Missouri Slope

Missouri Slope is an Assisted Living Home in North Dakota

Missouri Slope is an Assisted Living Home in North Dakota

Missouri Slope

4916 N Washington St, Bismarck, ND 58503 View Map

Missouri Slope is an Assisted Living Home in North Dakota

Missouri Slope is an Assisted Living Home in North Dakota

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Overview of Missouri Slope

Set amidst the peaceful neighborhood of Bismarck, ND, Missouri Slope is a dedicated senior living community that offers various care options, including long-term care, assisted living, and rehabilitation. The community enriches the lives of its residents through their wide array of comprehensive services, including 24-hour skilled nursing care, assistance with daily living activities, and on-site therapies. Residents can comfortably relax in their graciously appointed accommodations with convenient access to housekeeping services and 24-hour team availability and call system.

The community takes out the strain of doing housework from its residents’ lives to help them focus on their welfare and well-being. Instead of cooking, cleaning and arranging for transportation, residents can spend their time in relaxation, bonding with family and friends, and enjoying daily exercise and activities. Here, residents are empowered to continue a normal lifestyle with a dedicated team committed to help residents get through the hassles and difficulties that come with daily living.

701-223-9407

Managed by Reier Thompson

President & CEO

Reier Thompson has led Missouri Slope as President and CEO since 2013. He holds a Bachelor’s and an MBA from the University of Mary. Reier is a Licensed Nursing Home Administrator in North Dakota and a Health Services Executive. He is actively involved in professional and community organizations including the American College of Health Care Administrators and the North Dakota Long Term Care Association.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.79/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 192

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in North Dakota
Occupancy rate 96.7%
Residents per day (avg) 180
Occupancy rate
96.7%
Residents per day (avg)
180

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

72% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

19% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

9% of new residents, often for long-term daily care.

Typical stay 4 years

Finances and operations

Voluntary non-profit home
Other
Home revenue
$40.9M
Surplus of revenue
$522.6K
Voluntary non-profit home Other
Home revenue
$40,932,700.00
Surplus of revenue
$522,576.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$17.4M
42.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$23.0M
Total costs $40.4M

What does this home offer?

Housing options icon
Housing options icon

Housing Options: 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: Mid-rise

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Missouri Slope

Assisted Living Nursing Home

Compare Assisted Living around Bismarck

The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
Missouri Slope
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SNF

Nursing Homes 24/7 care needed

Bismarck
192
No
-
11
ANDRIST, STEVE
96.7%
$39,553,155.00
$17,443,876.00
44.1%
179.50
2/5
5.7861
2/5
4/5
3/5
3
1 Bed / 2 Bed
Baptist Health & Rehab
SNF

Nursing Homes 24/7 care needed

RC

Respite Care

Bismarck
140
No
-
6
CASSIA SERVICES
97.5%
$22,911,568.00
$11,286,448.00
49.3%
133.70
2/5
5.1195
1/5
5/5
3/5
2
1 Bed / 2 Bed
Edgewood Mandan, LLC
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Mandan
92
No
-
8
EVI MANDAN LLC
-
-
-
-
-
-
-
-
-
-
-
1 Bed / 2 Bed
Benedictine Living Community-Bismarck
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SNF

Nursing Homes 24/7 care needed

Bismarck
72
No
A+
22
OPP, KURRAN
98.6%
$13,249,211.00
$6,243,887.00
47.1%
70.30
5/5
4.3835
4/5
5/5
2/5
-
1 Bed / 2 Bed
Edgewood Bismarck on Dominion
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Bismarck
38
No
-
57
EVI DOMINION LLC
-
-
-
-
-
-
-
-
-
-
-
1 Bed / 2 Bed

Places of interest near Missouri Slope

Address 4.3 miles from city center

Address 4916 N Washington St, Bismarck, ND 58503

Calculate Travel Distance to Missouri Slope

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

419
Total Staff
368
Employees
51
Contractors
99,514
Total Hours (Quarter)
148
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse267.7 Yes
Licensed Practical Nurse428.3 Yes
Certified Nursing Assistant2717.2 Yes
Staff by Category
Administration
2 staff
7.5hs shift avg
Nursing Staff
367 staff
7.4hs shift avg
Physicians & Practitioners
13 staff
7.9hs shift avg
Therapy Services
18 staff
6.3hs shift avg
Activities & Recreation
1 staff
7.6hs shift avg
Social Services
4 staff
7.2hs shift avg
Dietary Services
10 staff
7.8hs shift avg
Other Services
4 staff
8hs shift avg
Contractor Analysis
14.8%
of total hours from contractors
14,738 contractor hours this quarter
Licensed Practical Nurse: 18 Certified Nursing Assistant: 9 Qualified Social Worker: 3 Physical Therapy Assistant: 5 Occupational Therapy Assistant: 1 Registered Nurse: 5 Medication Aide/Technician: 2 Speech Language Pathologist: 3 Therapeutic Recreation Specialist: 1 Respiratory Therapy Technician: 2 Physical Therapy Aide: 1 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant262927160,57291100%7.2
Licensed Practical Nurse24184210,41891100%8.3
Registered Nurse215266,56691100%7.7
Medication Aide/Technician232255,84391100%8.1
Other Dietary Services Staff100103,18991100%7.8
Nurse Practitioner8083,1766470%8
Clinical Nurse Specialist5051,8787077%7.9
Occupational Therapy Aide6061,8556470%7.8
Mental Health Service Worker4041,7846470%8
Physical Therapy Assistant0551,1857077%6.1
Speech Language Pathologist0337476673%6
Respiratory Therapy Technician0225386976%4.9
Other Social Services Staff1014725965%8
Therapeutic Recreation Specialist0114596066%7.6
Qualified Social Worker0333965864%6.4
Administrator1013444347%8
Occupational Therapy Assistant011772426%3.2
Physical Therapy Aide0111267%2
Medical Director011333%0.8
Nurse Aide in Training303122%0.4

Health Inspection History

Total Health inspections 5
19% above North Dakota average
North Dakota average: 4.2

Last Health inspection on Mar 2025

Total Health citations 21
27% above North Dakota average
North Dakota average: 16.5

4.2 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 19 citations
Complaint investigations 20 citations
Breakdown of citations
Critical Health citations 0
100% below North Dakota average
North Dakota average: 0.5
Serious Health citations 3
200% above North Dakota average
North Dakota average: 1.0
Moderate Health citations 18

Minor Health citations 0
Citations history (last 3 years)
Infection Control moderate citation Mar 27, 2025
Corrected

Nutrition moderate citation Mar 27, 2025
Corrected

Pharmacy moderate citation Mar 27, 2025
Corrected

Care Planning moderate citation Mar 27, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: Non-Profit Corporation
Part of: Missouri Slope Lutheran Care Center In
Resident Census by Payment Source
182 Total Residents
Medicare 29 (15.9%)
Medicaid 98 (53.8%)
Private Pay/Other 55 (30.2%)
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 14.3
26% worse than North Dakota average
North Dakota average: 11.4
Functional decline score 27.7
26% worse than North Dakota average
North Dakota average: 22.0
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 25.2%
23% above North Dakota average.

Walking Ability Worsened 27.9%
36% above North Dakota average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 29.9%
20% above North Dakota average.
Safety & clinical stability

Falls with Major Injury 4.2%
16% below North Dakota average.

High Risk Residents with Pressure Ulcers 8.1%
46% above North Dakota average.

Urinary Tract Infection 3.9%
15% above North Dakota average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.7%
84% below North Dakota average.

Antipsychotic Use 17.4%
19% below North Dakota average.
Preventive care

Pneumococcal Vaccine 99.7%
1% above North Dakota average.

Influenza Vaccine 100.0%
1% above North Dakota average.
Nutrition & physical health

Lost Too Much Weight 6.4%
12% above North Dakota average.
Short-stay resident measures
Pneumococcal Vaccine 96.6%

Near North Dakota average
Antipsychotic medication increase 1.3%

40% better than North Dakota average
Influenza Vaccine 95.9%

8% better than North Dakota average

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 (Data as of Jan 2026)

Total fines amount $49K
This home paid 27% more in fines than the state average.
North Dakota average: $39K
Number of Fines 3
This home received 96% more fines than the state average.
North Dakota average: 1.5
Payment Denials 0
This home had 100% fewer payment denials than the state average.
North Dakota average: 0.0
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Oct 15, 2024
$31K
Civil Money Penalty Jun 12, 2024
$9K
Civil Money Penalty Feb 16, 2023
$10K

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Financial Aid for North Dakota Seniors

Get financial aid guidance

Aged and Disabled Waiver

ND Medicaid A&D Waiver

Age 65+ or disabled, North Dakota resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$3,000 (individual, higher than most states).

Higher asset limit; sparse population aids rural access.

Service Payments for Elderly and Disabled (SPED)

ND SPED

Age 65+ or disabled, North Dakota resident, at risk of decline.

~$1,732/month (individual, varies).

$50,000 (individual, higher limit).

Higher asset limit; rural focus.

Basic Care Assistance Program (BCAP)

North Dakota Basic Care Assistance Program

Age 65+ (or disabled 18+), ND resident, in licensed basic care facility, low-income.

~$1,255/month (individual, after facility costs); varies by facility rate.

$3,000 (individual).

Supplements SSI; covers ~50 facilities statewide.

Family Home Care Program

North Dakota Family Home Care Program

Age 60+, ND resident, need help with 1+ ADL, family caregiver available.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Caregiver must be family; payment varies by hours/service.

Medicare Savings Program (MSP)

North Dakota Medicare Savings Program

Age 65+ or disabled, ND resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Low-Income Home Energy Assistance Program (LIHEAP)

North Dakota LIHEAP

Age 60+ prioritized, ND resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers oil, gas, electric; emergency aid available.

Family Caregiver Support Program (FCSP)

North Dakota Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; ND resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

8 regions; rural/low-income priority.

Senior Community Service Employment Program (SCSEP)

North Dakota SCSEP

Age 55+, unemployed, low-income, ND resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

North Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, ND resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas; ND Veterans Home option.

Property Tax Homestead Credit for Seniors

North Dakota Homestead Property Tax Credit

Age 65+ (or disabled), ND resident, homeowner, low-income.

~$22,500/year (individual), ~$29,500/year (couple).

Home value < $500,000; other assets not assessed.

Credit up to $500-$1,000; applies to primary residence.

Medicaid Personal Care Option (PCO)

North Dakota Medicaid Personal Care Option

Age 65+ (or disabled), ND resident, Medicaid-eligible, need help with 1+ ADL.

~$1,255/month (100% FPL, individual); QIT optional for excess income.

$3,000 (individual), $6,000 (couple) (excludes home up to $713,000, car).

Self-directed option (hire family); part of Medicaid State Plan, not a waiver.

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