St Gabriel's Community
4580 Coleman Street, Suite 1, Bismarck, ND 58503 · Burleigh County · 72 certified beds · avg 71 residents/day · certified since Jun 30, 2010
Part of chain: BENEDICTINE HEALTH SYSTEM (23 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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.
All citations in the current public record (13)
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 |
|---|---|---|
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jun 26, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 26, 2025 | 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. |
| Jun 26, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 26, 2025 | D · Potential for 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. |
| Jun 26, 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. |
| Jun 12, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jul 13, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2024 | 3 | 0 | E |
| 2025 | 5 | 0 | D |
| 2026 | 1 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
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) | 4.44 | 5.15 | 3.95 | bottom 17% in North Dakota; top 25% in the U.S. |
| Registered Nurse hours | 1.10 | 1.09 | 0.69 | top 40% in North Dakota; top 12% in the U.S. |
| Weekend total nurse staffing | 3.94 | 4.43 | 3.50 | bottom 24% in North Dakota; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.66 | 0.59 | 0.48 | top 33% in North Dakota; top 18% in the U.S. |
| Total nursing staff turnover (%) | 27.9 | 48.8 | 45.8 | top 5% in North Dakota; top 11% in the U.S. |
| RN turnover (%) | 29.4 | 40.3 | 42.9 | top 31% in North Dakota; top 28% 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 4.27, RN 1.05, weekend 3.79. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Benedictine Health System | Organization | 5% or Greater Indirect Ownership Interest | 100% | 02/24/2009 |
| Benedictine Living Communities INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/24/2009 |
| Benedictine Health System | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/24/2009 |
| Benedictine Health System | Organization | ADP of the SNF | NOT APPLICABLE | 02/24/2009 |
| Benedictine Living Communities INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/24/2009 |
| Benedictine Living Communities INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/24/2009 |
| Bergien, Tricia | Individual | Corporate Officer | NOT APPLICABLE | 11/17/2016 |
| Carley, Gerald | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Carley, Gerald | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 01/23/2026 |
| Glynn, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 09/01/2024 |
| Graeber, Luanna | Individual | Corporate Director | NOT APPLICABLE | 05/18/2023 |
| Greff, Kevin | Individual | Corporate Director | NOT APPLICABLE | 09/01/2018 |
| Hack, Taylar | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Kadrmas, Beverly | Individual | Corporate Director | NOT APPLICABLE | 09/01/2020 |
| Lindemann, Gene | Individual | Corporate Director | NOT APPLICABLE | 04/02/2024 |
| Opp, Kurran | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/07/2022 |
| Opp, Kurran | Individual | ADP of the SNF | NOT APPLICABLE | 01/21/2026 |
| Rymanowski, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2015 |
| Trupka, Jerry | Individual | Corporate Director | NOT APPLICABLE | 09/01/2024 |
| Willis, Karin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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 |
|---|---|---|---|---|---|
| Missouri Slope | 0.9 mi | Bismarck, ND | ★★★★☆ | 3/5 | |
| Good Samaritan Society Augusta Place a Prospera Co | 1.2 mi | Bismarck, ND | ★★★★★ | 4/5 | |
| Baptist Health & Rehab | 1.5 mi | Bismarck, ND | ★★★★☆ | 4/5 | |
| St Vincent's - a Prospera Community | 3.2 mi | Bismarck, ND | ★☆☆☆☆ | 1/5 | abuseSFF |
| Good Samaritan Society Miller Pointe a Prospera Co | 5.4 mi | Mandan, ND | ★★★☆☆ | 2/5 | |
| Dakota Alpha | 6.6 mi | Mandan, ND | ★★★★★ | 5/5 | |
| Sunset Drive - a Prospera Community | 6.7 mi | Mandan, ND | ★☆☆☆☆ | 1/5 | abuseSFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355126.