Missouri Slope: Staffing, Turnover, and Inspection Record
Missouri Slope is a 192-bed nonprofit nursing home in Bismarck, North Dakota. In the CMS August 2026 release it reported 3.94 nurse aide hours per resident per day, 33% above the North Dakota average of 2.97, and 52.2% nursing staff turnover (North Dakota average 48.8%).
Missouri Slope
4916 N Washington StBismarck, ND 58503
Burleigh County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Missouri Slope, nurse aides logged 3.94 hours per resident per day, 33% above the North Dakota average. With about 185 residents a day, that works out to roughly 729 aide hours a day, or about 91 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | North Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.94 | 2.97 | 2.32 |
| Licensed practical nurses | 0.61 | 0.52 | 0.86 |
| Registered nurses | 0.90 | 0.93 | 0.69 |
| All nursing staff | 5.45 | 4.42 | 3.86 |
| All nursing staff, weekends | 4.60 | 3.80 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
52.2% of nursing staff at Missouri Slope left over the year CMS measured, against a North Dakota average of 48.8% and a US average of 45.8%. Registered nurse turnover was 28.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 14, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (North Dakota average 5.7). CMS lists 2 fines totaling $39,404 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 15, 2024 | Fine | $30,580 |
| Jun 12, 2024 | Fine | $8,824 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Missouri Slope holds 4 of 5 overall; the North Dakota average is 3.2.
About Missouri Slope
- Ownership: Non profit - Corporation
- Legal name: Missouri Slope Lutheran Care Center, Inc.
- Medicare and Medicaid certified since: Nov 22, 2021
- Councils: resident council
- Area: urban
Nursing homes near Missouri Slope
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Good Samaritan Society Augusta Place a Prospera Co Bismarck | 0.7 | 48 | 2.75 | 4.43 | 22.4% | 5 | $16,036 |
| St Gabriel's Community Bismarck | 0.9 | 72 | 2.86 | 4.27 | 27.9% | 5 | None |
| Baptist Health & Rehab Bismarck | 2.2 | 140 | 3.70 | 5.09 | 49.3% | 4 | $35,323 |
| St Vincent's - a Prospera Community Bismarck · SFF candidate · abuse citation | 3.6 | 97 | 2.93 | 4.12 | 42.9% | 1 | $44,606 |
| Good Samaritan Society Miller Pointe a Prospera Co Mandan | 4.7 | 120 | 2.87 | 4.34 | 21.9% | 3 | $35,535 |
| Dakota Alpha Mandan | 5.7 | 20 | 2.88 | 4.83 | 40.0% | 5 | None |
| Sunset Drive - a Prospera Community Mandan · SFF candidate · abuse citation | 5.8 | 128 | 2.27 | 3.57 | 64.5% | 1 | $42,226 |
| Elm Crest Manor New Salem | 30.7 | 62 | 3.35 | 4.74 | 50.6% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.