Wishek Living Center
400 S 4th St, Wishek, ND 58495 · Mcintosh County · 43 certified beds · avg 39 residents/day · certified since Jul 1, 1978
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 2, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Apr 22, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Mar 13, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Apr 11, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (6)
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 |
|---|---|---|
| May 14, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 14, 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. |
| May 2, 2024 | ▲ G · Actual 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. · from a complaint |
| Mar 13, 2024 | ▲ G · Actual 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. |
| Mar 13, 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. |
| Apr 12, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 3 | 2 | G ▲ |
| 2025 | 2 | 0 | E |
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)
2 fines totaling $26,272.
| Date | Type | Amount / length |
|---|---|---|
| May 2, 2024 | Fine | $8,338 |
| Mar 13, 2024 | Fine | $17,934 |
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) | 5.71 | 5.15 | 3.95 | top 24% in North Dakota; top 6% in the U.S. |
| Registered Nurse hours | 1.04 | 1.09 | 0.69 | bottom 49% in North Dakota; top 14% in the U.S. |
| Weekend total nurse staffing | 4.85 | 4.43 | 3.50 | top 26% in North Dakota; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.51 | 0.59 | 0.48 | bottom 43% in North Dakota; top 32% in the U.S. |
| Total nursing staff turnover (%) | 52.9 | 48.8 | 45.8 | bottom 37% in North Dakota; bottom 30% 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 4.91, RN 0.90, weekend 4.17. 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 |
|---|---|---|---|---|
| Wishek Home for the Aged | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/1978 |
| Bauer, Wayne | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2017 |
| Bauer, Wayne | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Bauer, Wayne | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2017 |
| Feist, Hannah | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/13/2023 |
| Gall, Renae | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2023 |
| Gall, Renae | Individual | Corporate Director | NOT APPLICABLE | 11/01/2023 |
| Gray, Brenda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2022 |
| Gray, Brenda | Individual | Corporate Director | NOT APPLICABLE | 05/01/2022 |
| Kaseman, Karista | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2023 |
| Kienzle, Michael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2018 |
| Kienzle, Michael | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Klein, Keith | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2006 |
| Kosiak, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2019 |
| Kosiak, Donald | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2019 |
| Piatz, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2016 |
| Regner, Linda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2022 |
| Regner, Linda | Individual | Corporate Director | NOT APPLICABLE | 05/01/2022 |
| Sayler, Keith | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2011 |
| Sayler, Keith | Individual | Corporate Director | NOT APPLICABLE | 04/01/2011 |
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 do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Ashley Medical Center Nursing Home | 17.4 mi | Ashley, ND | ★★★★★ | 4/5 | |
| Wentz Living Center | 19.5 mi | Napoleon, ND | ★★★★☆ | 4/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355066.