Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St Lukes Home during CMS and state inspections, most recent first.
Hand hygiene and glove use were not followed during resident care for multiple residents. A nurse changed gloves and moved from contaminated to clean tasks without hand hygiene and did not assist a resident with hand hygiene after wound care. CNAs also failed to perform hand hygiene after a lift transfer and after perineal care before moving to clean tasks, and staff passed drinking glasses by touching the rims with bare hands.
A resident with Alzheimer's disease, anxiety, dementia with psychotic disturbance including hallucinations, and depression remained on Buspirone 7.5 mg BID. The monthly pharmacy review recommended an annual GDR, but the attending MD rejected it and did not document a rationale for continued use; an administrative nurse confirmed the rationale was not provided.
Medication administration errors exceeded the allowed rate when staff made 3 errors during 37 observed medication passes. A nurse incorrectly primed insulin pens for two residents, and a medication aide administered aripiprazole with a pharmacy label that listed bedtime dosing even though the order was for QAM. Administrative staff confirmed the label discrepancy was not clarified.
Hand Hygiene and Glove Use Not Followed During Resident Care
Penalty
Summary
The facility failed to follow infection control standards during care for three sampled residents, with deficiencies related to hand hygiene and glove use. The facility policy on hand hygiene stated staff should perform hand hygiene after handling contaminated objects, before applying and after removing PPE, before and after handling clean or soiled dressings, before performing resident cares, after handling items potentially contaminated with blood or body fluids, when moving from a contaminated body site to a clean body site during resident care, and after assistance with personal body functions. During observation of care for one resident, a nurse performed hand hygiene and applied PPE, then applied medication patches, removed gloves, and reapplied gloves without hand hygiene; the nurse also removed a dressing, changed gloves again without hand hygiene, and did not offer or assist the resident with hand hygiene after the resident handled gloves and assisted with wound cleansing. During observation of another resident, two CNAs transferred the resident with a full body mechanical lift, and one CNA exited the room without performing hand hygiene and without sanitizing the lift. During observation of a third resident, a CNA completed perineal care with soiled gloves and then, without removing the gloves or performing hand hygiene, applied a clean brief, pants, and shoes, adjusted the resident’s hands on the lift, and transferred the resident back to the wheelchair. In a separate observation, two staff members passed drinking glasses to residents by touching the rims with their bare hands instead of holding the body of the glass.
Lack of documented rationale for continued psychotropic medication use
Penalty
Summary
The facility failed to ensure the attending physician documented a rationale for the continued use of Buspirone, an antianxiety medication, for one sampled resident. The resident had diagnoses of Alzheimer's disease, anxiety, dementia with psychotic disturbance including hallucinations, and depression, and the current physician's orders included Buspirone 7.5 mg twice daily. The monthly pharmacy review identified and recommended an annual gradual dose reduction for the medication, but the attending physician responded, "Rejected. Need to continue," without documenting a rationale for continued use. An administrative nurse confirmed that the provider did not provide a rationale for continuing Buspirone.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility failed to keep the medication error rate below 5 percent for 3 of 6 supplemental residents observed during medication administration. Surveyors identified 3 medication errors during administration of 37 medications, resulting in an 8 percent error rate. The findings involved Residents #62, #68, and #77 and included incorrect insulin pen priming and a medication label that did not match the ordered administration time. Facility policy titled Insulin Pens, dated 04/28/25, stated insulin pens are to be primed prior to each use and that the pen should be held with the needle pointing up so at least one drop of insulin appears on the tip of the needle. During observation, a nurse prepared insulin pens for Residents #77 and #62 by dialing two units, removing the cap, and priming the pens horizontally and then downward, rather than with the needle pointing up. For Resident #68, a medication aide prepared aripiprazole 15 mg, labeled as 7.5 mg by mouth every night at bedtime, while the physician order stated aripiprazole 7.5 mg every morning. Staff could not explain the discrepancy, and administrative staff confirmed nursing staff are expected to address label errors with the provider or pharmacy.
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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.
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Nursing homes near Dickinson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Benedicts Health Center | 0.5 mi | ★★★★★ | 1 | 0 |
| Richardton Health Center Inc | 22.2 mi | ★★★★★ | 3 | 0 |
| Hill Top Home Of Comfort Inc | 33 mi | ★★★★★ | 0 | 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 October 2026) and official state health department websites.