Total health inspections
4
North Dakota average 4.2
Last Health inspection on May 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Missouri Slope Assisted Living
Nursing Home · Bismarck, ND
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Missouri Slope Assisted Living
Nursing Home · Bismarck, ND
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Missouri Slope Assisted Living accepts Medicare, Medicaid, and private pay.
Missouri Slope Assisted Living is a healthcare organization located in Bismarck, ND, providing long-term care, assisted living services, and rehabilitation therapy. Founded in 1967, it is committed to enriching lives with love and compassion, guided by Christian values. The facility offers a welcoming environment with a focus on quality care and community support.
Quality ratings
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.
Staffing hours breakdown
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 nursing care / resident
This home is ranked 1st out of 25 homes in North Dakota. 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.
This home is ranked 1st out of 25 homes in North Dakota. 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.
6h 25m per day
Rank #1 / 25Nurse hours — State benchmarkedThis home is ranked 1st out of 25 homes in North Dakota. Shows adjusted nurse hours per resident per day benchmarked to the North Dakota average, with a ranking across 25 North Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs North Dakota avg
+29%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 49m per day |
Capacity and availability
This home usually has availability
Occupancy rate
36.6%
Rank #23 / 23Occupancy rate — State benchmarkedThis home is ranked 23rd out of 23 homes in North Dakota. Shows this facility's occupancy rate versus the North Dakota average, with its Statewide rank out of 23. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
108 days
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 85 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Facility TypeAssisted Living Facility
Rehabilitation Services
Specific ProgramsMissouri Slope at Home – HCBS
Religious ServicesYes
Volunteer ProgramsYes
Health Inspection History
Inspections
Total health citations
6
Rank #1 / 25Health citations — State benchmarkedThis home is ranked 1st out of 25 homes in North Dakota. Shows this facility's total health deficiency citations benchmarked to the North Dakota State average, with a ranking across all 25 ND SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
North Dakota average 16.5
Citations per inspection
1.5
Rank #1 / 25Citations per inspection — State benchmarkedThis home is ranked 1st out of 25 homes in North Dakota. Shows average deficiency citations per CMS inspection for this facility versus the North Dakota mean across 25 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
North Dakota average 3.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 6 citations resulted from standard inspections; 1 of 6 resulted from complaint investigations; and 1 of 6 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than North Dakota averageNorth Dakota average: 0.5
Serious health citations
0
100% better than North Dakota averageNorth Dakota average: 1
Citations history (last 3 years)
Abuse/Neglect moderate citation
May 21, 2025
Corrected
Care Planning moderate citation
Mar 05, 2025
Corrected
Infection Control moderate citation
Jan 10, 2024
Corrected
Quality of Care moderate citation
Jan 10, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
147
Employees
125
Contractors
22
Staff to resident ratio
4.59:1
139% better than North Dakota average
Avg staff/day
27
Average shift
6.9 hours
13% worse than North Dakota average
Total staff hours (quarter)
17,188
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
87
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
12.4%
2,131 contractor hours this quarter
Registered Nurse: 8
Licensed Practical Nurse: 4
Physical Therapy Assistant: 3
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Occupational Therapy Assistant: 1
Certified Nursing Assistant: 1
Qualified Social Worker: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 86 | 1 | 87 | 9,829 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 11 | 4 | 15 | 2,116 | 92 | 100% | 7.2 |
| Registered Nurse | 8 | 8 | 16 | 1,680 | 92 | 100% | 7.6 |
| Other Dietary Services Staff | 8 | 0 | 8 | 1,012 | 87 | 95% | 7.3 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 726 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 507 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 356 | 61 | 66% | 5.8 |
| Medication Aide/Technician | 5 | 0 | 5 | 250 | 30 | 33% | 8.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 98 | 56 | 61% | 1.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 97 | 54 | 59% | 1.8 |
| Administrator | 1 | 0 | 1 | 52 | 7 | 8% | 7.4 |
| Qualified Social Worker | 0 | 1 | 1 | 40 | 32 | 35% | 1.3 |
| Speech Language Pathologist | 0 | 2 | 2 | 14 | 8 | 9% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 7 | 8% | 1.9 |
87 Certified Nursing Assistant
% of Days
100%
15 Licensed Practical Nurse
% of Days
100%
16 Registered Nurse
% of Days
100%
8 Other Dietary Services Staff
% of Days
95%
3 Clinical Nurse Specialist
% of Days
71%
1 Mental Health Service Worker
% of Days
68%
1 Nurse Practitioner
% of Days
54%
1 Occupational Therapy Aide
% of Days
66%
5 Medication Aide/Technician
% of Days
33%
3 Physical Therapy Assistant
% of Days
61%
2 Respiratory Therapy Technician
% of Days
59%
1 Administrator
% of Days
8%
1 Qualified Social Worker
% of Days
35%
2 Speech Language Pathologist
% of Days
9%
1 Occupational Therapy Assistant
% of Days
8%
Penalties and fines
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.6
24% better than North Dakota averageNorth Dakota average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
25% better than North Dakota averageNorth Dakota average: 22.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.3%
Percent of long-stay residents whose need for help with daily activities has increased
13.3%
35% better than North Dakota averageNorth Dakota average: 20.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.9%
Percent of long-stay residents whose ability to move independently worsened
19.9%
In line with North Dakota averageNorth Dakota average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.1%
36% better than North Dakota averageNorth Dakota average: 25.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
80% better than North Dakota averageNorth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
8% better than North Dakota averageNorth Dakota average: 5.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.0%
Percent of long-stay residents with a urinary tract infection
5.0%
46% worse than North Dakota averageNorth Dakota average: 3.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.8%
Percent of long-stay residents who lose too much weight
3.8%
33% better than North Dakota averageNorth Dakota average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.6%
Percent of long-stay residents who have depressive symptoms
3.6%
19% better than North Dakota averageNorth Dakota average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.4%
Percent of long-stay residents who received an antipsychotic medication
14.4%
33% better than North Dakota averageNorth Dakota average: 21.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with North Dakota averageNorth Dakota average: 98.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with North Dakota averageNorth Dakota average: 98.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
In line with North Dakota averageNorth Dakota average: 94.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.8%
Percent of short-stay residents who newly received an antipsychotic medication
3.8%
83% worse than North Dakota averageNorth Dakota average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
10% better than North Dakota averageNorth Dakota average: 88.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
63% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
9 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
32
Medicare
8
25% of residents
Medicaid
8
25% of residents
Private pay or other
16
50% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Financial Trends
Historical financial and operational data for Missouri Slope Assisted Living based on CMS SNF Cost Reports.
Occupancy Rate
36.6%
↑ 5.6pp vs 2023
Net Income
-$566.2K
↑ ~$948.9K vs 2023
Total Payroll
$4.2M
↑ ~$875.9K vs 2023
Profit Margin
-8.4%
↑ 19.1pp vs 2023
Finances and operations
Voluntary non-profit community
Home revenue
$8.1M
Operating deficit
-$566.2K
Voluntary non-profit community
Home revenue
$8.1M Rank #17 / 22Revenue — State benchmarkedThis home is ranked 17th out of 22 homes in North Dakota. Shows this facility's annual revenue compared to the North Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$566.2K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #18 / 22Payroll — State benchmarkedThis home is ranked 18th out of 22 homes in North Dakota. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #18 / 22Payroll — State benchmarkedThis home is ranked 18th out of 22 homes in North Dakota. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.7M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Missouri Slope Assisted Living
0.0 miles from city center
Estimated distance in miles from Bismarck's city center to Missouri Slope Assisted Living's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in North Dakota
Missouri Slope Assisted Living is located in Bismarck, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
Compare Nursing Home around Bismarck
The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
Filter by care type
| Missouri Slope Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bismarck | 64 | 36.6% | -58% | 6.42 | -17% | +24% | $0 | 6 | 1.5 | - | 31 | 85 | Steve Andrist | $8.1M | $4.2M | 51.5% | 355059 | ||||
| Good Samaritan Society – St. Vincent |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bismarck | 66 | 81.0% | -8% | 4.63 | +2% | -10% | $0 | 19 | 3.8 | 1 | 42 | 21 | Patricia Bergh | $5.8M | $4.1M | 70.8% | 355095 | ||||
| Missouri Slope |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bismarck | 192 | 96.7% | +10% | 5.79 | -46% | +12% | $49.5k | 21 | 4.2 | 3 | 180 | 11 | Steve Andrist | $40.9M | $25.0M | 61.1% | 355128 |
Frequently Asked Questions about Missouri Slope Assisted Living
Is Missouri Slope Assisted Living in a walkable area?
Missouri Slope Assisted Living has a walk score of 85. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
How many beds does Missouri Slope Assisted Living have?
Missouri Slope Assisted Living has 64 beds.
Are there photos of Missouri Slope Assisted Living?
Yes — there are 2 photos of Missouri Slope Assisted Living in the photo gallery on this page.
What is the address of Missouri Slope Assisted Living?
Missouri Slope Assisted Living is located at 2500 Valley View Avenue.
What is the phone number of Missouri Slope Assisted Living?
(701) 221-9411 will put you in contact with the team at Missouri Slope Assisted Living.
Is Missouri Slope Assisted Living Medicare or Medicaid certified?
Yes — Missouri Slope Assisted Living is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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