Skilled Nursing
Dakota Alpha
Scout 97Mandan, ND · 20 beds
5.0CMS rating
Skilled Nursing● Very limited availability
One of Mandan's top-rated skilled nursing communities.
Est. $8,640–$10,890/mo
View full evaluation →Skilled NursingCMS verified
Missouri Slope
4916 N Washington St, Bismarck, ND 58503 · Burleigh County
Missouri Slope provides long-term care, assisted living services and rehabilitation therapy to residents of the Bismarck, ND area.
53
FairHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates fair.Photos via google places.
Availability outlook● Fills quickly
Typically 91% full (176 of 192 beds occupied on an average day).
If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A below-average federal rating — worth a careful look in Bismarck
Missouri Slope is a non-profit skilled nursing facility in Bismarck, ND, with 192 certified beds and an average of about 176 residents per day.
Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 4/5 on staffing, 3/5 on quality measures.
Staff provide about 5.48 total nurse hours per resident each day (0.84 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 54.7%, higher than the ~52% national average. On the safety record, CMS notes 6 health deficiencies at its most recent standard survey, and 2 federal fines totaling $39,404 in the recent record.
Strengths
- ✓Above-average nurse staffing (5.48 hrs/resident/day)
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 2-star overall CMS rating
- •Below-average health-inspection rating
- •$39,404 in federal fines
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Bismarck options — our advisors can help you compare.
At a glance
- Certified beds
- 192
- Avg. residents/day
- 176
- Ownership
- Non profit - Corporation
- Part of a chain
- Independent
- Continuing care
- No
- CMS provider #
- 355128
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $8,640–$10,890/mo (median $9,500) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Bismarck prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 5.48
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.84
- National avg ≈ 0.75
- Nursing staff turnover
- 54.7%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 6
- Federal fines
- 2 ($39,404)
- Total penalties
- 2
- Last standard survey
- 2025-03-27
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (21 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2025-03-27Severity E — potential for harmFrom a complaintResident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-03-27Severity E — potential for harmFrom a complaintNutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2025-03-27Severity D — potential for harmFrom a complaintResident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2025-03-27Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2025-03-27Severity D — potential for harmFrom a complaintPharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
2025-03-27Severity D — potential for harmFrom a complaintInfection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-10-15Severity G — actual harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-06-12Severity G — actual harmFrom a complaintQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2024-10-15 | Fine | $30,580 |
| 2024-06-12 | Fine | $8,824 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ Chapel / worship services
Location
4916 N Washington St, Bismarck, ND
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Missouri Slope.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Missouri Slope
How much does Missouri Slope cost?
Missouri Slope does not publish exact rates. Comparable skilled nursing in the Bismarck, ND area typically runs $8,640–$10,890 per month (median $9,500, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Missouri Slope's Medicare rating?
Medicare (CMS) rates Missouri Slope 2 out of 5 stars overall, including 2/5 for health inspections, 4/5 for staffing, 3/5 for quality measures. The national average is about 3 stars.
How is the staffing at Missouri Slope?
Staff provide about 5.48 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 54.7% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Missouri Slope?
Missouri Slope has 21 health citations on its recent federal inspection record (last standard survey: 2025-03-27). The full citation-by-citation detail, with severity levels, is published on this page.
Does Missouri Slope have availability?
Typically 91% full (176 of 192 beds occupied on an average day). Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Missouri Slope offer?
Missouri Slope in Bismarck, ND offers skilled nursing and is licensed for 192 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Bismarck.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Missouri Slope — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
Other top communities in Bismarck, ND
Bismarck, ND · 48 beds
5.0CMS rating
Skilled Nursing● Very limited availability
One of Bismarck's top-rated skilled nursing communities.
Est. $8,640–$10,890/mo
View full evaluation →Elm Crest Manor
Scout 91New Salem, ND · 62 beds
5.0CMS rating
Skilled Nursing● Fills quickly
One of New Salem's top-rated skilled nursing communities.
Est. $8,640–$10,890/mo
View full evaluation →