Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Sunset Drive is a 128-bed nonprofit home in Mandan, and the numbers tell a hard story. Nurse staffing sits at 3.57 hours per resident day, about 8% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The bigger problem is the inspection record: 69 deficiencies, including two at the harm level and eight tied to abuse, plus $42,226 in fines, and CMS has placed the home in its Special Focus Facility program. Staff turnover of 64.5% is well above the 45.8% national figure, meaning caregivers cycle through quickly.
Garrison Mem Hosp Nsg Fac runs 4.34 nurse hours per resident day, about 12% above the national average, and that staffing shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 66.7% against a national 45.8%, well over half the nursing staff leaving each year. Its current record carries 24 deficiencies, none at the harm level but one tied to abuse, and the two-star health inspection rating reflects that. Church-affiliated nonprofit ownership on 26 beds. The nurses are there in numbers, but keeping them is the problem.
Rolette Community Care Center runs on decent nurse hours, 3.94 per resident day, a little above the national average, and weekends dip only about 6% below weekdays, which is steadier than many homes manage. The trouble sits elsewhere: a one-star health inspection rating, 36 deficiencies on the current record including two at the harm level, and $90,017 in fines across two penalties. Staff turnover of 53.6% outpaces the national 45.8%, meaning more than half the nursing staff leaves each year. CMS has placed this nonprofit, 31-bed home in its Special Focus Facility program, the agency's watchlist for homes with a persistent pattern of poor inspections.
The staffing hours at Wedgewood Manor look fine on paper, 3.99 per resident day, a bit above the national average, and that's likely why CMS gives it four stars there. But the numbers behind the numbers matter here: turnover runs 53.5% against a national 45.8%, and weekend coverage drops well below its own weekday level. What CMS found on inspection is worse. Twelve deficiencies on record, three serious enough to put residents in harm's way, three tied to abuse, and a $54,925 fine. A one-star inspection rating and one-star quality measures, plus placement in the Special Focus Facility program, tell you regulators are watching closely.
Good Samaritan Society - Larimore carries the kind of record that makes families ask hard questions. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekends run roughly 8% thinner than weekdays, meaning the coverage gaps show up exactly when backup is hardest to find. Staff turnover of 78.9% is nearly double the national rate, so residents cycle through a lot of unfamiliar faces. On top of that, CMS counts 49 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $119,935 in fines and placement in the Special Focus Facility program. That program is reserved for homes with a persistent pattern of serious problems.
Souris Valley Care Center is a 46-bed nonprofit home in Velva, and the federal numbers are rough across the board. Nurse staffing sits at 3.42 hours per resident day, about 12% under the national average, and it thins out further on weekends, roughly 13% below the home's own weekday level. Staff turnover runs 63.4%, well above the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The inspection record shows 28 deficiencies, five of them at harm or jeopardy level and two tied to abuse. Four fines total $175,053, and CMS has placed the home in its Special Focus Facility program.
Minot Health and Rehab runs a for-profit operation under a limited liability company, and the numbers show real strain. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average, but weekends drop roughly 17% below weekday levels, and annual turnover hits 88.1% against a national average of 45.8%, meaning the aides and nurses caring for your relative are very likely new to the building. The current record carries 23 deficiencies, four serious enough to involve harm or jeopardy and four tied to abuse, with three fines totaling $39,212. The last inspection was June 10, 2025.
St. Catherine's Living Center runs about 3.41 nursing hours per resident day, roughly 12% under the national average, and weekends dip another 14% below its own weekday coverage. That staffing pattern is worth weighing against a 56.4% annual turnover rate, well above the 45.8% national figure, so the people providing care change often. The inspection record shows seven deficiencies, three at harm or jeopardy level and two tied to abuse, with three fines totaling $56,329 and a survey completed January 28, 2026. As a nonprofit corporation with 49 certified beds, its quality and health inspection ratings both sit at two stars.
Western Horizons Care Center has 31 certified beds and runs on 4.75 nurse staffing hours per resident day, about 23% above the national average of 3.86, a real point in its favor, though weekend coverage drops roughly 15% below its own weekday level. The staffing star rating sits at 3/5, but the clinical and inspection record is where things get serious: 35 deficiencies on the current record, including 5 at the harm or jeopardy level and 3 abuse-related, plus three CMS fines totaling $62,703. The most recent inspection was September 4, 2025. It's a nonprofit corporation, and the quality measure rating comes in at 1/5. Stronger-than-average staffing is not offsetting the harm-level findings and fine history here.
The county-owned home in Mcville runs 35 beds and staffs above the national average, 4.07 nurse hours per resident day versus 3.86, which is the strongest thing in its file. But that staffing thins out on weekends, dropping roughly 15% below its own weekday level, and turnover sits at 51.2% against a national 45.8%, so the people providing that care keep changing. The inspection record is the real concern: 15 deficiencies, six tied to abuse and one serious enough to put a resident in harm's way, plus a $36,855 fine. The most recent inspection was April 2025. Good daily coverage, a troubling paper trail.
Smp Health - St Raphael runs a church-affiliated nonprofit home with 170 certified beds in Valley City, and its nurse staffing sits at 4.71 hours per resident day, roughly 22% above the national average of 3.86. That staffing cushion shows up in its five-star CMS staffing rating, and turnover runs lower than average too, at 38.5% against 45.8% nationally, though weekend coverage dips about 11% below its own weekday level. The inspection record is solid but not spotless: nine deficiencies, one serious enough to reach harm or jeopardy level, and none tied to abuse. A recent September 2025 inspection and a four-star health inspection rating back that up, while quality measures land at three stars.
Dunseith Com Nursing Home runs on unusually heavy staffing, 5.50 nurse hours per resident day, roughly 42% above the national average, and that's the strongest thing in its file, reflected in a full five stars from CMS on staffing. The problems sit elsewhere. Inspectors have cited 31 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, plus four tied to abuse; the health inspection rating is one star, and two fines total $92,954. Weekend coverage dips about 9% below weekday levels, and turnover runs 56.4% against a national 45.8%. City-owned, 30 beds, inspected most recently in May 2025. Plenty of hands, but the record shows they haven't always kept residents safe.
Ave Maria sits in Jamestown with 100 certified beds and a nonprofit owner, and its staffing is the standout: 4.98 nurse hours per resident day, roughly 29% above the national average, with turnover at 37% versus 45.8% nationally. Weekend coverage dips about 16% below its own weekday level, so the weekday-to-Saturday drop is worth asking about. The inspection record is where the concern lives, 11 deficiencies, 2 at harm or jeopardy level, 5 tied to abuse, and a $6,788 fine, with a 2/5 health inspection rating and 2/5 quality measures. The most recent inspection was December 11, 2025, so the record is current. Ask directly how those abuse-related deficiencies were resolved and what weekend staffing looks like now.
Good Samaritan Society - Bottineau carries a one-star health inspection rating, and the record behind it is heavy: 30 deficiencies, including three at the harm or jeopardy level and four tied to abuse. Federal fines total $110,247 across two penalties. Staffing is the one bright spot on paper, 3.59 nurse hours per resident day, close to the national average of 3.86, but weekend coverage drops roughly a fifth below its own weekday level, and turnover runs at 63.5% against a national 45.8%. That combination matters in a 52-bed home, where losing and replacing staff that often makes consistent care hard to sustain. The most recent inspection was March 2026.
Good Samaritan Society - Oakes runs 46 certified beds with nurse staffing at 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly another 10% below its own weekday levels. Half the nursing staff turned over in the past year, a bit above the 45.8% national figure. The record shows 18 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,281. Inspectors were last on site January 7, 2026, and the health inspection and quality measure ratings both sit at 2 out of 5, even as the staffing rating reaches 4.