Missouri Slope

Assisted Living & Nursing Home · Bismarck, ND
CMS overall rating Info 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 in Bismarck

CMS overall rating Info 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.
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Missouri Slope accepts Medicare, Medicaid, and private pay.

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)

Overall rating Info 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.
▼ 35.7% Below ND avg.
Health Inspection Info 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.
▼ 29.1% Below ND avg.
Staffing Info 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.
▼ 7.7% Below ND avg.
Quality Measures Info 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.
▲ 11.3% Above ND avg.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to North Dakota state averages

Total nursing care / resident Info This home is ranked 3rd out of 19 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.
5h 47m per day
Rank #3 / 19Nurse hours — state benchmarkedThis home is ranked 3rd out of 19 homes in North Dakota.Shows adjusted nurse hours per resident per day benchmarked to the North Dakota average, with a ranking across 19 North Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility North Dakota avg (5h 10m per day)
vs North Dakota avg
+12%

2 of 6 metrics below state avg

Standout metric Nurse Aide is +33% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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. 49m per day ▼ 11% State avg: 55m per day · National avg: 41m per day
LPN / LVN Info 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. 37m per day ▲ 23% State avg: 30m per day · National avg: 52m per day
Nurse Aide Info 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 59m per day ▲ 33% State avg: 3h 0m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info 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 38m per day ▲ 23% State avg: 3h 46m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 2m per day ■ Avg State avg: 2m per day · National avg: 4m per day
RN (Weekend) Info 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. 27m per day ▼ 23% State avg: 35m per day · National avg: 29m per day

Capacity and availability

This home is often near full

Occupancy higher than 95% suggests steady demand, but availability may be limited.

Higher occupancy than the North Dakota average: 87.8%
Occupancy rate 96.7% Rank #7 / 19Occupancy rate — state benchmarkedThis home is ranked 7th out of 19 homes in North Dakota.Shows this facility's occupancy rate versus the North Dakota average, with its statewide rank out of 19. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 221 days
Occupancy rate
96.7% Rank #7 / 19Occupancy rate — state benchmarkedThis home is ranked 7th out of 19 homes in North Dakota.Shows this facility's occupancy rate versus the North Dakota average, with its statewide rank out of 19. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
221 days

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.

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 community
Home revenue
$40.9M
Surplus of revenue
$522.6K
Voluntary non-profit community
Home revenue
$40.9M Rank #1 / 18Revenue — state benchmarkedThis home is ranked 1st out of 18 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 %.
Surplus of revenue
$522.6K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #1 / 18Payroll — state benchmarkedThis home is ranked 1st out of 18 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.
$25.0M
61.1% of revenue Rank #16 / 18Payroll % — state benchmarkedThis home is ranked 16th out of 18 homes in North Dakota.Shows payroll as a percentage of revenue versus the North Dakota average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.4M
Total costs $40.4M
Walk Score
Walk Score: 11 / 100 Rank #17 / 18Walk Score — state benchmarkedThis home is ranked 17th out of 18 homes in North Dakota.Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Dakota SNFs. Higher scores benefit residents, families, and staff.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

1 service
Home Care

Amenities & Lifestyle

Specific ProgramsMissouri Slope at Home – HCBS, Veteran’s Program
Religious ServicesYes
Volunteer ProgramsYes

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

Contact Missouri Slope

Health Inspection History

Inspections
Total health inspections 5

North Dakota average 4.2


Last Health inspection on Mar 2025

Total health citations
21 Rank #17 / 19Health citations — state benchmarkedThis home is ranked 17th out of 19 homes in North Dakota.Shows this facility's total health deficiency citations benchmarked to the North Dakota state average, with a ranking across all 19 ND SNFs. Lower citation counts earn a better rank.

North Dakota average 16.5

Citations per inspection
4.2 Rank #16 / 19Citations per inspection — state benchmarkedThis home is ranked 16th out of 19 homes in North Dakota.Shows average deficiency citations per CMS inspection for this facility versus the North Dakota mean across 19 SNFs with citation data. Lower is better.

North Dakota average 3.93


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

1 of 21 citations resulted from standard inspections; 2 of 21 resulted from complaint investigations; and 18 of 21 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0
100% better than North Dakota average

North Dakota average: 0.5


Serious Health citations More info 3
200% worse than North Dakota average

North Dakota average: 1

0 critical citations More info North Dakota average: 0.5

3 serious citations More info North Dakota average: 1

18 moderate citations More info North Dakota average: 14.8

0 minor citations More info North Dakota average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 27, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 27, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Mar 27, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Mar 27, 2025
Corrected

Financial Assistance for
Assisted Living in North Dakota

Missouri Slope is located in Bismarck, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.

Get Financial aid guidance

Aged and Disabled Waiver

ND Medicaid A&D Waiver

Age 65+ or disabled
General North Dakota resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $3,000 individual, higher than most states
ND

Higher asset limit; sparse population aids rural access.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Service Payments for Elderly and Disabled (SPED)

ND SPED

Age 65+ or disabled
General North Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $50,000 individual, higher limit
ND

Higher asset limit; rural focus.

Benefits
In-home care (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Basic Care Assistance Program (BCAP)

North Dakota Basic Care Assistance Program

Age 65+ (or disabled 18+)
General ND resident, in licensed basic care facility, low-income.
Income Limits (2025) ~$1,255/month (individual, after facility costs); varies by facility rate.
Asset Limits $3,000 individual
ND

Supplements SSI; covers ~50 facilities statewide.

Benefits
Cash (~$1,000-$1,500/month) for room/board/care in basic care facilities

Family Home Care Program

North Dakota Family Home Care Program

Age 60+
General ND resident, need help with 1+ ADL, family caregiver available.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
ND

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

Benefits
Family caregiver payment (~$10-$15/hour, up to 20 hours/week) Respite support

Medicare Savings Program (MSP)

North Dakota Medicare Savings Program

Age 65+ or disabled
General ND resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
ND

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

North Dakota LIHEAP

Age 60+ prioritized
General ND resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
ND

Covers oil, gas, electric; emergency aid available.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency fuel ($600 max) Weatherization

Family Caregiver Support Program (FCSP)

North Dakota Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; ND resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
ND

8 regions; rural/low-income priority.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

North Dakota SCSEP

Age 55+
General unemployed, low-income, ND resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
ND

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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

North Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General ND resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
ND

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

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax Homestead Credit for Seniors

North Dakota Homestead Property Tax Credit

Age 65+ (or disabled)
General ND resident, homeowner, low-income.
Income Limits (2025) ~$22,500/year (individual), ~$29,500/year (couple).
Asset Limits Home value < $500,000; other assets not assessed.
ND

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

Benefits
Tax reduction (~$500-$1,000/year) on property taxes

Medicaid Personal Care Option (PCO)

North Dakota Medicaid Personal Care Option

Age 65+ (or disabled)
General ND resident, Medicaid-eligible, need help with 1+ ADL.
Income Limits (2025) ~$1,255/month (100% FPL, individual); QIT optional for excess income.
Asset Limits $3,000 (individual), $6,000 (couple) (excludes home up to $713,000, car).
ND

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

Benefits
Personal care (5-20 hours/week) Homemaker services Respite (~5 days/year)

Places of interest near Missouri Slope

Address 4.3 miles from city center Info Estimated distance in miles from Bismarck's city center to Missouri Slope's address, calculated via Google Maps. — 0.85 miles to nearest hospital (Northern Lights LASIK)

Calculate Travel Distance to Missouri Slope

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 419
Employees 368
Contractors 51
Staff to resident ratio 2.30:1
17% better than North Dakota average

North Dakota average ratio: 1.97:1

Avg staff/day 148
Average shift 7.4 hours
6% worse than North Dakota average

North Dakota average: 7.9 hours

Total staff hours (quarter) 99,514
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 271
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

14.8%

14,738 contractor hours this quarter

Licensed Practical Nurse: 18 Certified Nursing Assistant: 9 Physical Therapy Assistant: 5 Registered Nurse: 5 Qualified Social Worker: 3 Speech Language Pathologist: 3 Medication Aide/Technician: 2 Respiratory Therapy Technician: 2 Occupational Therapy Assistant: 1 Therapeutic Recreation Specialist: 1 Physical Therapy Aide: 1 Medical Director: 1
Staff by category
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
271 Certified Nursing Assistant
% of Days 100%
42 Licensed Practical Nurse
% of Days 100%
26 Registered Nurse
% of Days 100%
25 Medication Aide/Technician
% of Days 100%
10 Other Dietary Services Staff
% of Days 100%
8 Nurse Practitioner
% of Days 70%
5 Clinical Nurse Specialist
% of Days 77%
6 Occupational Therapy Aide
% of Days 70%
4 Mental Health Service Worker
% of Days 70%
5 Physical Therapy Assistant
% of Days 77%
3 Speech Language Pathologist
% of Days 73%
2 Respiratory Therapy Technician
% of Days 76%
1 Other Social Services Staff
% of Days 65%
1 Therapeutic Recreation Specialist
% of Days 66%
3 Qualified Social Worker
% of Days 64%
1 Administrator
% of Days 47%
1 Occupational Therapy Assistant
% of Days 26%
1 Physical Therapy Aide
% of Days 7%
1 Medical Director
% of Days 3%
3 Nurse Aide in Training
% of Days 2%

Facility Characteristics

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

Total residents 182
Medicare
29
15.9% of residents
Medicaid
98
53.8% of residents
Private pay or other
55
30.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.3
26% worse than North Dakota average

North Dakota average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 27.7
26% worse than North Dakota average

North Dakota average: 22.0

Long-stay resident measures
Below average North Dakota avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 25.2%
23% worse than North Dakota average

North Dakota average: 20.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.9%
36% worse than North Dakota average

North Dakota average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.9%
20% worse than North Dakota average

North Dakota average: 25.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.2%
16% better than North Dakota average

North Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.1%
46% worse than North Dakota average

North Dakota average: 5.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.9%
15% worse than North Dakota average

North Dakota average: 3.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.4%
12% worse than North Dakota average

North Dakota average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
84% better than North Dakota average

North Dakota average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.4%
19% better than North Dakota average

North Dakota average: 21.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
In line with North Dakota average

North Dakota average: 98.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with North Dakota average

North Dakota average: 98.8%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.98
34% worse than North Dakota average

North Dakota average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.83
56% better than North Dakota average

North Dakota average: 1.90

Short-stay resident measures
Above average North Dakota avg: 2.3 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.6%
In line with North Dakota average

North Dakota average: 94.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
40% better than North Dakota average

North Dakota average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.9%
8% better than North Dakota average

North Dakota average: 88.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.8%
In line with North Dakota average

North Dakota average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.8%
In line with North Dakota average

North Dakota average: 10.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.2%
60% worse than North Dakota average

North Dakota average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 52.6%
In line with North Dakota average

North Dakota average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 53.4%
6% better than North Dakota average

North Dakota average: 50.6%

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
27% higher than North Dakota average

North Dakota average: $39K

Number of fines 3
96% more fines than North Dakota average

North Dakota average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than North Dakota average

North Dakota average: 0.0

Fines amount comparison
Fines amount comparison
This facility $49K
North Dakota average $39K
Penalty History

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

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 15, 2024
$31K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 12, 2024
$9K

Last updated: Jan 2026

Compare Assisted Living 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
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.

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).

Bismarck192No 11 1 Bed / 2 Bed-Reier Thompson
Hay Creek Lodge Senior Living
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Bismarck48No 49 1 Bed / 2 Bed-Terri Baker
Edgewood Bismarck Senior Living, LLC
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.

Bismarck38No 85 1 Bed / 2 Bed--
Lakeview Landing, Inc.
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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Mandan (21St Street Southeast)30Yes 17 1 Bed / 2 Bed-Amy Deacon
Good Samaritan Society – St. Vincent
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.

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).

Bismarck-Yes 21 1 Bed / 2 Bed42-

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Frequently Asked Questions about Missouri Slope

Is Missouri Slope in a walkable area?

Missouri Slope has a walk score of 11. Car-dependent. Most errands require a car, with limited nearby walkable options.

Are there photos of Missouri Slope?

Yes — there are 7 photos of Missouri Slope in the photo gallery on this page.

What is the phone number of Missouri Slope?

(701) 223-9407 will put you in contact with the team at Missouri Slope.

Is Missouri Slope Medicare or Medicaid certified?

Yes — Missouri Slope is a CMS-certified provider of Medicare and Medicaid.

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1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

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