Quick answers
- Where is Missouri Slope?
- 4916 N Washington St, Bismarck, ND 58503, in Burleigh County, North Dakota.
- What is the phone number of Missouri Slope?
- (701) 223-9407, as listed by Medicare (CMS).
- What is the Medicare star rating of Missouri Slope?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Missouri Slope been fined?
- Medicare lists 2 fines totaling $39,404.
- What did inspectors find at Missouri Slope?
- In its last three inspection cycles (February 15, 2024 to May 14, 2026), Medicare lists 20 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 15, 2024 to May 14, 2026), Missouri Slope had 20 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $39,404 in total (2 fines, the latest on October 15, 2024). Nurse staffing is 5.51 hours per resident per day; the North Dakota average is 4.47 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 14, 2026 — 3 health citations
Inspections in this cycle: May 14, 2026 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
Previous cycle: March 27, 2025 — 7 health citations
Inspections in this cycle: October 15, 2024 (complaint investigation); March 27, 2025 (complaint investigation); March 27, 2025 (standard health inspection).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 6 less serious citations (levels A to F)
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: February 15, 2024 — 10 health citations
Inspections in this cycle: February 15, 2024 (complaint investigation); February 15, 2024 (standard health inspection); June 12, 2024 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 9 less serious citations (levels A to F)
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0688 Level D
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0758 Level D
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0825 Level D
“Provide or get specialized rehabilitative services as required for a resident.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (3)
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
Fines and payment denials
Total fines over about the last three years: $39,404 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| October 15, 2024 | Fine | $30,580 |
| June 12, 2024 | Fine | $8,824 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | North Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.05 | 0.93 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.50 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 3.95 | 3.04 | 2.35 |
| Total nurse staff hours per resident per day | 5.51 | 4.47 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.64 | 3.80 | 3.43 |
| RN hours per resident per day on the weekend | 0.56 | 0.60 | 0.48 |
| Nursing staff turnover (per year) | 47.6% | 47.5% | 45.3% |
| RN turnover (per year) | 24.3% | 38.7% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.2 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Missouri Slope Lutheran Care Center, Inc..
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Missouri Slope Lutheran Care Center, Inc. | Direct owner | 100% | November 6, 2019 |
| Missouri Slope Lutheran Care Center, Inc. | Management company (operational or managerial control) | NOT APPLICABLE | November 6, 2019 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 192 |
| Average residents per day | 187.2 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Legal business name | Missouri Slope Lutheran Care Center, Inc. |
| First approved by Medicare/Medicaid | 2021-11-22 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 4916 N Washington St, Bismarck, ND 58503 |
| County | Burleigh County |
| State | North Dakota |
| Phone | (701) 223‑9407 |
| CMS Certification Number | 355128 |
| Name in Medicare records | MISSOURI SLOPE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Good Samaritan Society Augusta Place a Prospera Co0.7 mi · Bismarck, ND · 5 of 5 stars
- St Gabriel's Community0.9 mi · Bismarck, ND · 5 of 5 stars
- Baptist Health & Rehab2.2 mi · Bismarck, ND · 5 of 5 stars
- St Vincent's - A Prospera Community3.6 mi · Bismarck, ND · 3 of 5 stars
- Good Samaritan Society Miller Pointe a Prospera Co4.7 mi · Mandan, ND · 3 of 5 stars
Nearest hospital emergency rooms
- Sanford Medical Center Bismarck3.6 mi · Bismarck, ND · Acute Care Hospital
- CHI St Alexius Health3.7 mi · Bismarck, ND · Acute Care Hospital
- CHI St Alexius Health Turtle Lake46 mi · Turtle Lake, ND · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13