Explore Open Rooms

1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.

Assisted Living Home

Missouri Slope

Assisted Living Home

Missouri Slope

4916 N Washington St, Bismarck, ND 58503 View map
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.

(701) 223-9407

Managed by Reier Thompson

President & CEO

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
2/5
North Dakota average: 3.1/5
Health Inspection Info 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.
2/5
North Dakota average: 2.8/5
Staffing Info 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.
4/5
North Dakota average: 4.3/5
Quality Measures Info 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.
3/5
North Dakota average: 2.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 47m per day

This home provides 12% more nursing time per resident than the North Dakota average.

North Dakota average: 5h 10m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 49m per day 55m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 3h 59m per day 3h 0m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 4h 34m per day 3h 46m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 2m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 27m per day 35m per day 29m 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.

Higher demand than most homes in North Dakota
Occupancy rate 96.7%
Residents per day (avg) 180
Occupancy rate
96.7%
Residents per day (avg)
180

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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 Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$17.4M
42.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$23.0M
Total costs $40.4M
Walk Score
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

Long-Term Care
Assisted Living
Rehabilitation
Home 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 icon
Housing options icon

Housing Options: 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: Mid-rise

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Missouri Slope

Assisted Living Nursing Home

Health Inspection History

Inspections
Total health inspections 5

North Dakota average 4.2


Last Health inspection on Mar 2025

Total health citations 21

North Dakota average 16.5

Citations per inspection
4.2

North Dakota average 3.93


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 More info 0
100% better than North Dakota average

North Dakota average: 0.5


Serious Health citations More info 3
200% worse than North Dakota average

North Dakota average: 1

0 critical citations More info North Dakota average: 0.5

3 serious citations More info North Dakota average: 1

18 moderate citations More info North Dakota average: 14.8

0 minor citations More info North Dakota average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 27, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 27, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Mar 27, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Mar 27, 2025
Corrected

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 A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Bismarck
192
No
-
11
1 Bed / 2 Bed
Baptist Health & Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Bismarck
140
No
-
6
1 Bed / 2 Bed
Benedictine Living Community-Bismarck
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Bismarck
72
No
A+
22
1 Bed / 2 Bed
Edgewood Bismarck on Dominion
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Bismarck
38
No
-
57
1 Bed / 2 Bed
Edgewood Bismarck Senior Living, LLC
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bismarck
38
No
-
-
1 Bed / 2 Bed

Places of interest near Missouri Slope

Address 4.3 miles from city center — 0.85 miles to nearest hospital (Northern Lights LASIK)

Address 4916 N Washington St, Bismarck, ND 58503

Calculate Travel Distance to Missouri Slope

Add your location

Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 419
Employees 368
Contractors 51
Staff to resident ratio 2.30:1
17% better than North Dakota average

North Dakota average ratio: 1.97:1

Avg staff/day 148
Average shift 7.4 hours
6% worse than North Dakota average

North Dakota average: 7.9 hours

Total staff hours (quarter) 99,514
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 271
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

14.8%

14,738 contractor hours this quarter

Licensed Practical Nurse: 18 Certified Nursing Assistant: 9 Physical Therapy Assistant: 5 Registered Nurse: 5 Qualified Social Worker: 3 Speech Language Pathologist: 3 Medication Aide/Technician: 2 Respiratory Therapy Technician: 2 Occupational Therapy Assistant: 1 Therapeutic Recreation Specialist: 1 Physical Therapy Aide: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant262927160,57291100%7.2
Licensed Practical Nurse24184210,41891100%8.3
Registered Nurse215266,56691100%7.7
Medication Aide/Technician232255,84391100%8.1
Other Dietary Services Staff100103,18991100%7.8
Nurse Practitioner8083,1766470%8
Clinical Nurse Specialist5051,8787077%7.9
Occupational Therapy Aide6061,8556470%7.8
Mental Health Service Worker4041,7846470%8
Physical Therapy Assistant0551,1857077%6.1
Speech Language Pathologist0337476673%6
Respiratory Therapy Technician0225386976%4.9
Other Social Services Staff1014725965%8
Therapeutic Recreation Specialist0114596066%7.6
Qualified Social Worker0333965864%6.4
Administrator1013444347%8
Occupational Therapy Assistant011772426%3.2
Physical Therapy Aide0111267%2
Medical Director011333%0.8
Nurse Aide in Training303122%0.4
271 Certified Nursing Assistant
% of Days 100%
42 Licensed Practical Nurse
% of Days 100%
26 Registered Nurse
% of Days 100%
25 Medication Aide/Technician
% of Days 100%
10 Other Dietary Services Staff
% of Days 100%
8 Nurse Practitioner
% of Days 70%
5 Clinical Nurse Specialist
% of Days 77%
6 Occupational Therapy Aide
% of Days 70%
4 Mental Health Service Worker
% of Days 70%
5 Physical Therapy Assistant
% of Days 77%
3 Speech Language Pathologist
% of Days 73%
2 Respiratory Therapy Technician
% of Days 76%
1 Other Social Services Staff
% of Days 65%
1 Therapeutic Recreation Specialist
% of Days 66%
3 Qualified Social Worker
% of Days 64%
1 Administrator
% of Days 47%
1 Occupational Therapy Assistant
% of Days 26%
1 Physical Therapy Aide
% of Days 7%
1 Medical Director
% of Days 3%
3 Nurse Aide in Training
% of Days 2%

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.

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 Info 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

Functional decline score Info 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

Long-stay resident measures
Below average North Dakota avg: 2.9 Info 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 Info 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%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.9%
36% worse than North Dakota average

North Dakota average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info 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%

Falls with Major Injury Info 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%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.1%
46% worse than North Dakota average

North Dakota average: 5.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.9%
15% worse than North Dakota average

North Dakota average: 3.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.4%
12% worse than North Dakota average

North Dakota average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
84% better than North Dakota average

North Dakota average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.4%
19% better than North Dakota average

North Dakota average: 21.4%

Pneumococcal Vaccine Info 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%

Influenza Vaccine Info 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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.98
34% worse than North Dakota average

North Dakota average: 1.48

ED visits per 1,000 days Info 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

Short-stay resident measures
Above average North Dakota avg: 2.8 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info 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%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
40% better than North Dakota average

North Dakota average: 2.1%

Influenza Vaccine Info 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%

Re-hospitalized after SNF stay Info 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%

Emergency department visits Info 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%

Falls with major injury Info 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%

Ability to care for self at discharge Info 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%

Successful return to home or community Info 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%

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 average

North Dakota average: $39K

Number of fines 3
96% more fines than North Dakota average

North Dakota average: 1.5

Payment Denials Info 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

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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 15, 2024
$31K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 12, 2024
$9K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 16, 2023
$10K

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for North Dakota Seniors

Get financial aid guidance

Aged and Disabled Waiver

ND Medicaid A&D Waiver

Age 65+ or disabled, North Dakota resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$3,000 (individual, higher than most states).

Higher asset limit; sparse population aids rural access.

Service Payments for Elderly and Disabled (SPED)

ND SPED

Age 65+ or disabled, North Dakota resident, at risk of decline.

~$1,732/month (individual, varies).

$50,000 (individual, higher limit).

Higher asset limit; rural focus.

Basic Care Assistance Program (BCAP)

North Dakota Basic Care Assistance Program

Age 65+ (or disabled 18+), ND resident, in licensed basic care facility, low-income.

~$1,255/month (individual, after facility costs); varies by facility rate.

$3,000 (individual).

Supplements SSI; covers ~50 facilities statewide.

Family Home Care Program

North Dakota Family Home Care Program

Age 60+, ND resident, need help with 1+ ADL, family caregiver available.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Caregiver must be family; payment varies by hours/service.

Medicare Savings Program (MSP)

North Dakota Medicare Savings Program

Age 65+ or disabled, ND resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Low-Income Home Energy Assistance Program (LIHEAP)

North Dakota LIHEAP

Age 60+ prioritized, ND resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers oil, gas, electric; emergency aid available.

Family Caregiver Support Program (FCSP)

North Dakota Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; ND resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

8 regions; rural/low-income priority.

Senior Community Service Employment Program (SCSEP)

North Dakota SCSEP

Age 55+, unemployed, low-income, ND resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

North Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, ND resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas; ND Veterans Home option.

Property Tax Homestead Credit for Seniors

North Dakota Homestead Property Tax Credit

Age 65+ (or disabled), ND resident, homeowner, low-income.

~$22,500/year (individual), ~$29,500/year (couple).

Home value < $500,000; other assets not assessed.

Credit up to $500-$1,000; applies to primary residence.

Medicaid Personal Care Option (PCO)

North Dakota Medicaid Personal Care Option

Age 65+ (or disabled), ND resident, Medicaid-eligible, need help with 1+ ADL.

~$1,255/month (100% FPL, individual); QIT optional for excess income.

$3,000 (individual), $6,000 (couple) (excludes home up to $713,000, car).

Self-directed option (hire family); part of Medicaid State Plan, not a waiver.

Tour Icon
Planning a tour? Check our touring checklist.
Chat Icon
Thinking of living here? We can help you speak to a current resident