Total health inspections
5
North Dakota average 4.2
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.
Assisted Living Home
Missouri Slope
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.
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
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.
Occupancy rate
96.7%
Residents per day (avg)
180
Occupancy rate
96.7%
Residents per day (avg)
180
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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 community
Home revenue
$40.9M
Surplus of revenue
$522.6K
Voluntary non-profit community
Home revenue
$40,932,700.00
Surplus of revenue
$522,576.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$17.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$23.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$40.4M
Walk Score: 11 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Programs & Activities
Specific Programs
Long-Term Care, Assisted Living, Rehabilitation, Missouri Slope at Home – HCBS, Veteran’s Program
Religious Services
Yes
Volunteer Programs
Yes
What does this home offer?
Housing Options: 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Types of Care at Missouri Slope
Assisted Living
Nursing Home
Health Inspection History
Inspections
Total health citations
21
Citations per inspection
4.2
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
0
0
100% better than North Dakota averageNorth Dakota average: 0.5
Serious Health citations
3
3
200% worse than North Dakota averageNorth Dakota average: 1
0 critical citations
3 serious citations
18 moderate citations
0 minor citations
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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
1 Bed / 2 Bed
Baptist Health & Rehab
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
Bismarck
140
No
-
6
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
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
1 Bed / 2 Bed
Edgewood Bismarck Senior Living, LLC
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
ND 58503
38
No
-
-
1 Bed / 2 Bed
Places of interest near Missouri Slope
4.3 miles from city center — 0.85 miles to nearest hospital (Northern Lights LASIK)
4916 N Washington St, Bismarck, ND 58503
Calculate Travel Distance to Missouri Slope
Add your location
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 Nurse | 26 | 7.7 | Yes |
| Licensed Practical Nurse | 42 | 8.3 | Yes |
| Certified Nursing Assistant | 271 | 7.2 | 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 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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
182 residents
Residents by payment source
Medicare
29 residents (15.9%)
Medicaid
98 residents (53.8%)
Private pay or other
55 residents (30.2%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
14.3
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 averageNorth Dakota average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.7
26% worse than North Dakota averageNorth Dakota average: 22.0
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
25.2%
Percent of long-stay residents whose need for help with daily activities has increased
25.2%
23% worse than North Dakota averageNorth Dakota average: 20.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.9%
Percent of long-stay residents whose ability to move independently worsened
27.9%
36% worse than 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
29.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.9%
20% worse 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
4.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
16% 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
8.1%
Percent of long-stay high risk residents with pressure ulcers
8.1%
46% worse than North Dakota averageNorth Dakota average: 5.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.9%
Percent of long-stay residents with a urinary tract infection
3.9%
15% worse than North Dakota averageNorth Dakota average: 3.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.4%
Percent of long-stay residents who lose too much weight
6.4%
12% worse than North Dakota averageNorth Dakota average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
Percent of long-stay residents who have depressive symptoms
0.7%
84% better than North Dakota averageNorth Dakota average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.4%
Percent of long-stay residents who received an antipsychotic medication
17.4%
19% better than North Dakota averageNorth Dakota average: 21.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.98
Number of hospitalizations per 1,000 long-stay resident days.
1.98
34% worse than North Dakota averageNorth Dakota average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.83
56% better than North Dakota averageNorth Dakota average: 1.90
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
In line with North Dakota averageNorth Dakota average: 94.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
40% better than North Dakota averageNorth Dakota average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
8% better than North Dakota averageNorth Dakota average: 88.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
In line with North Dakota averageNorth Dakota average: 20.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.8%
In line with North Dakota averageNorth Dakota average: 10.6%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
60% worse than North Dakota averageNorth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
In line with North Dakota averageNorth Dakota average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
53.4%
Rate of successful return to home or community from a skilled nursing facility.
53.4%
6% better than North Dakota averageNorth Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 averageNorth Dakota average: $39K
Number of fines
3
96% more fines than North Dakota averageNorth Dakota average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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 averageNorth 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.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 15, 2024
$31K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 12, 2024
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 16, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 16, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Missouri Slope based on CMS SNF Cost Reports.
Occupancy Rate
96.7%
↑ 0.2pp vs 2023
Net Income
$522,576
↑ ~$4.1M vs 2023
Total Payroll
$25,003,054
↑ ~$296K vs 2023
Profit Margin
1.3%
↑ 11.3pp vs 2023
Loading trend charts...
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