Home / North Dakota / Mandan
Dakota Alpha
1303 27th Street Nw, Mandan, ND 58554 · Morton County · (701) 663-0376
20 certified beds, about 20 residents a day · Non profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355101 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2025, inspectors cited 2 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
None of its 9 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.83 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 1.32 of those hours.
40.0% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
July 9, 2025Standard inspection, Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, policy review, and staff interview, the facility failed to provide medication in accordance with professional standards for 1 of 5 residents (Resident #5) observed during medication pass. Failure to ensure the facility's stock medication formulary accommodated physicians' orders and/or staff clarified orders to match the formulary stock medication supply resulted in Resident #5 and possibly other residents receiving an inaccurate medication dose and may result in unintended therapeutic results.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, professional reference, and staff interview, the facility failed to follow standards of infection control and prevention for 1 supplemental resident (Resident #7) observed during cares. Failure to practice infection control standards related to enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility.
May 30, 2024Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to ensure food is prepared and stored in a clean and sanitary manner in 1 of 1 kitchen and 1 of 1 kitchenette (Resident Kitchen). Failure to ensure cleanliness of the kitchen, dishware, and food storage areas, to properly store raw and ready-to-eat foods and discard outdated food items has the potential to result in foodborne illness to residents, visitors, and staff.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control for 1 of 2 sampled residents (Resident #11) observed during a dressing change. Failure to place a barrier and establish an area for soiled products has the potential to spread infection throughout the facility.
July 13, 2023Standard inspection · 5 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on staff interview, the facility failed to ensure 1 of 1 nutrition and food services supervisor (#1) obtained the proper qualifications to serve as the director of food and nutrition services. Failure to ensure staff have the qualifications to carry out the functions of food and nutrition services has the potential to result in foodborne illness to residents, staff, and visitors.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure a safe and clean environment for 2 of 3 sampled residents (Resident #8 and #15) and 2 supplemental residents (Resident #4 and #9) with personal fans. Failure to clean personal fans does not provide a safe/clean environment and has the potential to place the residents at risk for illness.
- D Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on record review, review of facility policy, and family and staff interviews, the facility failed to provide resident representatives copies of the quarterly financial statements for 2 of 3 residents (Resident #4 and #17) reviewed for personal fund accounts. Failure to provide quarterly statements to the individuals designated by the residents to make financial decisions on their behalf prevented the representatives from verifying transactions and fund balances.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to follow professional standards of practice for 3 of 4 residents (Residents #3, #6, and #16) observed during medication administration. Failure to properly prepare insulin pens (Residents #6 and #16), follow physician orders for blood glucose monitoring (Resident #16), and check gastric tube placement (Resident #3), may result in residents receiving inaccurate doses of insulin, adverse reactions due to high blood glucose levels, and medications not delivered to the stomach.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure 1 of 1 sampled resident (Resident #19) diagnosed with post-traumatic stress disorder (PTSD) received appropriate treatment and services to meet his assessed needs. Failure to provide appropriate person-centered and individualized treatment and services may result in Resident #19's inability to attain his highest practicable mental and psychosocial wellbeing.
Fire safety inspections
2 fire safety citations on file: 2 on July 13, 2023.
Every fire safety citation2 citations
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Provide properly protected cooking facilities.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.83 | 4.42 | 3.86 |
| Registered nurses | 1.32 | 0.93 | 0.69 |
| All nursing staff on weekends | 3.84 | 3.80 | 3.42 |
| Nurse aides | 2.88 | ||
| Licensed practical nurses | 0.64 | ||
| Nursing staff turnover (share who left in a year) | 40.0% | 48.8% | 45.8% |
| Registered nurse turnover | 16.7% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.24 on weekdays and 3.84 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.13 in April to June 2025 to 4.83 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.83 | 1.32 | 5.24 | 3.84 | 1.2% | 0 of 90 | 20 |
| Oct to Dec 2025 | 4.99 | 1.27 | 5.29 | 4.21 | 3.6% | 0 of 92 | 20 |
| Jul to Sep 2025 | 4.91 | 1.36 | 5.32 | 3.85 | 9.2% | 0 of 92 | 20 |
| Apr to Jun 2025 | 5.13 | 1.44 | 5.54 | 4.09 | 4.8% | 0 of 91 | 20 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Dakota, Jan to Mar 2026 | 4.57 | 0.92 | 4.81 | 3.96 | 11.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for North Dakota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Dakota, all employers | |||
| CNAs (nursing assistants) | $22.03 | $17.51 to $23.06 | 6,840 |
| LPNs and LVNs | $29.95 | $28.03 to $31.26 | 1,920 |
| Registered nurses | $38.81 | $33.47 to $44.75 | 11,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.0 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 5.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.4 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 81.0 | 22.7 | 15.4 |
Owners and operators
Legal business name: HIT INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Anseth, Linda | Managing control - governing body | Individual | 06/01/2006 | |
| Bitz, Michael | Managing control - governing body | Individual | 05/01/2012 | |
| Froelich, James | Managing control - governing body | Individual | 08/01/2004 | |
| Myerchin, Paul | Managing control - governing body | Individual | 10/01/2010 | |
| Porter, Jane | Managing control - governing body | Individual | 04/01/2009 | |
| Wald, Julie | Managing control - governing body | Individual | 02/01/2025 | |
| Weisbeck, Lee | Managing control - governing body | Individual | 11/01/2022 | |
| Anseth, Linda | Corporate director | Individual | 06/01/2006 | |
| Bitz, Michael | Corporate director | Individual | 04/01/2013 | |
| Froelich, James | Corporate director | Individual | 08/01/2004 | |
| Myerchin, Paul | Corporate director | Individual | 10/01/2010 | |
| Porter, Jane | Corporate director | Individual | 04/01/2009 | |
| Wald, Julie | Corporate director | Individual | 02/01/2025 | |
| Weisbeck, Lee | Corporate director | Individual | 11/01/2022 | |
| Kramer, Paul | Corporate officer | Individual | 03/23/2015 | |
| Remboldt, Michael | Corporate officer | Individual | 12/01/1999 | |
| Hit Inc | Operational/managerial control | Organization | 01/01/1983 | |
| Kramer, Paul | Operational/managerial control | Individual | 03/23/2015 | |
| Quisno, Jacqueline | Operational/managerial control | Individual | 06/01/2018 | |
| Remboldt, Michael | Operational/managerial control | Individual | 01/01/2025 | |
| Vandervorste, Kelly | Operational/managerial control | Individual | 12/22/2022 | |
| Kramer, Paul | Adp of the SNF | Individual | 03/23/2015 | |
| Quisno, Jacqueline | Adp of the SNF | Individual | 06/01/2018 | |
| Remboldt, Michael | Adp of the SNF | Individual | 01/01/2025 | |
| Vandervorste, Kelly | Adp of the SNF | Individual | 12/22/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 9, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 9, 2025: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 30, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 13, 2023: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Sunset Drive - a Prospera Community Mandan, 0.5 mi · 1 of 5 stars · 72 citations
- Good Samaritan Society Miller Pointe a Prospera Co Mandan, 4.3 mi · 3 of 5 stars · 16 citations
- Good Samaritan Society Augusta Place a Prospera Co Bismarck, 5.7 mi · 5 of 5 stars · 13 citations
- Missouri Slope Bismarck, 5.7 mi · 4 of 5 stars · 20 citations
- St. Gabriel's Community Bismarck, 6.6 mi · 5 of 5 stars · 13 citations
- Baptist Health & Rehab Bismarck, 7.6 mi · 4 of 5 stars · 14 citations
- St. Vincent's - a Prospera Community Bismarck, 7.9 mi · 2 of 5 stars · 36 citations
North Dakota contacts for a concern about a nursing home
These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: North Dakota Health and Human Services, Health Facilities Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Dakota Long-Term Care Ombudsman Program, (855) 462-5465. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: North Dakota Deficiency Statement Search, where North Dakota publishes its own records on licensed homes.
Common questions
- What is Dakota Alpha's Medicare star rating?
- CMS rates Dakota Alpha 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Dakota Alpha get at its last inspection?
- 2 health deficiencies at the standard inspection on July 9, 2025. The North Dakota average is 5.6.
- Has Dakota Alpha been fined?
- CMS lists no fines in the last three years.
- Does Dakota Alpha accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Dakota Alpha?
- CMS lists 25 owners and managers. Legal business name: HIT INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.