D

MISSOURI SLOPE

4916 N WASHINGTON ST, BISMARCK, ND 58503
Score: 50 / 100

CMS data shows Missouri Slope earning a D grade with a score of 50/100, placing it below most facilities in North Dakota. Prospective residents and families should carefully review the specific areas of concern detailed below.

Missouri Slope provides above-average staffing with 5.40 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 21 deficiencies at Missouri Slope. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.40 3.8 Above Average
Registered Nurses (RN) 0.81 0.7 Above Average
Licensed Practical Nurses (LPN) 0.61 0.7 Below Average
Certified Nursing Assistants (CNA) 3.98 2.4 Above Average
Weekend Total Nursing 4.57 3.8 Above Average
Weekend RN Hours 0.45 0.7 Below Average

🔍 Inspection & Deficiency History

21
Total Deficiencies
Mar 26, 2025
Most Recent Inspection
🟠 21 Moderate
View recent deficiencies (5 shown)
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Mar 26, 2025 · Resident Rights Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Mar 26, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0554 Severity D
    Allow residents to self-administer drugs if determined clinically appropriate.
    Mar 26, 2025 · Resident Rights Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Mar 26, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0759 Severity D
    Ensure medication error rates are not 5 percent or greater.
    Mar 26, 2025 · Pharmacy Service 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 7.4% 4.5% Worse
Falls with major injury 4.1% 3.0% Worse
On antipsychotic medication 19.4% 14.5% Worse
Urinary tract infections 3.8% 2.5% Worse
ADL decline (daily activities) 23.8% 14.0% Worse
Excessive weight loss 6.6% 7.5% Better
New/worsened incontinence 30.8% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $39,404

How This Grade Was Calculated

This facility's grade of D is based on a score of 50 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: -10 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
192
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 26, 2025
Deficiencies (Cycle 1)
6