Last Health inspection on Mar 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.

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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.
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.
Offers a balance of services and community atmosphere.
That suggests steady demand, but availability may be limited.
Most residents typically stay for a few weeks or months before returning home or moving on.
72% of new residents, usually for short-term rehab.
19% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Housing Options: 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Nursing Homes 24/7 care needed
Nursing Homes 24/7 care needed
Respite Care
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Nursing Homes 24/7 care needed
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Hospice Care
Independent Living For self-sufficient seniors seeking community and minimal assistance.
4.3 miles from city center
4916 N Washington St, Bismarck, ND 58503
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 26 | 7.7 | Yes |
| Licensed Practical Nurse | 42 | 8.3 | Yes |
| Certified Nursing Assistant | 271 | 7.2 | Yes |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 262 | 9 | 271 | 60,572 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 24 | 18 | 42 | 10,418 | 91 | 100% | 8.3 |
| Registered Nurse | 21 | 5 | 26 | 6,566 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 23 | 2 | 25 | 5,843 | 91 | 100% | 8.1 |
| Other Dietary Services Staff | 10 | 0 | 10 | 3,189 | 91 | 100% | 7.8 |
| Nurse Practitioner | 8 | 0 | 8 | 3,176 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,878 | 70 | 77% | 7.9 |
| Occupational Therapy Aide | 6 | 0 | 6 | 1,855 | 64 | 70% | 7.8 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,784 | 64 | 70% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 1,185 | 70 | 77% | 6.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 747 | 66 | 73% | 6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 538 | 69 | 76% | 4.9 |
| Other Social Services Staff | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 459 | 60 | 66% | 7.6 |
| Qualified Social Worker | 0 | 3 | 3 | 396 | 58 | 64% | 6.4 |
| Administrator | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 77 | 24 | 26% | 3.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 12 | 6 | 7% | 2 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 0.8 |
| Nurse Aide in Training | 3 | 0 | 3 | 1 | 2 | 2% | 0.4 |
Last Health inspection on Mar 2025
4.2 citations per inspection (avg)
Citations can result from standard inspections or complaint-based investigations.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
Last updated: Jan 2026
Historical financial and operational data for Missouri Slope based on CMS SNF Cost Reports.
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