy.
Luther Memorial Home is registered as a non-profit in ND.
Luther Memorial Home has 41 beds.
Yes — there are 2 photos of Luther Memorial Home in the photo gallery on this page.
Luther Memorial Home is located at 30, 34, 36 8Th Ave Se, Mayville, ND 58257.
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