91.5/100
Excellent
Dakota Alpha
1303 27Th Street Nw, Mandan, ND 58554
- Certified beds
- 20
- Occupancy
- 99%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
Our read on Dakota Alpha
Dakota Alpha is a small, nonprofit-run home in Mandan, just 20 certified beds, and the numbers behind its A grade are mostly about staffing. Its 4.83 nurse hours per resident day sit roughly 25% above the national average of 3.86, and staff turnover of 40% comes in under the 45.8% national figure. One caveat worth knowing: weekend staffing drops about 21% below the home's own weekday level, so care may look thinner on Saturdays and Sundays. Inspections are current as of July 2025, with nine deficiencies on record, none involving harm or jeopardy, and none abuse-related.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
27.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →5.56 total nurse hours per resident per day (national median 3.77)
- →1.32 RN hours per resident per day
- →Weekend staffing drops 21% against weekdays
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →40% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: July 9, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Dakota Alpha
What is the ElderGrade for Dakota Alpha? +
Dakota Alpha holds an ElderGrade of A (91.5 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Dakota Alpha? +
Residents receive an average of 4.83 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Dakota Alpha been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Dakota Alpha accept Medicaid? +
Yes, Dakota Alpha is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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