MISSOURI SLOPE

BISMARCK, ND · 192 beds · Non profit - Corporation

34 Trust Score
Grade: F HIGH Risk → Stable

Red Flags

  • 3 citation(s) where residents suffered actual harm

Green Flags

  • 5-star staffing rating

Quick Facts

★★★☆☆
CMS Overall
★★☆☆☆
Health Inspection
6
1.1x state avg
Deficiencies
$39,404
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

March 26, 2025

12 deficiencyies
F0550 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0550 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Allow residents to self-administer drugs if determined clinically appropriate.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure medication error rates are not 5 percent or greater.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

October 14, 2024

2 deficiencyies
F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

June 11, 2024

2 deficiencyies
F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

February 14, 2024

4 deficiencyies
F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

See full violation history →

Staffing

0.87
RN hrs/res/day
0.66
LPN hrs/res/day
4.30
CNA hrs/res/day
4.93
Weekend hrs/res/day
55%
Total nurse turnover
30%
RN turnover

A nurse checks on each resident roughly every 4.1 hours on average.

Fines & Penalties

  • Fine Oct 14, 2024
    $30,580
  • Fine Jun 11, 2024
    $8,824
Total $39,404

Ownership

Non profit - Corporation Independent (not part of a chain)
  • MISSOURI SLOPE LUTHERAN CARE CENTER, INC.

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/06/2019

    100% Organization
  • MISSOURI SLOPE LUTHERAN CARE CENTER, INC.

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/06/2019

    Organization
  • HEBERT, BRIAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/23/2025

    Individual
  • THOMPSON, REIER

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/06/2019

    Individual
  • ANDRIST, STEVE

    CORPORATE DIRECTOR

    Since since 11/06/2019

    Individual
  • NITSCHKE, DARRELL

    CORPORATE DIRECTOR

    Since since 09/26/2022

    Individual
  • SAUDE, JERRY

    CORPORATE DIRECTOR

    Since since 11/06/2019

    Individual
  • THOMPSON, REIER

    CORPORATE OFFICER

    Since since 11/06/2019

    Individual

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