St Gerard's Community of Care
613 1st Ave SW, Hankinson, ND 58041 · Richland County · 34 certified beds · avg 31 residents/day · certified since May 1, 1978
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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, repeated · 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): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 9, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · 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): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 9, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (10)
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 23, 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. |
| Jul 23, 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 13, 2024 | ▲ K · Immediate jeopardy, repeated | 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. |
| Jun 13, 2024 | ▲ K · Immediate jeopardy, repeated | 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. |
| Jun 13, 2024 | F · Potential for harm, facility-wide | 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. |
| Jun 13, 2024 | E · Potential for harm, repeated | 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. |
| Jun 13, 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. |
| Jun 13, 2024 | 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 13, 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. |
| Jul 19, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 2).
| 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.
Fines and enforcement (last 3 years)
1 fine totaling $48,233.
| Date | Type | Amount / length |
|---|---|---|
| Jun 13, 2024 | Fine | $48,233 |
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) | 4.84 | 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, 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. 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: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| The Franciscan Sisters of Dillingen | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/28/1995 |
| Belisle, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2004 |
| Foertsch, Jill | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/13/2013 |
| Foertsch, Jill | Individual | ADP of the SNF | NOT APPLICABLE | 01/14/2026 |
| Hovel, Loren | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2012 |
| Lies, Steven | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/1989 |
| Roggenbuck, Elaine Marie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/09/2018 |
| Schafer, Nancy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2024 |
| Strand, Duane | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2010 |
| The Franciscan Sisters of Dillingen | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/28/1995 |
| The Franciscan Sisters of Dillingen | Organization | ADP of the SNF | NOT APPLICABLE | 01/14/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 Catherines Living Center | 20.3 mi | Wahpeton, ND | ★★☆☆☆ | 2/5 | abuse |
| St Francis Home | 20.5 mi | Breckenridge, MN | ★★★★★ | 4/5 | |
| Traverse Care Center | 26.9 mi | Wheaton, MN | ★★★★★ | 4/5 | |
| Tekakwitha Living Center | 28.5 mi | Sisseton, SD | ★★☆☆☆ | 2/5 | |
| Browns Valley Health Center | 32.9 mi | Browns Valley, MN | ★★★☆☆ | 2/5 | abuse |
| Four Seasons Health Care INC | 35.3 mi | Forman, ND | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355038.