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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 25 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 |
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 2022–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 22Payroll — State benchmarkedThis home is ranked 1st out of 22 homes in North Dakota. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
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.
— 0.85 miles to nearest hospital (Northern Lights LASIK)
Add your location
Missouri Slope is located in Bismarck, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
| Missouri Slope Assisted Living |
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.
NC Nursing Care | Bismarck | 64
Facility
64
ND AVG
75
Rank
#26 / 53 |
36.6%
Facility
36.6%
ND AVG
87.8%
Rank
#23 / 23 | -58% | 6.42
Facility
6.42
ND AVG
5.16
Rank
#1 / 25 | -17% | +24% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 25 | 6
Facility
6
ND AVG
16.5
Rank
#1 / 25 | 1.5
Facility
1.5
ND AVG
3.9
Rank
#1 / 25 | - | 31 | - |
85
Facility
85
ND AVG
42
Rank
#2 / 80 | Steve Andrist | $8.1M
Facility
$8.1M
ND AVG
$11.5M
Rank
#17 / 22 | $4.2M
Facility
$4.2M
ND AVG
$5.6M
Rank
#18 / 22 | 51.5%
Facility
51.5%
ND AVG
48.6%
Rank
#22 / 22 | 355059 | ||||
| Good Samaritan Society – Augusta Place |
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.
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 | 48
Facility
48
ND AVG
75
Rank
#33 / 53 |
93.5%
Facility
93.5%
ND AVG
87.8%
Rank
#14 / 23 | +6% | 4.70
Facility
4.70
ND AVG
5.16
Rank
#17 / 25 | -13% | -9% | $16.0k
Facility
$16.0k
ND AVG
$38.3k
Rank
#16 / 25 | 19
Facility
19
ND AVG
16.5
Rank
#21 / 25 | 3.8
Facility
3.8
ND AVG
3.9
Rank
#17 / 25 | 2 | 47 | A+ |
16
Facility
16
ND AVG
42
Rank
#68 / 80 | Peter Troy | $10.2M
Facility
$10.2M
ND AVG
$11.5M
Rank
#16 / 22 | $5.3M
Facility
$5.3M
ND AVG
$5.6M
Rank
#16 / 22 | 52.4%
Facility
52.4%
ND AVG
48.6%
Rank
#20 / 22 | 355125 | ||||
| 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).
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. | Bismarck | 140
Facility
140
ND AVG
75
Rank
#5 / 53 |
97.5%
Facility
97.5%
ND AVG
87.8%
Rank
#6 / 23 | +11% | 5.12
Facility
5.12
ND AVG
5.16
Rank
#11 / 25 | -35% | -1% | $35.3k
Facility
$35.3k
ND AVG
$38.3k
Rank
#17 / 25 | 16
Facility
16
ND AVG
16.5
Rank
#17 / 25 | 2.3
Facility
2.3
ND AVG
3.9
Rank
#6 / 25 | 4 | 133 | - |
6
Facility
6
ND AVG
42
Rank
#75 / 80 | Cassia Services | $23.5M
Facility
$23.5M
ND AVG
$11.5M
Rank
#5 / 22 | $14.6M
Facility
$14.6M
ND AVG
$5.6M
Rank
#4 / 22 | 62.2%
Facility
62.2%
ND AVG
48.6%
Rank
#11 / 22 | 355058 | ||||
| Missouri Slope |
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.
NC Nursing Care | Bismarck | 192
Facility
192
ND AVG
75
Rank
#2 / 53 |
96.7%
Facility
96.7%
ND AVG
87.8%
Rank
#7 / 23 | +10% | 5.79
Facility
5.79
ND AVG
5.16
Rank
#4 / 25 | -46% | +12% | $39.4k
Facility
$39.4k
ND AVG
$38.3k
Rank
#20 / 25 | 21
Facility
21
ND AVG
16.5
Rank
#23 / 25 | 4.2
Facility
4.2
ND AVG
3.9
Rank
#22 / 25 | 3 | 176 | - |
11
Facility
11
ND AVG
42
Rank
#72 / 80 | Steve Andrist | $40.9M
Facility
$40.9M
ND AVG
$11.5M
Rank
#1 / 22 | $25.0M
Facility
$25.0M
ND AVG
$5.6M
Rank
#1 / 22 | 61.1%
Facility
61.1%
ND AVG
48.6%
Rank
#14 / 22 | 355128 | ||||
| Good Samaritan Society – St. Vincent |
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 | 46
Facility
46
ND AVG
75
Rank
#35 / 53 |
81.0%
Facility
81.0%
ND AVG
87.8%
Rank
#17 / 23 | -8% | 4.63
Facility
4.63
ND AVG
5.16
Rank
#18 / 25 | +2% | -10% | $8.3k
Facility
$8.3k
ND AVG
$38.3k
Rank
#1 / 25 | 19
Facility
19
ND AVG
16.5
Rank
#21 / 25 | 3.8
Facility
3.8
ND AVG
3.9
Rank
#17 / 25 | 1 | 44 | - |
21
Facility
21
ND AVG
42
Rank
#60 / 80 | Patricia Bergh | $5.8M
Facility
$5.8M
ND AVG
$11.5M
Rank
#19 / 22 | $4.1M
Facility
$4.1M
ND AVG
$5.6M
Rank
#19 / 22 | 70.8%
Facility
70.8%
ND AVG
48.6%
Rank
#4 / 22 | 355095 |
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%.
Yes — there are 12 photos of Missouri Slope in the photo gallery on this page.
(701) 223-9407 will put you in contact with the team at Missouri Slope.
Yes — Missouri Slope is a CMS-certified provider of Medicare and Medicaid.
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