613 1st Ave SW, Hankinson, ND 58041 (opens Google Maps) · Richland County · (701) 242-7891· 34 certified beds · avg 31 residents/day · certified since May 1, 1978 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
2/5
Health inspection rating (on-site)
inspected Jul 23, 2025
2
Serious findings on record
most recent Jun 13, 2024
$48,233
Fines, last 3 years
4.84
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, pattern · Jun 13, 2024 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 9, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Jun 13, 2024 · F-0610
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 9, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
D · Potential for more than minimal harm, isolated
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. F-0880
K · Immediate jeopardy, pattern
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. F-0600
View all 10 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Jul 23, 2025
D · Potential for more than minimal harm, isolated
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Jul 23, 2025
D · Potential for more than minimal harm, isolated
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. · F-0880
Jun 13, 2024
▲ K · Immediate jeopardy, pattern
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600
Jun 13, 2024
▲ K · Immediate jeopardy, pattern
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Jun 13, 2024
F · Potential for more than minimal harm, widespread
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Jun 13, 2024
E · Potential for more than minimal harm, pattern
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. · F-0609
Jun 13, 2024
D · Potential for more than minimal harm, isolated
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. · F-0657
Jun 13, 2024
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jun 13, 2024
D · Potential for more than minimal harm, isolated
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. · F-0880
Jul 19, 2023
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 2).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
1
Serious citations (G–L):
0
2024
All citations:
7
Serious citations (G–L):
2
2025
All citations:
2
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
1
0
D
2024
7
2
K ▲
2025
2
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Jun 13, 2024
Fine
$48,233
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Dakota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.84
North Dakota average:
5.15
U.S. average:
3.95
Registered Nurse hours
This facility:
0.80
North Dakota average:
1.09
U.S. average:
0.69
Weekend total nurse staffing
This facility:
4.14
North Dakota average:
4.43
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
North Dakota avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
4.84
5.15
3.95
bottom 33% in North Dakota; top 16% in the U.S.
Registered Nurse hours
0.80
1.09
0.69
bottom 20% in North Dakota; top 27% in the U.S.
Weekend total nurse staffing
4.14
4.43
3.50
bottom 33% in North Dakota; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.41
0.59
0.48
bottom 17% in North Dakota; top 47% in the U.S.
Total nursing staff turnover (%)
34.2
48.8
45.8
top 19% in North Dakota; top 22% in the U.S.
RN turnover (%)
44.4
40.3
42.9
bottom 36% in North Dakota; bottom 45% in the U.S.
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.67, RN 0.77, weekend 4.00.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.67 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for St Gerard's Community of Care. CMS inspection and staffing records do not tell us what this home will charge you.
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