★★★★★CMS 5/548 bedsNon-profitMedicaid
- Nurse hours
- 4.43 /day
- Staff turnover
- 22%
- Serious cites
- 0
Good Samaritan Society Augusta Place runs a tight ship on staffing. Nurses give residents 4.43 hours of care per day, about 15 percent more than the national average, and only 22.4 percent of staff left last year, roughly half the national turnover rate. That combination of low turnover and high hours is rare, and it's the main reason this home rates as well as it does. The tradeoffs show up elsewhere: 13 deficiencies on the current record, two of them serious enough to put residents at risk of harm, plus $16,036 in fines. Weekend staffing also drops about 12 percent below weekday levels. Inspectors last visited in February 2026, so the record is recent.
★★★★★CMS 5/572 bedsNon-profitMedicaid
- Nurse hours
- 4.27 /day
- Staff turnover
- 28%
- Serious cites
- 0
St Gabriel's runs on a nurse staffing level of 4.27 hours per resident day, roughly 11% above the national average, and that shows up in its five-star staffing rating. Turnover sits at 27.9% against a national average near 46%, which matters more than most families realize, fewer unfamiliar faces means care that stays consistent. The trade-off is on the quality side: a two-star rating on CMS quality measures, and 13 deficiencies on record. None of those reached harm or jeopardy level, and none were abuse-related, so the inspection history is clean where it counts. Weekend staffing drops about 11% below its own weekday coverage, worth asking about if you're planning visits or admissions around Saturdays and Sundays.
★★★★☆CMS 4/5192 bedsNon-profitMedicaid
- Nurse hours
- 5.45 /day
- Staff turnover
- 52%
- Serious cites
- 0
Missouri Slope runs a nonprofit home of 192 beds in Bismarck, and its nurse staffing is the standout fact here: 5.45 hours per resident day, roughly 41% above the national average of 3.86. That's real coverage, not a rounding trick, though weekends drop about 16% below the home's own weekday level, and annual turnover of 52.2% sits above the national 45.8%. Inspections tell a more complicated story: 20 deficiencies on the current record, two of them at harm or jeopardy level and one abuse-related, plus two fines totaling $39,404. The most recent inspection was May 2026. Strong hours, but the harm-level findings and turnover are worth asking about directly.
★★☆☆☆CMS 2/597 bedsNon-profitMedicaid
- Nurse hours
- 4.12 /day
- Staff turnover
- 43%
- Serious cites
- 0
St Vincent's in Bismarck has a staffing story that looks fine on paper, 4.12 nurse hours per resident day, about 7% above the national average, and a compliance story that doesn't. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems, and the record shows why: 35 deficiencies, three at the level that caused actual harm or put residents in immediate jeopardy, and four tied to abuse. Two fines totaling $44,606. Weekend staffing drops roughly 17% below the home's own weekday level, and 42.9% of staff turned over last year, slightly better than average, but still nearly half the workforce. Inspectors were last in on April 3, 2025.
★★★★☆CMS 4/5140 bedsNon-profitMedicaid
- Nurse hours
- 5.09 /day
- Staff turnover
- 49%
- Serious cites
- 0
Baptist Health & Rehab runs a solidly staffed building on paper, about 5.09 nurse hours per resident day, roughly a third more than the national average, and weekend coverage stays within about 9% of weekday levels, so care doesn't drop off as sharply as it does at many homes. The trouble sits elsewhere. State inspectors have logged 16 deficiencies on the current record, four of them serious enough to put residents in harm's way and two tied to abuse, with $35,323 in fines across three penalties. Staff turnover, at 49.3%, runs slightly above the national figure, and the most recent inspection dates to April 2025. That mix, strong hours, harder inspection history, is what holds the grade down.