Baptist Health & Rehab
3400 Nebraska Drive, Bismarck, ND 58503 · Burleigh County · 140 certified beds · avg 133 residents/day · certified since Jul 1, 1978
Part of chain: CASSIA (16 facilities, chain avg rating 4.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 22, 2025 · F-0695 · triggered by a complaint
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 15, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Jan 23, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 14, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 2, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 20, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Jan 31, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 6, 2023 (Past Non-Compliance)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 22, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Apr 16, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Apr 16, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 23, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 2, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 31, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 8 | 1 | G ▲ |
| 2025 | 6 | 3 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $35,323.
| Date | Type | Amount / length |
|---|---|---|
| Jul 22, 2025 | Fine | $17,345 |
| Jan 23, 2025 | Fine | $11,190 |
| Jan 2, 2025 | Fine | $6,788 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.16 | 5.15 | 3.95 | top 49% in North Dakota; top 11% in the U.S. |
| Registered Nurse hours | 0.74 | 1.09 | 0.69 | bottom 16% in North Dakota; top 32% in the U.S. |
| Weekend total nurse staffing | 4.68 | 4.43 | 3.50 | top 41% in North Dakota; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.59 | 0.48 | bottom 16% in North Dakota; bottom 47% in the U.S. |
| Total nursing staff turnover (%) | 49.3 | 48.8 | 45.8 | top 46% in North Dakota; bottom 39% in the U.S. |
| RN turnover (%) | 36.0 | 40.3 | 42.9 | top 48% in North Dakota; top 40% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.09, RN 0.73, weekend 4.62. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Elim Care INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/26/2009 |
| Berg, Deanna | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2019 |
| Cassia Services | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Dahl, Robert | Individual | Corporate Officer | NOT APPLICABLE | 11/26/2009 |
| Grosz, Gerald | Individual | Corporate Director | NOT APPLICABLE | 07/11/2013 |
| Grubb, Darrel | Individual | Corporate Director | NOT APPLICABLE | 01/10/2013 |
| Grupp, James | Individual | Corporate Director | NOT APPLICABLE | 06/09/2009 |
| Just, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/23/2020 |
| Kern, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 02/28/2019 |
| Malard, Maysil | Individual | Corporate Director | NOT APPLICABLE | 03/29/2011 |
| Sotebeer, Dennis | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Tangedahl, Guy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2007 |
| Wright, Brian | Individual | Corporate Director | NOT APPLICABLE | 01/23/2020 |
| Youngquist, Kathryn | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2009 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| St Gabriel's Community | 1.5 mi | Bismarck, ND | ★★★★★ | 4/5 | |
| St Vincent's - a Prospera Community | 1.9 mi | Bismarck, ND | ★☆☆☆☆ | 1/5 | abuseSFF |
| Good Samaritan Society Augusta Place a Prospera Co | 1.9 mi | Bismarck, ND | ★★★★★ | 4/5 | |
| Missouri Slope | 2.2 mi | Bismarck, ND | ★★★★☆ | 3/5 | |
| Good Samaritan Society Miller Pointe a Prospera Co | 5.4 mi | Mandan, ND | ★★★☆☆ | 2/5 | |
| Sunset Drive - a Prospera Community | 7.6 mi | Mandan, ND | ★☆☆☆☆ | 1/5 | abuseSFF |
| Dakota Alpha | 7.6 mi | Mandan, ND | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355058.