ALM's inspection grade is 88 / 100, a B+ — 2 points above the North Dakota average for CMS-certified facilities (86/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
4/5
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.
ALM's inspection grade is 88 / 100, a B+ — 2 points above the North Dakota average for CMS-certified facilities (86/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
4/5
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.
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.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 3rd 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.
5h 46mStandout metric: Certified nursing assistant is +38% above North Dakota average
1 of 6 metrics below North Dakota average
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 28 total: 20 of the facility's own employees and 8 agency contractors.
28 staff · 7.8-hour shifts
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 36 total: 26 of the facility's own employees and 10 agency contractors.
36 staff · 7.9-hour shifts
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 262 total: 243 of the facility's own employees and 19 agency contractors.
262 staff · 7.3-hour shifts
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
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.
396
345 employees · 51 contractors · 144 on an average day
396 total staff / 192 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.06 : 1
↑ 10% · ND 1.88This facility: 2.06 staff per resident, 10% above the North Dakota average of 1.88 (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.
396 staff ÷ 192 residents
See full North Dakota ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.5 h
↓ 5% · ND 7.9 hThis facility: 7.5 h, 5% 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.
98,803 staff hours this quarter
See full North Dakota ranking →85.3% of staff hours were worked by the facility's own employees
North Dakota average: 84.6% · Contractors this quarter: Certified Nursing Assistant (19), Licensed Practical Nurse (10), Registered Nurse (8), Physical Therapy Assistant (4), Speech Language Pathologist (3), Qualified Social Worker (2), Respiratory Therapy Technician (2), Occupational Therapy Assistant (1), Medical Director (1), Therapeutic Recreation Specialist (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.
A mid-sized community that may balance personal attention with shared amenities and social activities.
192
Rank #1 / 23Bed count — State benchmarked This nursing home is ranked 1st 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.Medium-capacity home · Offers a balance of services and community atmosphere.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #27 / 29Walk Score — State benchmarked This nursing home is ranked 27th 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.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #4 / 11Occupancy rate — State benchmarked This nursing home is ranked 4th out of 11 nursing homes we track in North Dakota for occupancy. Shows this facility's occupancy rate versus the North Dakota average, with its Statewide rank out of 11. Higher occupancy signals strong local demand and financial stability. 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.Based on residents per day and 192 beds.
Higher than the North Dakota average: 89.5%
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.
Source: CMS Provider Information, average daily residents
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.
2 points above the North Dakota average for CMS-certified facilities (86/100)
Category breakdown
39 severity-weighted points (20 deficiencies) · 41% lower than the typical CMS-certified ND facility (median: 66)
$39,404 in fines · 2 enforcement actions
29 days to fix issues · about the same as the typical CMS-certified ND facility (median: 29)
100% corrected
20 of 20 citations corrected Latest inspection: May 14, 2026 · 3 citations, all corrected
Most cited category: Quality of Life & Care, 8 of 20 citations · 7 categories in total
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Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 20 citations resulted from standard inspections; 2 of 20 resulted from complaint investigations; and 14 of 20 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
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.
Show Inspection Reports
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
2 penalties in the past 3 years
Latest: Oct 15, 2024 · $30,580 civil money penalty
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$30,580
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,824Totals count every penalty on record; the history lists the past 3 years. North Dakota and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the North Dakota average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 33% · ND 3.0This facility: 2.0, 33% below the ND average of 3.0 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 122% · ND 2.3This facility: 5.0, 122% above the ND average of 2.3 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
10.9
Score · lower is better
↑ 3% · ND 10.6This facility: 10.9, 3% above the ND average of 10.6 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
22.9
Score · lower is better
↑ 10% · ND 20.8This facility: 22.9, 10% above the ND average of 20.8 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 5 worse, 3 near ND average
8 short-stay measures: 2 better, 1 worse, 2 near ND average, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
20.8%
↑ 5% · ND 19.8This facility: 20.8, 5% above the ND average of 19.8 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
21.0%
↑ 19% · ND 17.6This facility: 21.0, 19% above the ND average of 17.6 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
↑ 8% · ND 24.9This facility: 26.9, 8% above the ND average of 24.9 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.6%
↑ 37% · ND 2.6This facility: 3.6, 37% above the ND average of 2.6 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
↓ 49% · ND 5.1This facility: 2.6, 49% below the ND average of 5.1 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.5%
↓ 9% · ND 4.9This facility: 4.5, 9% below the ND average of 4.9 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.8%
↑ 1% · ND 5.8This facility: 5.8, 1% above the ND average of 5.8 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.9%
↓ 81% · ND 4.4This facility: 0.9, 81% below the ND average of 4.4 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
19.1%
↓ 16% · ND 22.7This facility: 19.1, 16% below the ND average of 22.7 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
↑ 1% · ND 98.6This facility: 99.8, 1% above the ND average of 98.6 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 1% · ND 98.8This facility: 100.0, 1% above the ND average of 98.8 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.98
↑ 34% · ND 1.48This facility: 1.98, 34% above the ND average of 1.48 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.83
↓ 56% · ND 1.90This facility: 0.83, 56% below the ND average of 1.90 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
↓ 2% · US 53.7This facility: 52.6, 2% below the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
53.4%
↑ 6% · US 50.6This facility: 53.4, 6% above the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
↑ 60% · US 0.8This facility: 1.2, 60% above the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
↑ 14% · ND 1.5This facility: 1.7, 14% above the ND average of 1.5 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
↑ 6% · ND 92.3This facility: 97.4, 6% above the ND average of 92.3 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
↑ 9% · ND 88.3This facility: 95.9, 9% above the ND average of 88.3 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
≈ 0% · ND 20.9This facility: 20.8, level with the ND average of 20.9 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
10.8%
↑ 2% · ND 10.6This facility: 10.8, 2% above the ND average of 10.6 (among ND facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
65% of new residents, usually for short-term rehab.
30% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
192Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Conducts clinical research trials to develop and test new treatments
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.
Historical financial and operational data for Missouri Slope from 2023–2025, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 06/2025.
Based on CMS SNF Cost Report for fiscal year ending in 06/2025.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #1 / 17Payroll costs — State benchmarked This nursing home is ranked 1st out of 17 nursing homes we track in North Dakota. 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.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #11 / 17Payroll % of net patient revenue — State benchmarked This nursing home is ranked 11th out of 17 nursing homes we track in North Dakota. 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.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (65% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
4.3 miles from city center
Estimated distance in miles from Bismarck's city center to Missouri Slope's address, calculated via Google Maps.
Add your location
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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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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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.
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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 | B+ |
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 | B+ |
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 | C- |
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
Missouri Slope is located in Bismarck, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
Missouri Slope has a walk score of 11. Car-dependent. Most errands require a car, with limited nearby walkable options.
Missouri Slope's occupancy is 97.5%.
No, Missouri Slope has a no-pet policy.
Missouri Slope is registered as a non-profit.
Missouri Slope received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Missouri Slope has 192 beds.
Yes — there are 9 photos of Missouri Slope in the photo gallery on this page.
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