Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Baptist Health & Rehab during CMS and state inspections, most recent first.
A resident fell during a transfer due to improper use of a full body lift and Broda chair. The sling became caught on the wheelchair, causing the lift to tip and the resident to fall, resulting in a skin tear and a painful lump on the back. The facility's policy on lift use was not followed, and the Broda chair's handles were improperly installed.
A facility failed to report a potential abuse incident within the required 24-hour timeframe. During a social event, a resident bent another resident's finger, causing swelling and mild discomfort. The incident was not reported to the North Dakota Department of Health until several days later, contrary to the facility's policy requiring timely reporting of such events.
A resident with a history of falls and osteopenia fell and sustained a hip fracture after a CNA failed to use a gait belt during a transfer. The resident was left standing while the CNA retrieved a cushion, leading to the fall. The facility's policy required the use of a gait belt and mechanical lift, which were not utilized, resulting in the resident's injury.
Improper Use of Lift and Broda Chair Leads to Resident Fall
Penalty
Summary
The facility failed to ensure adequate supervision and proper use of assistive devices, resulting in a fall for a resident during a transfer. The incident occurred when certified nurse aides (CNAs) were transferring the resident from a Broda wheelchair to a bed using a full body lift. During the transfer, the sling became caught on a part of the wheelchair, leading to an imbalance when the CNA attempted to free it. This caused the lift to strike the CNA and subsequently make contact with the resident's face, resulting in a skin tear. The lift then tipped over, causing the resident to fall approximately three feet onto the floor while still in the sling. The resident sustained a skin tear above the right eye and on the bridge of the nose, and a lump was found on the resident's lower back, which was painful upon palpation. The facility's policy on the use of floor-based, full-body sling lifts was not followed, as the necessary safety checks were not adequately performed. Additionally, an email from the facility's purchasing employee indicated that the handles on the Broda chair were improperly installed, which may have contributed to the sling becoming caught. An administrative nurse confirmed that the handles were turned downwards, which could have facilitated the sling's entanglement.
Failure to Timely Report Potential Abuse Incident
Penalty
Summary
The facility failed to report an incident of potential abuse within the required 24-hour timeframe to the State Survey Agency (SSA). This deficiency involved an incident where one resident grabbed and bent back the finger of another resident during an afternoon social event. The affected resident experienced swelling and mild discomfort in the finger joint the following day. Despite the incident occurring on a Friday, the facility did not notify the North Dakota Department of Health until the following Monday. The facility's policy, dated October 14, 2022, mandates that all alleged violations be reported within 24 hours if they do not involve abuse or result in serious bodily injury. However, the administrative nurse confirmed that the facility did not adhere to this policy, as the incident was not reported in the required timeframe. This oversight was identified during a surveyor's review of the facility's records and interviews with staff.
Failure to Use Gait Belt Leads to Resident Fall and Injury
Penalty
Summary
The facility failed to ensure adequate supervision and use of assistive devices, leading to a fall incident involving a resident. The resident, who had a history of falls and was at risk for fractures due to osteopenia, was being assisted by a CNA from the dining area to her room. The CNA did not use a gait belt during the transfer, which was against the facility's policy requiring its use for residents needing assistance. The resident was left standing while the CNA went to retrieve a cushion, resulting in the resident falling and hitting her head. The resident was found by the nurse sitting in her recliner after the fall, with a bump on her head and complaints of pain in her left thigh. The CNA admitted to lifting the resident from the floor without using a mechanical lift, as required by the facility's policy. The resident was subsequently sent to the emergency room, where a left hip fracture was diagnosed. The incident highlighted a lapse in following established safety protocols for resident transfers, contributing to the accident and subsequent injury.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 21 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bismarck
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Gabriel's Community | 1.5 mi | ★★★★★ | 1 | 0 |
| Missouri Slope | 1.8 mi | — | 0 | 0 |
| St Vincent's - A Prospera Community | 1.9 mi | ★★★★★ | 0 | 0 |
| Good Samaritan Society Augusta Place A Prospera Co | 1.9 mi | ★★★★★ | 2 | 0 |
| Missouri Slope | 2.2 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.