Missouri Slope
4916 N Washington St, Bismarck, ND, 58503
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 192 · avg 176 residents/day
- Total nursing staff turnover
- 54.7% — higher than most North Dakota nursing homesNorth Dakota avg: 49.1% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 39.5% — near the North Dakota averageNorth Dakota avg: 37.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the North Dakota averageNorth Dakota avg: 0.2 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $39,404 total
Medicare certification
- CMS Certification Number
- 355128
- Certified beds
- 192 beds · avg 176 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Missouri Slope Lutheran Care Center, Inc.
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Parent entity
Missouri Slope Lutheran Care Center, Inc.
Disclosed owners (6 on record)
- Brian j Hebert
Operational/managerial Control · since 2025
- Missouri Slope Lutheran Care Center, Inc.
Adp of The Snf · since 2025
- Darrell Nitschke
Corporate Director · since 2022
- Reier Thompson
Adp of The Snf · since 2021
- Jerry Saude
Corporate Director · since 2019
- Steve Andrist
Corporate Director · since 2019
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 21)
- D0880·Mar 27, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Mar 27, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0759·Mar 27, 2025Complaint
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0658·Mar 27, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0554·Mar 27, 2025Complaint
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
- E0550·Mar 27, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- G0600·Oct 15, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- G0689·Jun 12, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20242 fines · $39K
Most recent events
- Oct 15, 2024Fine · $31K
- Jun 12, 2024Fine · $8,824
Largest single fine on record: $31K.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Mar 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Missouri Slopeinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.