Missouri Slope
4916 N Washington St · Bismarck, ND · 58503 · 7012239407
192 certified beds Non profit - Corporation
Why this verdict
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.84 | 0.55–0.75 |
| Weekend hours / resident-day | 4.79 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 2 · $39,404 |
Inspection citations (21 in the current record)
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Potential for harm · E March 27, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · D March 27, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · D March 27, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 21, 2025 · Pharmacy Service
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Potential for harm · E March 27, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 21, 2025 · Nutrition and Dietary
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Potential for harm · D March 27, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 21, 2025 · Infection Control
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Actual harm · G October 15, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 11, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024
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.
Corrected March 20, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 20, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 20, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 20, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024 · found via complaint
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.
Corrected March 20, 2024 · Pharmacy Service
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Potential for harm · D February 15, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected March 20, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 20, 2024 · Infection Control
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Actual harm · G February 16, 2023
Ensure that residents are free from significant medication errors.
Corrected November 25, 2022 · Pharmacy Service
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Potential for harm · D February 16, 2023
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected March 16, 2023 · Resident Rights
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Potential for harm · D February 16, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 16, 2023 · Quality of Life and Care
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Potential for harm · E February 16, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 16, 2023 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 15, 2024 | Fine | $30,580 |
| June 12, 2024 | Fine | $8,824 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355128 · certified since November 22, 2021. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.