2/5
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.
2/5
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 4th out of 21 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 50m per day | ▼ 8% State avg: 55m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 36m per day | ▲ 20% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 4h 3m per day | ▲ 35% State avg: 3h 0m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
| 4h 47m per day | ▲ 27% State avg: 3h 46m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 1m per day | ▼ 29% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 28m per day | ▼ 19% State avg: 35m per day · National avg: 29m per day |
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.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% more staff per resident than North Dakota average
5% worse than North Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
28 total: 20 full-time employees and 8 contractors.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
36 total: 26 full-time employees and 10 contractors.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursHelps with daily care and mobility.
262 total: 243 full-time employees and 19 contractors.
262
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
14,492 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 243 | 19 | 262 | 60,231 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 26 | 10 | 36 | 9,662 | 92 | 100% | 7.9 |
| Registered Nurse | 20 | 8 | 28 | 8,560 | 92 | 100% | 7.8 |
| Medication Aide/Technician | 22 | 0 | 22 | 5,054 | 92 | 100% | 8.2 |
| Other Dietary Services Staff | 10 | 0 | 10 | 3,349 | 92 | 100% | 7.8 |
| Nurse Practitioner | 7 | 0 | 7 | 3,158 | 74 | 80% | 7.8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,863 | 67 | 73% | 8.4 |
| Occupational Therapy Aide | 6 | 0 | 6 | 1,815 | 65 | 71% | 8.1 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,462 | 64 | 70% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,274 | 76 | 83% | 6.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 672 | 65 | 71% | 6.6 |
| Other Social Services Staff | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 400 | 52 | 57% | 7.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 380 | 65 | 71% | 5.1 |
| Qualified Social Worker | 0 | 2 | 2 | 266 | 43 | 47% | 6.1 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 87 | 11 | 12% | 7.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 80 | 22 | 24% | 3.7 |
| Medical Director | 0 | 1 | 1 | 3 | 8 | 9% | 0.4 |
Includes penalties issued in 2024
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 averageNorth Dakota average: $39K
96% more fines than North Dakota averageNorth 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 averageNorth Dakota average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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, 2024Last updated: Jan 2026
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 averageNorth 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 averageNorth Dakota average: 22.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
25.2%
23% worse than North Dakota averageNorth Dakota average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
27.9%
36% worse than North Dakota averageNorth 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 averageNorth Dakota average: 25.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
16% better than North Dakota averageNorth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
8.1%
46% worse than North Dakota averageNorth Dakota average: 5.6%
Percent of long-stay residents with a urinary tract infection
3.9%
15% worse than North Dakota averageNorth Dakota average: 3.4%
Percent of long-stay residents who lose too much weight
6.4%
12% worse than North Dakota averageNorth Dakota average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.7%
84% better than North Dakota averageNorth Dakota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
17.4%
19% better than North Dakota averageNorth Dakota average: 21.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
In line with North Dakota averageNorth Dakota average: 98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with North Dakota averageNorth Dakota average: 98.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.98
34% worse than North Dakota averageNorth Dakota average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.83
56% better than North Dakota averageNorth Dakota average: 1.90
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
In line with North Dakota averageNorth Dakota average: 94.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
40% better than North Dakota averageNorth Dakota average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
8% better than North Dakota averageNorth Dakota average: 88.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
In line with North Dakota averageNorth Dakota average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.8%
In line with North Dakota averageNorth Dakota average: 10.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
60% worse than North Dakota averageNorth Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
In line with North Dakota averageNorth Dakota average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.4%
6% better than North Dakota averageNorth Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
182Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 2023–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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 / 20Payroll — State benchmarkedThis home is ranked 1st out of 20 homes in North Dakota for payroll. Shows total annual staff payroll benchmarked to the North Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #13 / 20Payroll % — State benchmarkedThis home is ranked 13th out of 20 homes in North Dakota for payroll %. Shows payroll as a percentage of revenue versus the North Dakota average. Well-run North Dakota facilities typically land around 67–77% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
No pets allowed
Housing Options: 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (72% 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 to lowest based on our ranking methodology.
| Good Samaritan Society – Augusta Place | NH AL IL SNF | Bismarck | 48
Facility
48
ND AVG
75
Rank
#33 / 53 |
98.8%
Facility
98.8%
ND AVG
87.2
Rank
#1 / 12 | +13% | 4.70
Facility
4.70
ND AVG
5.16
Rank
#15 / 21 | -13% | -9% | $16.0k
Facility
$16.0k
ND AVG
$38.3k
Rank
#14 / 21 | 19
Facility
19
ND AVG
16.5
Rank
#18 / 21 | 3.8
Facility
3.8
ND AVG
3.9
Rank
#14 / 21 | 2 | 47 | A+ |
16
Facility
16
ND AVG
42
Rank
#68 / 80 | Peter Troy | $8.5MFiscal year ending 06/2024
Facility
$8.5MFiscal year ending 06/2024
ND AVG
$11.5M
Rank
#14 / 20 | $5.3MFiscal year ending 06/2024
Facility
$5.3MFiscal year ending 06/2024
ND AVG
$5.6M
Rank
#14 / 20 | 62.7%Fiscal year ending 06/2024
Facility
62.7%Fiscal year ending 06/2024
ND AVG
48.6%
Rank
#19 / 20 | 355125 | ||||
| Missouri Slope Assisted Living | NH AL HC SNF | Bismarck | 64
Facility
64
ND AVG
75
Rank
#26 / 53 | - | - | 6.42
Facility
6.42
ND AVG
5.16
Rank
#1 / 21 | -17% | +24% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 21 | 6
Facility
6
ND AVG
16.5
Rank
#1 / 21 | 1.5
Facility
1.5
ND AVG
3.9
Rank
#1 / 21 | - | 31 | - |
85
Facility
85
ND AVG
42
Rank
#2 / 80 | Steve Andrist | $6.5MFiscal year ending 06/2024
Facility
$6.5MFiscal year ending 06/2024
ND AVG
$11.5M
Rank
#15 / 20 | $3.9MFiscal year ending 06/2024
Facility
$3.9MFiscal year ending 06/2024
ND AVG
$5.6M
Rank
#17 / 20 | 60.3%Fiscal year ending 06/2024
Facility
60.3%Fiscal year ending 06/2024
ND AVG
48.6%
Rank
#20 / 20 | 355059 | ||||
| Baptist Health & Rehab | NH AL HOS SNF | Bismarck | 140
Facility
140
ND AVG
75
Rank
#5 / 53 |
95.1%
Facility
95.1%
ND AVG
87.2
Rank
#7 / 12 | +9% | 5.12
Facility
5.12
ND AVG
5.16
Rank
#10 / 21 | -35% | -1% | $35.3k
Facility
$35.3k
ND AVG
$38.3k
Rank
#16 / 21 | 16
Facility
16
ND AVG
16.5
Rank
#14 / 21 | 2.3
Facility
2.3
ND AVG
3.9
Rank
#6 / 21 | 4 | 133 | - |
6
Facility
6
ND AVG
42
Rank
#75 / 80 | Cassia Services | $21.2MFiscal year ending 12/2023
Facility
$21.2MFiscal year ending 12/2023
ND AVG
$11.5M
Rank
#4 / 20 | $13.3MFiscal year ending 12/2023
Facility
$13.3MFiscal year ending 12/2023
ND AVG
$5.6M
Rank
#4 / 20 | 62.5%Fiscal year ending 12/2023
Facility
62.5%Fiscal year ending 12/2023
ND AVG
48.6%
Rank
#11 / 20 | 355058 | ||||
| Missouri Slope | NH AL HC SNF | Bismarck | 192
Facility
192
ND AVG
75
Rank
#2 / 53 |
91.4%
Facility
91.4%
ND AVG
87.2
Rank
#9 / 12 | +5% | 5.79
Facility
5.79
ND AVG
5.16
Rank
#4 / 21 | -46% | +12% | $39.4k
Facility
$39.4k
ND AVG
$38.3k
Rank
#18 / 21 | 21
Facility
21
ND AVG
16.5
Rank
#20 / 21 | 4.2
Facility
4.2
ND AVG
3.9
Rank
#18 / 21 | 3 | 176 | - |
11
Facility
11
ND AVG
42
Rank
#72 / 80 | Steve Andrist | $36.6MFiscal year ending 06/2024
Facility
$36.6MFiscal year ending 06/2024
ND AVG
$11.5M
Rank
#1 / 20 | $21.3MFiscal year ending 06/2024
Facility
$21.3MFiscal year ending 06/2024
ND AVG
$5.6M
Rank
#1 / 20 | 58.1%Fiscal year ending 06/2024
Facility
58.1%Fiscal year ending 06/2024
ND AVG
48.6%
Rank
#13 / 20 | 355128 | ||||
| Good Samaritan Society – St. Vincent | NH SNF | Bismarck | 46
Facility
46
ND AVG
75
Rank
#35 / 53 |
95.2%
Facility
95.2%
ND AVG
87.2
Rank
#6 / 12 | +9% | 4.63
Facility
4.63
ND AVG
5.16
Rank
#16 / 21 | +2% | -10% | $8.3k
Facility
$8.3k
ND AVG
$38.3k
Rank
#12 / 21 | 19
Facility
19
ND AVG
16.5
Rank
#18 / 21 | 3.8
Facility
3.8
ND AVG
3.9
Rank
#14 / 21 | 1 | 44 | - |
21
Facility
21
ND AVG
42
Rank
#60 / 80 | Patricia Bergh | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
ND AVG
$11.5M
Rank
#18 / 20 | $3.4MFiscal year ending 06/2024
Facility
$3.4MFiscal year ending 06/2024
ND AVG
$5.6M
Rank
#18 / 20 | 62.6%Fiscal year ending 06/2024
Facility
62.6%Fiscal year ending 06/2024
ND AVG
48.6%
Rank
#5 / 20 | 355095 |
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 96.7%.
No, Missouri Slope has a no-pet policy.
Missouri Slope is registered as a non-profit.
Yes — there are 12 photos of Missouri Slope in the photo gallery on this page.
Missouri Slope is located at 4916 N Washington St, Bismarck, ND 58503.
(701) 223-9407 will put you in contact with the team at Missouri Slope.
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