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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.
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.
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse aide hours per resident per day.
Total number of nurse staff hours per resident per day on weekends.
Physical therapist staff hours per resident per day.
Registered nurse hours per resident per day on weekends.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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
-52% 
+12% +10% Nursing Homes 24/7 care needed
Respite Care
-46% -1% +11% 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
-11% -15% +12% 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.
Missouri Slope
-52%
+12%
+10%
Baptist Health & Rehab
-46%
-1%
+11%
Benedictine Living Community-Bismarck
-11%
-15%
+12%
4.3 miles from city center — 0.85 miles to nearest hospital (Northern Lights LASIK)
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 |
North Dakota average 4.2
Last Health inspection on Mar 2025
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).
0
100% better than North Dakota average
North Dakota average: 0.5
3
200% worse than North Dakota average
North Dakota average: 1
Corrected
Corrected
Corrected
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.
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.
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
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
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%
Percent of long-stay residents whose ability to move independently worsened
27.9%
36% worse than North Dakota average
North Dakota average: 20.6%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
8.1%
46% worse than North Dakota average
North Dakota average: 5.6%
Percent of long-stay residents with a urinary tract infection
3.9%
15% worse than North Dakota average
North Dakota average: 3.4%
Percent of long-stay residents who lose too much weight
6.4%
12% worse than North Dakota average
North Dakota average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.7%
84% better than North Dakota average
North Dakota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
17.4%
19% better than North Dakota average
North Dakota average: 21.4%
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%
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%
Number of hospitalizations per 1,000 long-stay resident days.
1.98
34% worse than North Dakota average
North Dakota average: 1.48
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
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%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
40% better than North Dakota average
North Dakota average: 2.1%
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%
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%
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%
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%
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%
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%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
27% higher than North Dakota average
North Dakota average: $39K
96% more fines than North Dakota average
North Dakota average: 1.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
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.
Jun 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 16, 2023
Last updated: Jan 2026
Historical financial and operational data for Missouri Slope based on CMS SNF Cost Reports.
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