CMS data shows Baptist Health & Rehab earning a D grade with a score of 45/100, placing it below most facilities in North Dakota. Prospective residents and families should carefully review the specific areas of concern detailed below.
Baptist Health & Rehab provides above-average staffing with 4.98 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 16 deficiencies at Baptist Health & Rehab, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide safe and appropriate respiratory care for a resident when needed..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.98 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.80 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.53 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 3.65 | 2.4 | Above Average |
| Weekend Total Nursing | 4.57 | 3.8 | Above Average |
| Weekend RN Hours | 0.51 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0695 Severity JProvide safe and appropriate respiratory care for a resident when needed.Jul 21, 2025 · Quality of Life and Care Deficiencies
- Tag 0693 Severity DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a fApr 15, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Apr 15, 2025 · Infection Control Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jan 22, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.5% | 4.5% | Better |
| Falls with major injury | 6.1% | 3.0% | Worse |
| On antipsychotic medication | 15.8% | 14.5% | Average |
| Urinary tract infections | 2.9% | 2.5% | Worse |
| ADL decline (daily activities) | 7.7% | 14.0% | Better |
| Excessive weight loss | 1.3% | 7.5% | Better |
| New/worsened incontinence | 23.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $35,323
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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