Home / North Dakota / Hillsboro
Sanford Hillsboro Care Center
12 3rd St. Se, Hillsboro, ND 58045 · Traill County · (701) 636-3235
34 certified beds, about 33 residents a day · Non profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355061 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2025, inspectors cited 3 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 10 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $42,488 in the last three years; the largest was $35,045, and the latest is dated June 5, 2024.
Nurses and nurse aides worked 4.52 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
38.6% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
CMS links it to Sanford Health, an affiliated group of 4 nursing homes.
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 10 health citations on file.
June 26, 2025Standard inspection · 3 citations
- D 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 interview, the facility failed to review and revise the care plan to reflect the current status for 1 of 5 sampled residents (Resident #30) reviewed for unnecessary medications. Failure to revise the care plan limited the staff's ability to communicate needs and ensure continuity of care.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, review of facility policy, professional reference, and staff interview, the facility failed to follow professional standards of practice for medication administration for 1 of 1 supplemental resident (Resident #11). Failure to correctly administer and document medication administration may result in errors and/or adverse effects for the resident.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, review of facility policy, and resident and staff interview, the facility failed to properly utilize assistive devices necessary to prevent accidents and/or injury for 1 of 2 sampled residents (Resident #30) reviewed for falls. Failure to lock tub chair brakes placed residents at risk for falls and/or injury.
June 5, 2024Standard inspection · 6 citations
- K Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wrote1. Based on observation, record review, review of facility policy, and staff interview, the facility failed to ensure an environment free of accident hazards for 1 of 1 sampled resident (Resident #27) who experienced a burn related to hot coffee. Failure to ensure appropriate coffee/water temperatures resulted in Resident #27 sustaining a burn and placed all residents at risk for serious burns/injuries. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 05/28/24 at 6:20 p.m. The IJ resulted from temperature readings obtained from the coffee/hot water machine, a lack of temperature monitoring by staff, and an injury to a resident. This finding placed residents in immediate danger due to hot temperatures and the potential for serious burns. *05/28/24 at 6:50 p.m. [...]
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to ensure all forms of communication related to code level status accurately reflected the resident ' s wishes for 1 of 14 sampled residents (Resident #23) reviewed for advance directives. Failure to ensure the medical record and other forms of communication accurately reflected the resident's code status limited the facility's ability to communicate to direct care staff and emergency personnel the resident's choice in the event of a medical emergency.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review, staff interview, and review of facility policy, the facility failed to provide the resident or the resident's representative a written notice of transfer for 1of 1 resident (Resident #9) reviewed for hospital transfer. Failure to provide a written copy of the transfer notice does not allow the resident and/or their representative to make an informed decision regarding their rights.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation and review of facility policy, the facility failed to follow professional standards of practice for 1 of 1 resident (#17) observed for insulin preparation and administrations. Failure to prime the insulin pens correctly may result in residents receiving an inaccurate dose.
- 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 3 of 14 sampled resident's (#17, #21, and #27) observed during medication administration, resident cares, and wound cares. Failure to follow infection control standards related to hand hygiene and glove use has the potential to transmit infections to residents, staff, and visitors.
- C Post nurse staffing information every day.
Inspectors wroteBased on review of daily staffing information and staff interview, the facility failed to post daily staffing data for all shifts on 9 of 15 days reviewed (May 14-28, 2024). Failure to post accurate staffing data does not allow residents and visitors to be aware of the number of licensed and unlicensed staff on duty each shift.
November 2, 2023Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, review of facility policy, and staff and resident interview, the facility failed to provide necessary supervision to prevent accidents for 1 of 1 sampled resident (Resident #1) with a burn. Failure to ensure placement of a barrier between the resident's skin and the heating pack and monitor the resident resulted in a burn to Resident #1's shoulder.
June 21, 2023Standard inspection · 0 citations
Fire safety inspections
1 fire safety citation on file: 1 on June 5, 2024.
Every fire safety citation1 citation
- E Provide properly protected cooking facilities.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 5, 2024 | Fine | $35,045 |
| November 2, 2023 | Fine | $7,443 |
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) | 4.52 | 4.42 | 3.86 |
| Registered nurses | 0.76 | 0.93 | 0.69 |
| All nursing staff on weekends | 3.75 | 3.80 | 3.42 |
| Nurse aides | 2.94 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 38.6% | 48.8% | 45.8% |
| Registered nurse turnover | 66.7% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.99 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 4.83 on weekdays and 3.75 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.55 in April to June 2025 to 4.52 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 | 4.52 | 0.76 | 4.83 | 3.75 | 4.0% | 2 of 90 | 33 |
| Oct to Dec 2025 | 4.99 | 0.70 | 5.33 | 4.13 | 12.9% | 0 of 92 | 33 |
| Jul to Sep 2025 | 4.64 | 0.72 | 4.97 | 3.81 | 3.7% | 0 of 92 | 32 |
| Apr to Jun 2025 | 4.55 | 0.65 | 4.85 | 3.81 | 1.3% | 2 of 91 | 32 |
| 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 | 15.6 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 5.5 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 5.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.9 | 22.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.9 | 1.8 |
Owners and operators
Legal business name: SANFORD HEALTH NETWORK NORTH. CMS links this home to Sanford Health, a group of 4 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sanford North | 5% or greater direct ownership interest | Organization | 100% | 03/01/2011 |
| Sanford | 5% or greater indirect ownership interest | Organization | 100% | 07/20/2010 |
| Dulski, Karin | W-2 managing employee | Individual | 11/19/2012 | |
| Gassen, William | W-2 managing employee | Individual | 11/24/2020 | |
| Marlette, William | W-2 managing employee | Individual | 06/16/2023 | |
| Morrison, Tony | W-2 managing employee | Individual | 02/01/1991 | |
| Munson, Jolyn | W-2 managing employee | Individual | 02/25/2013 | |
| Swenson, Stephanie | W-2 managing employee | Individual | 11/01/2019 | |
| Cain, James | Corporate director | Individual | 11/19/2015 | |
| Engbrecht, Wesley | Corporate director | Individual | 01/01/2021 | |
| Gassen, William | Corporate director | Individual | 11/24/2020 | |
| Gulsvig, Neil | Corporate director | Individual | 03/28/2019 | |
| Jacobs, Donald | Corporate director | Individual | 12/04/2014 | |
| Lundeen, Mark | Corporate director | Individual | 12/04/2014 | |
| Molbert, Lauris | Corporate director | Individual | 01/01/2021 | |
| North, Andrew | Corporate director | Individual | 12/01/2016 | |
| Teiken, Brent | Corporate director | Individual | 01/01/2013 | |
| Ventling-Herrmann, Marnie | Corporate director | Individual | 01/01/2022 | |
| Gassen, William | Corporate officer | Individual | 11/24/2020 | |
| Marlette, William | Corporate officer | Individual | 06/16/2023 | |
| Morrison, Tony | Corporate officer | Individual | 02/01/1991 |
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 3 problems in this area, most recently on June 26, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- 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 June 26, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 June 5, 2024: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- 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 5, 2024: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.75 hours per resident per day, below the North Dakota average of 3.80.
Other nursing homes nearby
- Halstad Living Center Halstad, 11.6 mi · 4 of 5 stars · 6 citations
- Luther Memorial Home Mayville, 13.8 mi · 4 of 5 stars · 7 citations
- Hatton Prairie Village Hatton, 24.5 mi · 5 of 5 stars · 13 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 Sanford Hillsboro Care Center's Medicare star rating?
- CMS rates Sanford Hillsboro Care Center 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sanford Hillsboro Care Center get at its last inspection?
- 3 health deficiencies at the standard inspection on June 26, 2025. The North Dakota average is 5.6.
- Has Sanford Hillsboro Care Center been fined?
- Yes. CMS lists 2 fines totaling $42,488 in the last three years.
- Does Sanford Hillsboro Care Center 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 Sanford Hillsboro Care Center?
- CMS lists 21 owners and managers, and links the home to Sanford Health. Legal business name: SANFORD HEALTH NETWORK NORTH.
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.