Nursing home
Missouri Slope
4916 N Washington St, Bismarck, ND 58503 · Map
Non profit - Corporation · 192 certified beds
Missouri Slope is a Medicare-certified nursing home in Bismarck, North Dakota. CMS rates it 3 out of 5 stars overall (5/5 for staffing, 2/5 for health inspections). Nurse staffing is 5.40 hours per resident per day, above the North Dakota average of 4.41. Its most recent inspection on Mar 27, 2025 cited 6 deficiencies.
- 2 fines totaling $39,404In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Missouri Slope compares
This facility vs. the North Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.40 | 4.41 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.81 | 0.93 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.98 | 2.99 | 2.34 | above avg |
| Nursing staff turnover | 55.0% | 49.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 5.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $39,404, 2 total penalties.
What inspectors found at Missouri Slope
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 27, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 27, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 27, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Mar 27, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 27, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Mar 27, 2025 · Full report (PDF) - Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 15, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 12, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 15, 2024 · Full report (PDF) - Potential for harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Feb 15, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 15, 2024 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Feb 15, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4916 N Washington St
Bismarck, ND 58503 - CMS certification #
- 355128
- Ownership
- Non profit - Corporation
- Certified beds
- 192
- Avg residents/day
- 177.5
- Provider type
- Medicare and Medicaid
- First certified
- 2021-11-22
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Missouri Slope using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Missouri Slope says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Sanford Medical Center Bismarck, Bismarck. 3.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Good Samaritan Society Augusta Place A Prospera Co, Bismarck. 0.7 miles away, straight line.
- Nearest home health agency office
- Kayd Home Care LLC, Bismarck. 3.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 58503 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Sanford Tom And Frances Leach Bismarck Dialysis, Bismarck, 3.7 miles away, straight line (CMS rating 4 of 5 stars)
Chi St Alexius Health - Bismarck Dialysis, Bismarck, 3.7 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 58503.
Chi Health At Home, office in Bismarck, 3.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Sanford Home Care - Hospice, office in Mandan, 5.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Chess Medicine PLLC, Fargo. 184.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Bismarck, ND, risk to homes is greater than 72% of communities in North Dakota and 59% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Missouri Slope a good nursing home?
CMS gives Missouri Slope an overall rating of 3 out of 5 stars, including 5/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Missouri Slope staffed?
Missouri Slope reports 5.40 total nurse hours per resident per day, compared with the North Dakota average of 4.41.
Has Missouri Slope had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Missouri Slope have?
Missouri Slope is certified for 192 beds.