Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Missouri Slope during CMS and state inspections, most recent first.
A resident with dementia was physically and verbally abused by a CNA during evening care. The resident, who has a history of anxiety disorder and Alzheimer's, was slapped and had their head covered with a blanket after exhibiting dementia-related behaviors. Another CNA witnessed the incident but delayed reporting it due to fear of retaliation, resulting in a failure to promptly address the abuse and assess the resident for injuries.
A resident with limited mobility fell and fractured their right humerus after a CNA removed the whirlpool seat belt prematurely, contrary to facility policy. The resident was found on the floor with a head injury and bleeding. Interviews confirmed the CNA should have kept the safety belt on, as per training instructions.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a resident from physical and verbal abuse by a certified nurse aide (CNA). The incident involved a resident with a medical history of anxiety disorder, dementia with mood disturbances, and Alzheimer's disease. During evening care, the resident exhibited verbal and physical behaviors related to dementia, such as yelling and spitting at the CNA. In response, the CNA slapped the resident and covered their head with a blanket, claiming it was a method to calm the resident. This abusive behavior was witnessed by another CNA, who did not report the incident immediately due to fear of retaliation. The delay in reporting the abuse incident resulted in a failure to promptly remove the accused CNA, initiate a facility investigation, and assess the resident for potential injuries. The facility's policy on abuse, which mandates immediate reporting of any mistreatment, was not followed. The managerial staff later confirmed that the witnessing CNA received education on the importance of immediate reporting, highlighting a gap in adherence to the facility's abuse prevention protocols.
Failure to Use Whirlpool Seat Belt Results in Resident Fall and Fracture
Penalty
Summary
The facility failed to prevent an accident involving a resident who sustained a fall and fracture due to the improper use of a whirlpool seat belt. The facility's policy on bathing procedures required the use of a safety strap when transferring a resident to a whirlpool seat, but it did not provide clear instructions on when it was safe to remove the seat belt. During an incident, a certified nurse aide (CNA) removed the seat belt while the resident was still elevated, resulting in the resident slipping from the tub chair onto the floor. This led to the resident sustaining a right humerus fracture and a head injury with bleeding. The resident involved had a care plan indicating a self-care performance deficit and limited physical mobility related to deconditioning weakness. The incident was documented in a progress note, which described the resident being found on the floor with injuries. Interviews with the resident and an administrative nurse confirmed that the CNA should have kept the safety belt on, as instructed in training. The failure to maintain the appropriate safety measures during the whirlpool bath directly contributed to the resident's fall and subsequent injuries.
Removal Plan
- Completing investigations following fall
- Determining the CNA failed to ensure adequate supervision of resident during whirlpool bath
- Educating/re-educating bath aides regarding utilizing the whirlpool chair seat belt while completing resident baths
- Adding Whirlpool Safety Checklist to the lead CNA's job duties
- Adding Whirlpool Safety Performance Tracker as a quality assurance measure
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 10 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bismarck
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Society Augusta Place A Prospera Co | 0.7 mi | — | 2 | 0 |
| St Gabriel's Community | 0.9 mi | — | 1 | 0 |
| Baptist Health & Rehab | 2.2 mi | — | 0 | 0 |
| Missouri Slope | 3.2 mi | — | 0 | 0 |
| St Vincent's - A Prospera Community | 3.6 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Missouri Slope.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.