Home / North Dakota / Lisbon
North Dakota Veterans Home
1600 Veterans Drive, Lisbon, ND 58054 · Ransom County · (701) 683-6500
52 certified beds, about 50 residents a day · Government - State · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355114 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 6, 2025, inspectors cited 0 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 9 health citations since August 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $9,620 in the last three years; the largest was $9,620, and the latest is dated March 13, 2025.
Nurses and nurse aides worked 5.07 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 1.52 of those hours.
32.9% 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.
August 6, 2025Standard inspection · 0 citations
March 13, 2025Complaint inspection · 1 citation
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to ensure 1 of 1 sampled resident (Resident #1) received the care and services necessary to attain the highest degree of safety possible during mealtime. Failure to ensure staff served Resident #1 food items consistent with his prescribed diet resulted in his choking episode/death. This citation is considered past non-compliance based on review of the corrective actions the facility implemented immediately following the incident.
June 27, 2024Standard inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.18.11), the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 1 of 15 sampled residents (Resident #34). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan and the care provided to the residents.
- 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 infection control practices for 1 of 1 sampled resident (Resident #32) observed during a dressing change. Failure to perform hand hygiene during and after a dressing change may result in an infection or worsening of the affected area and a delay in healing.
August 2, 2023Standard inspection · 6 citations
- K Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure an environment free of accident hazards for 4 of 4 coffee/hot water machines located in various areas within the facility (Town Hall, and Freedom Ridge, Honor Hill, and Peace Garden households). Failure to ensure appropriate coffee/water temperatures resulted in serving temperatures above the acceptable range and resulted in one resident acquiring burns to the left thigh, forearm, and hand, and may result in serious burns to other residents. During the standard survey, the team determined an Immediate Jeopardy (IJ) situation existed on 07/27/23 at 3:07 p.m. The IJ resulted from temperature readings obtained from coffee/hot water machines, a lack of temperature monitoring by staff, and an injury to a resident. [...]
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, review of facility policy, and staff interviews, the facility failed to review and revise comprehensive care plans to reflect the current status for 4 of 20 sampled residents (Residents #12, #15, #41, and #50). Failure to review and revise the care plan limited the staffs' ability to communicate needs and ensure continuity of care.
- 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 manufacture instructions, review of facility policy, review of facility sanitizer logs, and staff interview, the facility failed to prepare and serve food under sanitary conditions in 1 of 1 kitchen (main kitchen) and 2 of 2 kitchenettes (Courage/Freedom and Honor/Peace). Failure to monitor the concentration of the quaternary solution may result in unsafe preparation of food and foodborne illness.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to ensure the interdisciplinary team assessed the appropriateness to self-administer medications (SAM) for 1 of 2 sampled residents (Resident #51) with medications observed in the resident's room. Failure to determine whether SAM is a safe practice has the potential to limit a resident's right to SAM or result in a medication error and/or harm to a resident.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.17.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 2 of 20 sampled residents (Resident #16 and #26). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan and the care provided to the residents.
- 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, review of facility policy, and staff interview, the facility failed to ensure 3 of 4 sampled residents (Resident #12, #15, and #41) diagnosed with post-traumatic stress disorder (PTSD) received appropriate treatment and services to meet their assessed needs. Failure to provide clinically appropriate, person-centered treatment and services may result in the residents' inability to attain their highest practicable mental and psychosocial well-being.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 13, 2025 | Fine | $9,620 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 5.07 | 4.42 | 3.86 |
| Registered nurses | 1.52 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.54 | 3.80 | 3.42 |
| Nurse aides | 3.45 | ||
| Licensed practical nurses | 0.11 | ||
| Nursing staff turnover (share who left in a year) | 32.9% | 48.8% | 45.8% |
| Registered nurse turnover | 29.4% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.88 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 5.28 on weekdays and 4.54 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.13 in April to June 2025 to 5.07 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 | 5.07 | 1.52 | 5.28 | 4.54 | 5.2% | 0 of 90 | 50 |
| Oct to Dec 2025 | 4.72 | 1.27 | 4.94 | 4.17 | 4.8% | 0 of 92 | 52 |
| Jul to Sep 2025 | 4.77 | 1.08 | 5.02 | 4.14 | 5.7% | 0 of 92 | 52 |
| Apr to Jun 2025 | 5.13 | 1.27 | 5.41 | 4.43 | 11.0% | 0 of 91 | 51 |
| 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 | 20.9 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.9 | 5.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.3 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.7 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.3 | 22.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.9 | 1.8 |
Owners and operators
Legal business name: NORTH DAKOTA VETERANS HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| North Dakota Veterans Home | 5% or greater direct ownership interest | Organization | 12/02/1991 | |
| Johnson, Mark | W-2 managing employee | Individual | 02/26/2008 | |
| Lunneborg, Kristin | Corporate director | Individual | 04/19/2004 | |
| Lunneborg, Kristin | Operational/managerial control | Individual | 06/01/2003 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 13, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 27, 2024: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 27, 2024: "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 1 problem in this area, most recently on August 2, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Parkside Lutheran Home Lisbon, 2.6 mi · 1 of 5 stars · 22 citations
- Smp Health - Maryhill Enderlin, 14.9 mi · 5 of 5 stars · 14 citations
- Four Seasons Health Care Inc Forman, 21.5 mi · 1 of 5 stars · 28 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 North Dakota Veterans Home's Medicare star rating?
- CMS rates North Dakota Veterans Home 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 North Dakota Veterans Home get at its last inspection?
- 0 health deficiencies at the standard inspection on August 6, 2025. The North Dakota average is 5.6.
- Has North Dakota Veterans Home been fined?
- Yes. CMS lists 1 fine totaling $9,620 in the last three years.
- Does North Dakota Veterans Home 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 North Dakota Veterans Home?
- CMS lists 4 owners and managers. Legal business name: NORTH DAKOTA VETERANS HOME.
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.