Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
147
125 employees · 22 contractors · 27 on an average day Missouri Slope Assisted Living
Nursing Home, Assisted Living, Home Care & Skilled Nursing · Bismarck, ND
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Missouri Slope Assisted Living
Nursing Home, Assisted Living, Home Care & Skilled Nursing · Bismarck, ND
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Missouri Slope Assisted Living accepts Medicare, Medicaid, and private pay.
Overview of Missouri Slope Assisted Living
Missouri Slope Assisted Living in Bismarck, North Dakota, has delivered senior care since 1967, offering assisted living, home care, skilled nursing, and nursing home services. Daily support spans basic personal tasks like dressing and medication assistance to 24-hour licensed medical oversight. On-site rehabilitation therapy and continuing care programs allow residents to adjust their support level without changing communities.
Operations span a 64-bed capacity and currently maintain a 37% occupancy rate. Direct nursing coverage averages 6 hours and 25 minutes per resident each day. Community life includes scheduled religious services, and the 85 walk score location lets non-driving residents complete daily tasks nearby on foot. Financial coverage options comprise private pay, Medicare, and Medicaid.
Prospective residents looking for short-term rehabilitation or long-term nursing support can reach Missouri Slope Assisted Living to explore care plans, discuss financial coverage, or tour the grounds.
Quality ratings
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.
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.
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.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Total nursing care per resident / day
This nursing home is ranked 2nd out of 19 nursing homes we track in North Dakota for nurse hours. 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.
6h 25m
This nursing home is ranked 2nd out of 19 nursing homes we track in North Dakota for nurse hours. 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.
6h 25mStandout metric: Total nursing, weekends is +21% above North Dakota average
0 of 1 metrics below North Dakota average
Daily care time per resident, by role
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
5h 21m
↑ 21% · ND 4h 26mThis facility: 5h 21m per resident per day, 21% above the North Dakota average of 4h 26m (among North Dakota facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
147
125 employees · 22 contractors · 27 on an average day
Average hours one staff member works on a day they are on shift, across every role.
6.9 h
↓ 13% · ND 7.9 hThis facility: 6.9 h, 13% below the North Dakota average of 7.9 h (among North Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
17,188 staff hours this quarter
See full North Dakota ranking →87.6% of staff hours were worked by the facility's own employees
North Dakota average: 84.6% · Contractors this quarter: Registered Nurse (8), Licensed Practical Nurse (4), Physical Therapy Assistant (3), Speech Language Pathologist (2), Respiratory Therapy Technician (2), Occupational Therapy Assistant (1), Certified Nursing Assistant (1), Qualified Social Worker (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
64
Rank #11 / 23Bed count — State benchmarked This nursing home is ranked 11th out of 23 nursing homes we track in North Dakota for bed count. Shows this facility's certified or reported bed count compared to other North Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
64
Rank #11 / 23Bed count — State benchmarked This nursing home is ranked 11th out of 23 nursing homes we track in North Dakota for bed count. Shows this facility's certified or reported bed count compared to other North Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #1 / 29Walk Score — State benchmarked This nursing home is ranked 1st out of 29 nursing homes we track in North Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Dakota facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #1 / 29Walk Score — State benchmarked This nursing home is ranked 1st out of 29 nursing homes we track in North Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Dakota facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
85
/ 100
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
31
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
124
days
About This Community
VA Community Nursing Home (CNH) Status — U.S. Department of Veterans AffairsA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.
Profit StatusNonprofit
Physical Therapy
Occupational Therapy
Speech Therapy
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Housekeeping
Transportation
Pets not allowed
Fitness Center
Courtyard
Volunteer Program
Multi-Denominational Services
Chapel
Worship Services
Religious AffiliationEvangelical Lutheran Church in America (ELCA)
Room Types
Studio
1 Bedroom
2 Bedroom
ALM Inspection Grade Unavailable
Not publishedWe don't have enough verified data to publish an inspection grade for this facility — a missing grade reflects what we've been able to verify, not the facility's quality.
Enforcement
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
ND avg $47KNorth Dakota average: $46,825. Average among the 42 North Dakota facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
ND avg 1.69North Dakota average: 1.69. Average among the 42 North Dakota facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
ND avg 0.07North Dakota average: 0.07. Average among the 42 North Dakota facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Money and staffing.
Missouri Slope Assisted Living’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 17 North Dakota nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, but less than last year
−15.6% operating margin
+15.3 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.2M) trims the net loss to −$1.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most North Dakota homes
55.5% payroll share of revenue
ND average 61.6%Rank #15 / 17Payroll % of net patient revenue — State benchmarked This nursing home is ranked 15th out of 17 nursing homes we track in North Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the North Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.0M while revenue rose $2.4M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with North Dakota homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | ND median | Compared with ND homesRank in ND | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $8.8M | +$2.4M | Trend 20182025 | ND median $15.1M | Rank in ND Rank #15 / 17Net patient revenue — State benchmarked This nursing home is ranked 15th out of 17 nursing homes we track in North Dakota for net patient revenue. Shows this facility's net patient revenue compared to the North Dakota average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 13% of homes | Below ND median Higher net patient revenue than 13% of ND homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $10.2M | +$1.7M | Trend 20182025 | ND median — | Rank in ND Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$1.4M | +$0.6M | Trend 20182025 | ND median — | Rank in ND Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −15.6% | +15.3 pts | Trend 20182025 | ND median — | Rank in ND Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.2M | — | Trend — | ND median — | Rank in ND Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.2M | −$0.6M | Trend — | ND median — | Rank in ND Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most North Dakota homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | ND median | Compared with ND homesRank in ND | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.9M | +$1.0M | Trend 20182025 | ND median $9.8M | Rank in ND Rank #16 / 17Payroll costs — State benchmarked This nursing home is ranked 16th out of 17 nursing homes we track in North Dakota for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the North Dakota average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 6% of homes | Below ND median Higher payroll than 6% of ND homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 55.5% | −4.8 pts | Trend 20182025 | ND median 61.8% | Rank in ND Rank #15 / 17Payroll % of net patient revenue — State benchmarked This nursing home is ranked 15th out of 17 nursing homes we track in North Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the North Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 13% of homes | 6.1 pts under ND average The ND average is 61.6% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · ND benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the North Dakota payroll average.
% of net patient revenue
Payroll share Operating margin ND payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $31.2M | $31.9M | $31.2M | $24.4M | $14.9M | $5.5M | $6.5M | $8.8M |
| Operating expenses | $32.2M | $32.5M | $31.6M | $28.7M | $18.9M | $7.3M | $8.5M | $10.2M |
| Net patient income | −$1.0M | −$0.6M | −$0.3M | −$4.3M | −$4.0M | −$1.9M | −$2.0M | −$1.4M |
| Operating margin | −3.3% | −1.9% | −1.1% | −17.7% | −26.9% | −34.1% | −30.9% | −15.6% |
| Net income | −$0.5M | −$0.2M | $0.4M | −$0.4M | $6.2M | −$1.5M | −$0.6M | −$1.2M |
| Payroll costs | $23.3M | $22.9M | $21.9M | $19.7M | $9.5M | $3.0M | $3.9M | $4.9M |
| Payroll share of revenue | 74.7% | 71.7% | 70.2% | 80.7% | 63.9% | 54.5% | 60.3% | 55.5% |
| Beds | 258 | 258 | 250 | 250 | 250 | 55 | 55 | 48 |
| Gross revenue | $33.7M | $34.5M | $33.2M | $26.0M | $15.7M | $5.5M | $6.7M | $9.2M |
| Salaries | $19.1M | $18.8M | $18.2M | $16.3M | $9.1M | $2.6M | $3.5M | $4.3M |
| Wage-related costs | $4.2M | $4.1M | $3.7M | $3.3M | $0.4M | $0.4M | $0.4M | $0.6M |
| Contract labor | $1.4M | $2.1M | $2.1M | $2.2M | $1.7M | $0.3M | $0.3M | $0.5M |
| Other operating costs | $8.9M | $9.7M | $9.6M | $9.0M | $9.4M | $4.3M | $4.6M | $5.3M |
| Net patient revenue per day | $342 | $355 | $370 | $397 | $448 | $877 | $878 | $749 |
| Cost per day | $354 | $362 | $374 | $468 | $568 | $1,176 | $1,149 | $866 |
| Average length of stay | 355.9 days | 377.9 days | 371.5 days | 236.7 days | 164.3 days | 565.3 days | 108.4 days | 124.1 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Arriving
100 admissions · FY2025
Residents admitted during the year.
Medicare
33 · 33%
Medicaid
2 · 2%
Private pay & other
65 · 65%
Leaving
95 discharges · FY2025
Residents discharged during the year.
Medicare
27 · 28%
Medicaid
6 · 6%
Private pay & other
62 · 65%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near Missouri Slope Assisted Living
0.0 miles from city center
Estimated distance in miles from Bismarck's city center to Missouri Slope Assisted Living's address, calculated via Google Maps.
Calculate Travel Distance to Missouri Slope Assisted Living
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Info below is compiled from CMS reports & the ND Dept. of Health & Human Services (NDHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
|
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Dakota average is: 61.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Good Samaritan Society – Augusta Place | NH AL IL SNF | Bismarck | 48
Facility
48
ND AVG
73
Rank
#14 / 23 |
97.3%
Facility
97.3%
ND AVG
89.5%
Rank
#2 / 11 | +9% | 4.72
Facility
4.72
ND AVG
5.23
Rank
#14 / 19 | -13% | -10% | $16.0k
Facility
$16.0k
ND AVG
$46.8k
Rank
#12 / 19 | 13
Facility
13
ND AVG
16.8
Rank
#8 / 18 | 3.3
Facility
3.3
ND AVG
3.8
Rank
#9 / 18 | 2 | 47 | A+ |
16
Facility
16
ND AVG
44
Rank
#26 / 29 | Peter Troy | $8.7MFiscal year ending 06/2025
Facility
$8.7MFiscal year ending 06/2025
ND AVG
$16.0M
Rank
#16 / 17 | $5.5MFiscal year ending 06/2025
Facility
$5.5MFiscal year ending 06/2025
ND AVG
$9.9M
Rank
#15 / 17 | 63.9%Fiscal year ending 06/2025
Facility
63.9%Fiscal year ending 06/2025
ND AVG
61.6%
Rank
#7 / 17 | 355125 | ||||
| Missouri Slope | NH AL HC SNF | Bismarck | 192
Facility
192
ND AVG
73
Rank
#1 / 23 |
97.5%
Facility
97.5%
ND AVG
89.5%
Rank
#4 / 11 | +9% | 5.77
Facility
5.77
ND AVG
5.23
Rank
#3 / 19 | -46% | +10% | $39.4k
Facility
$39.4k
ND AVG
$46.8k
Rank
#15 / 19 | 20
Facility
20
ND AVG
16.8
Rank
#13 / 18 | 4.0
Facility
4.0
ND AVG
3.8
Rank
#12 / 18 | 2 | 187 | - |
11
Facility
11
ND AVG
44
Rank
#27 / 29 | Steve Andrist | $36.7MFiscal year ending 06/2025
Facility
$36.7MFiscal year ending 06/2025
ND AVG
$16.0M
Rank
#1 / 17 | $22.4MFiscal year ending 06/2025
Facility
$22.4MFiscal year ending 06/2025
ND AVG
$9.9M
Rank
#1 / 17 | 60.9%Fiscal year ending 06/2025
Facility
60.9%Fiscal year ending 06/2025
ND AVG
61.6%
Rank
#11 / 17 | 355128 | ||||
| Benedictine Living Community-Bismarck | NH ADC AL HC MC RC SNF | Bismarck | 56
Facility
56
ND AVG
73
Rank
#13 / 23 | - | - | 4.69
Facility
4.69
ND AVG
5.23
Rank
#16 / 19 | -13% | -10% | $0
Facility
$0
ND AVG
$46.8k
Rank
#1 / 19 | 13
Facility
13
ND AVG
16.8
Rank
#8 / 18 | 3.3
Facility
3.3
ND AVG
3.8
Rank
#9 / 18 | - | 70 | - |
22
Facility
22
ND AVG
44
Rank
#22 / 29 | St. Gabriel\'S Community Skille | $11.9MFiscal year ending 06/2025
Facility
$11.9MFiscal year ending 06/2025
ND AVG
$16.0M
Rank
#11 / 17 | $7.7MFiscal year ending 06/2025
Facility
$7.7MFiscal year ending 06/2025
ND AVG
$9.9M
Rank
#11 / 17 | 64.2%Fiscal year ending 06/2025
Facility
64.2%Fiscal year ending 06/2025
ND AVG
61.6%
Rank
#6 / 17 | 355126 | ||||
| Baptist Health & Rehab | NH AL HOS SNF | Bismarck | 140
Facility
140
ND AVG
73
Rank
#3 / 23 |
97.1%
Facility
97.1%
ND AVG
89.5%
Rank
#8 / 11 | +9% | 5.15
Facility
5.15
ND AVG
5.23
Rank
#9 / 19 | -35% | -2% | $35.3k
Facility
$35.3k
ND AVG
$46.8k
Rank
#13 / 19 | 14
Facility
14
ND AVG
16.8
Rank
#11 / 18 | 2.3
Facility
2.3
ND AVG
3.8
Rank
#6 / 18 | 4 | 136 | - |
6
Facility
6
ND AVG
44
Rank
#28 / 29 | Cassia Services | $22.0MFiscal year ending 12/2024
Facility
$22.0MFiscal year ending 12/2024
ND AVG
$16.0M
Rank
#4 / 17 | $13.5MFiscal year ending 12/2024
Facility
$13.5MFiscal year ending 12/2024
ND AVG
$9.9M
Rank
#3 / 17 | 61.3%Fiscal year ending 12/2024
Facility
61.3%Fiscal year ending 12/2024
ND AVG
61.6%
Rank
#10 / 17 | 355058 | ||||
| Missouri Slope Assisted Living | NH AL HC SNF | Bismarck | 64
Facility
64
ND AVG
73
Rank
#11 / 23 | - | - | 6.42
Facility
6.42
ND AVG
5.23
Rank
#2 / 19 | -17% | +23% | $0
Facility
$0
ND AVG
$46.8k
Rank
#1 / 19 | - | - | - | 31 | - |
85
Facility
85
ND AVG
44
Rank
#1 / 29 | Steve Andrist | $8.8MFiscal year ending 06/2025
Facility
$8.8MFiscal year ending 06/2025
ND AVG
$16.0M
Rank
#15 / 17 | $4.9MFiscal year ending 06/2025
Facility
$4.9MFiscal year ending 06/2025
ND AVG
$9.9M
Rank
#16 / 17 | 55.5%Fiscal year ending 06/2025
Facility
55.5%Fiscal year ending 06/2025
ND AVG
61.6%
Rank
#15 / 17 | 355059 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other ND nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in North Dakota
Missouri Slope Assisted Living is located in Bismarck, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
Know before you visit
Frequently Asked Questions about Missouri Slope Assisted Living
Quick answers from public records and the community's own listing.01 Is Missouri Slope Assisted Living in a walkable area?
Missouri Slope Assisted Living has a walk score of 85. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
02 What is the occupancy rate at Missouri Slope Assisted Living?
Missouri Slope Assisted Living's occupancy is 67.3%.
03 Are pets allowed at Missouri Slope Assisted Living?
No, Missouri Slope Assisted Living has a no-pet policy.
04 Does Missouri Slope Assisted Living operate as a for-profit or non-profit?
Missouri Slope Assisted Living is registered as a non-profit in ND.
05 What is the overall rating for Missouri Slope Assisted Living?
Missouri Slope Assisted Living received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
06 How many beds does Missouri Slope Assisted Living have?
Missouri Slope Assisted Living has 64 beds.
07 Are there photos of Missouri Slope Assisted Living?
Yes — there are 2 photos of Missouri Slope Assisted Living in the photo gallery on this page.
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