Skilled nursing · Bismarck, ND

Missouri Slope

4916 N WASHINGTON ST, Bismarck, ND 58503

2 / 5CMS 192 bedsCapacity Apr 2026Inspected
PALMELLE

34

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Missouri Slope carries a Palmelle Clarity Score of 34 out of 100, derived from federal CMS Care Compare data plus North Dakota state records. Health inspection rating sits at 2-star, staffing at 4-star, quality measures at 3-star. Long-stay antipsychotic prescribing is at 19.4 percent versus a 14 percent national median. RN coverage is 0.84 hours per resident per day. Nurse turnover 54 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, North Dakota DPH

In their own words

No operator description yet.

Claim this listing →

Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This
0.84
National
0.78

Annual nurse turnover

This
54%
National
53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This
19.4%
National
14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + North Dakota state data

The full record.

Federal CMS ratings

Overall★★★★★2 / 5
Health inspection★★★★★2 / 5
Staffing★★★★4 / 5
Quality measures★★★★★3 / 5

Staffing

RN hours per resident, daily

This
0.84
Nat
0.78

Total nurse hours / resident, daily

This
5.48
Nat
3.62

Annual nurse turnover

This
54%
Nat
53%

Annual RN turnover

This
39%
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
19.4%
Nat
14%

Sedative / sleep med

This
12.7%
Nat
15%

Physical restraint

This
0.2%
Nat
1.1%

Falls with major injury

This
4.1%
Nat
1.6%

Penalties & status

No abuse iconNot special focusInspection current$39,404 in fines (2)

Identity & licensing

CMS ID355128
OwnershipNon profit - Corporation
ChainIndependent
Beds192
Avg residents176

Citations · last 36 months

  • No federal conflict flags on record in the latest CMS reconcile.

Sources: federal CMS Care Compare, North Dakota DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for Missouri Slope?

Missouri Slope has an overall CMS Care Compare rating of 2 out of 5 stars. It scores 2 of 5 on health inspection, 4 of 5 on staffing, and 3 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Missouri Slope been cited for resident harm?

It has $39,404 in federal fines across 2 penalties on record in the last 36 months. The full record for Missouri Slope appears in the record section above.

Does Missouri Slope use antipsychotic medications?

19.4 percent of long-stay residents at Missouri Slope are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at 12.7 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Missouri Slope's Palmelle Clarity Score?

Missouri Slope has a Palmelle Clarity Score of 34 out of 100, putting it below the national median. The score is a composite of federal CMS and North Dakota state inspection data. Higher is better.

How can I tour or contact Missouri Slope?

Missouri Slope is located at 4916 N WASHINGTON ST, Bismarck, ND 58503. Phone: (701) 223-9407. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Missouri Slope a special focus facility?

Missouri Slope is not on the federal Special Focus Facility list, but it does have $39,404 in federal fines on record. See the penalties and status section above.

What does F-689 mean on Missouri Slope's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Missouri Slope has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Missouri Slope compare to other Bismarck skilled nursing facilities?

Missouri Slope holds a Palmelle Clarity Score of 34. The full Bismarck directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Bismarck directory to compare more facilities by score, staffing, and inspection record.

Not sure if this is the one?

We do the calling. You do the choosing.

A real human compares this facility to two others. Phone calls, pricing, availability, the questions you would not think to ask.

$199 · 3-business-day money-back promise

Get your answer →
Get your answer →