4217 MONTREAL ST, Bismarck, ND 58503
Memory Care
Secure memory care24-hour supervisionMedication management
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About Missouri Slope
Missouri Slope provides skilled nursing and rehabilitation services to Bismarck, North Dakota residents who need specialized medical care during recovery or transitional periods. Our nursing team delivers compassionate support with evidence-based treatments, helping patients regain strength and independence.
Community at a glance
Capacity
192 residents
Location
Bismarck, ND
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
4916 N WASHINGTON ST, Bismarck, North Dakota 58503
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 14, 2026, state inspectors cited 3 health deficiencies (the North Dakota average is 5.6).
Nurses and nurse aides spend 5 hours 27 minutes with each resident a day, above the North Dakota average of 4 hours 25 minutes.
Medicare fined Missouri Slope 2 times in the last three years, $39,404 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 5 hours 27 minutesAbove the North Dakota average |
| Registered nurse time per resident, per day | 54 minutes |
| Nursing staff who left in the past year | 52%Above the North Dakota average |
Inspections
20 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 14, 2026 · Standard inspection · 3 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 10, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 10, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 10, 2026
March 27, 2025 · Standard inspection · 6 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Apr 21, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Apr 21, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 21, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Apr 21, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 21, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 21, 2025
October 15, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 1, 2024
June 12, 2024 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Jun 11, 2024
February 15, 2024 · Standard inspection · 9 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 20, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 20, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Mar 20, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 20, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 20, 2024Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 20, 2024Provide or get specialized rehabilitative services as required for a resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 20, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Mar 20, 2024Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 20, 2024
Fines and payment denials
2 fines totaling $39,404 in the last three years.
- October 15, 2024Fine: $30,580
- June 12, 2024Fine: $8,824
About the home, per Medicare
- Ownership
- Non profit - Corporation
- Legal business name
- Missouri Slope Lutheran Care Center, Inc.
- Medicare-certified beds
- 192
- Average residents per day
- 185
- Accepts
- Medicare and Medicaid
- First certified
- November 22, 2021
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 355128
Location
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4916 N WASHINGTON STBismarck, ND 58503
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Questions about Missouri Slope
How did Missouri Slope do on its last inspection?+
State inspectors visited on May 14, 2026 and cited 3 health deficiencies. The North Dakota average is 5.6.
How much nursing care does each resident get at Missouri Slope?+
Nurses and aides spend 5 hours 27 minutes with each resident per day, including 54 minutes from registered nurses. 52% of nursing staff left over the past year.
Has Missouri Slope been fined by Medicare?+
Yes. Medicare fined Missouri Slope 2 times in the last three years, totaling $39,404.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.