Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

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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.
Lower occupancy suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
76% of new residents, usually for short-term rehab.
16% of new residents, often for short stays.
8% 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 |
Source: CMS Health Citations (Feb 2023 – Mar 2025)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Mar 27, 2025 | D | Infection Control | F0880 | Corrected |
| Mar 27, 2025 | E | Nutrition | F0812 | Corrected |
| Mar 27, 2025 | D | Pharmacy | F0759 | Corrected |
| Mar 27, 2025 | D | Care Planning | F0658 | Corrected |
| Mar 27, 2025 | E | Resident Rights | F0550 | Corrected |
| Mar 27, 2025 | D | Resident Rights | F0554 | Corrected |
| Oct 15, 2024 | G | Abuse/Neglect | F0600 | Corrected |
| Jun 12, 2024 | G | Quality of Care | F0689 | Corrected |
| Feb 15, 2024 | D | Infection Control | F0880 | Corrected |
| Feb 15, 2024 | D | Pharmacy | F0758 | Corrected |
| Feb 15, 2024 | D | Quality of Care | F0684 | Corrected |
| Feb 15, 2024 | D | Quality of Care | F0688 | Corrected |
| Feb 15, 2024 | D | Quality of Care | F0689 | Corrected |
| Feb 15, 2024 | D | Quality of Care | F0695 | Corrected |
| Feb 15, 2024 | D | Quality of Care | F0697 | Corrected |
| Feb 15, 2024 | D | Quality of Care | F0825 | Corrected |
| Feb 15, 2024 | D | Care Planning | F0657 | Corrected |
| Feb 16, 2023 | E | Nursing Services | F0725 | Corrected |
| Feb 16, 2023 | G | Pharmacy | F0760 | Corrected |
| Feb 16, 2023 | D | Quality of Care | F0695 | Corrected |
| Feb 16, 2023 | D | Resident Rights | F0557 | Corrected |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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)
Showing all 3 penalties (Feb 2023 - Oct 2024)
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