About St Vincent's - A Prospera Community
St Vincent's - A Prospera Community, located in BISMARCK, ND, is a non-profit organization that accepts Medicare and Medicaid.
Why Families Choose St Vincent's - A Prospera Community
- More Nursing Time: Staff spends 4.27 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 4.27 hrs
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the GOOD SAMARITAN SOCIETY network. This chain operates 92 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
St Vincent's - A Prospera Community provides less care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 4 |
|
| Staffing | 4 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 152 | Apr 03, 2025 |
| Weighted Average | 137 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 4.3% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 6.1% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.0% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 0.5% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 18.4% |
| Percentage of long-stay residents who lose too much weight (QM404) | 10.7% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.4% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 3.4% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 4.2% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 6.1% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.8% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 89.4% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.5% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 16.4% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 14.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 98.9% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 89.9% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 6.0% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 19.1% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 22.1% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 12 complaints
- 2025: 19 complaints
- Total: 31 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 10, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| May 07, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| May 07, 2025 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| May 07, 2025 | Post nurse staffing information every day. |
| May 07, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| May 07, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 07, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. |
| May 07, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| May 07, 2025 | Assess the resident when there is a significant change in condition |
| May 07, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| May 07, 2025 | Respond appropriately to all alleged violations. |
| May 07, 2025 | Provide and implement an infection prevention and control program. |
| May 07, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| May 07, 2025 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| May 07, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| May 07, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. |
| May 07, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| May 07, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| May 07, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. |
| Apr 08, 2024 | Provide enough food/fluids to maintain a resident's health. |
| Apr 08, 2024 | Provide and implement an infection prevention and control program. |
| Apr 08, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Apr 08, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| Apr 08, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. |
| Apr 08, 2024 | Ensure medication error rates are not 5 percent or greater. |
| Apr 08, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Apr 08, 2024 | Provide safe and appropriate respiratory care for a resident when needed. |
| Apr 08, 2024 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. |
| Apr 08, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Apr 08, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Apr 08, 2024 | Ensure each resident receives an accurate assessment. |
Nearby Hospitals
CHI ST ALEXIUS HEALTH
BISMARCK, ND
SANFORD MEDICAL CENTER BISMARCK
BISMARCK, ND
Owner & Operator Information
Business Entity
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Ownership Structure
- SANFORD Direct: 100%
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY Indirect
Management & Direction
- ISSA AL RABADI OPERATIONAL/MANAGERIAL CONTROL
- ISSA AL RABADI ADP OF THE SNF
- GEORGE BROWN CORPORATE DIRECTOR
- GEORGE BROWN ADP OF THE SNF
- DTN STAFFING INC ADP OF THE SNF
- DANA DYKHOUSE CORPORATE DIRECTOR
- DANA DYKHOUSE ADP OF THE SNF
- WESLEY ENGBRECHT ADP OF THE SNF
- WESLEY ENGBRECHT CORPORATE DIRECTOR
- JOEL FLUIT INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- JOEL FLUIT ADP OF THE SNF
- JOEL FLUIT CORPORATE OFFICER
- FOCUSONE SOLUTIONS ADP OF THE SNF
- WILLIAM GASSEN ADP OF THE SNF
- WILLIAM GASSEN CORPORATE OFFICER
- WILLIAM GASSEN CORPORATE DIRECTOR
- GRAPE TREE MEDICAL STAFFING LLC ADP OF THE SNF
- NEIL GULSVIG CORPORATE DIRECTOR
- NEIL GULSVIG ADP OF THE SNF
- STEPHANIE HERSETH CORPORATE DIRECTOR
- STEPHANIE HERSETH ADP OF THE SNF
- KAYLENE KITELINGER ADP OF THE SNF
- KAYLENE KITELINGER OPERATIONAL/MANAGERIAL CONTROL
- MARK LUNDEEN CORPORATE DIRECTOR
- MARK LUNDEEN ADP OF THE SNF
- MAUREEN MCCAUSLAND ADP OF THE SNF
- MAUREEN MCCAUSLAND CORPORATE DIRECTOR
- AIMEE MIDDLETON CORPORATE OFFICER
- AIMEE MIDDLETON ADP OF THE SNF
- LAURIS MOLBERT ADP OF THE SNF
- LAURIS MOLBERT CORPORATE DIRECTOR
- TONY MORRISON OPERATIONAL/MANAGERIAL CONTROL
- TONY MORRISON ADP OF THE SNF
- ANDREW NORTH ADP OF THE SNF
- ANDREW NORTH CORPORATE DIRECTOR
- NICHOLAS OLSON CORPORATE OFFICER
- NICHOLAS OLSON ADP OF THE SNF
- DEEANDRA SANDGREN ADP OF THE SNF
- DEEANDRA SANDGREN OPERATIONAL/MANAGERIAL CONTROL
- SANFORD ADP OF THE SNF
- SANFORD OPERATIONAL/MANAGERIAL CONTROL
- NATHAN SCHEMA ADP OF THE SNF
- NATHAN SCHEMA CORPORATE OFFICER
- KEVIN SCHIEFFER ADP OF THE SNF
- KEVIN SCHIEFFER CORPORATE DIRECTOR
- DAVID SHULKIN ADP OF THE SNF
- DAVID SHULKIN CORPORATE DIRECTOR
- BRENT TEIKEN ADP OF THE SNF
- BRENT TEIKEN CORPORATE DIRECTOR
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY ADP OF THE SNF
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY OPERATIONAL/MANAGERIAL CONTROL
- MARNIE VENTLING-HERRMANN CORPORATE DIRECTOR
- MARNIE VENTLING-HERRMANN ADP OF THE SNF
- THOMAS WENZEL CORPORATE DIRECTOR
- THOMAS WENZEL ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Dakota Alpha | N/A | 5 |
| Good Samaritan Society Augusta Place A Prospera Co | N/A | 5 |
| St Gabriel's Community | N/A | 5 |
| Missouri Slope | N/A | 2 |
| Baptist Health and Rehab | N/A | 3 |
| Good Samaritan Society Miller Pointe A Prospera Co | N/A | 3 |
| St Vincent's - A Prospera Community | N/A | 1 |
| Sunset Drive - A Prospera Community | N/A | 1 |
Related Analysis
Best Nursing Homes in BISMARCK, ND
Compare St Vincent's - A Prospera Community to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact St Vincent's - A Prospera Community directly at 7013231999. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.