Missouri Slope is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2021-11-22. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (701) 223-9407 or your local Medicaid office to verify current eligibility.

Missouri Slope holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (5★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 78.0/100, placing it #4553 of 14703 facilities nationally and #21 of 72 in North Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Missouri Slope receives a reported average of 5 hours 24 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 49 minutes; Licensed Practical Nurse (LPN) — 37 minutes; Nurse Aide — 3 hours 59 minutes. On weekends, total nurse staffing is 4 hours 34 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 55.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $39,404. 6 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $39,404, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 43.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Missouri Slope ranks 4553rd out of 14,703 facilities (composite score: 78.0/100), placing it in the above average nationwide. Within ND, it ranks 21st out of 72 nursing homes. In Bismarck, it ranks 2nd out of 5 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 4. For 2026 staffing: total nurse hours rank #709 nationally and RN hours rank #3,541 nationally (#45 in ND). Our composite quality score of 78.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Bismarck, visit: https://nursinghomesnearme.org/north_dakota/bismarck/