Home / North Dakota / Bismarck
St. Gabriel's Community
4580 Coleman Street, Suite 1, Bismarck, ND 58503 · Burleigh County · (701) 751-4224
72 certified beds, about 71 residents a day · Non profit - Corporation · Medicare and Medicaid since 2010
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355126 · 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 5 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
None of its 13 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 4.27 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.
27.9% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
CMS links it to Benedictine Health System, an affiliated group of 23 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.
407/23
306/24
506/25
102/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
0F
Potential for minimal harm
0A
0B
0C
February 12, 2026Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review, review of facility policy, and family and staff interview, the facility failed to notify the resident representative for 1 of 1 closed resident (Resident #1) reviewed for wounds/pressure injuries. Failure to notify the resident representative about new wounds/pressure injuries, changes to existing wounds/pressure injuries, and new/changes in treatment orders for these injuries does not allow the resident representative to be informed and make decisions significant to the resident's health and care.
June 26, 2025Standard inspection · 5 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.19.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 1 of 17 sampled residents (Residents #25). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status and may affect the accurate development of a comprehensive care plan and the care provided to the residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, review of facility policy, review of manufacturer's instructions, and staff interview, the facility failed to ensure staff followed professional standards of practice for 1 of 2 sampled residents (Resident #26) reviewed for insulin use and 1 of 6 sampled residents (Resident #41) observed during insulin preparation. Failure to follow physician's orders for out-of-range blood sugar levels and failure to properly prime insulin pens may result in residents receiving an inaccurate dose of insulin and/or result in adverse health events.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, policy and procedure review, and staff interview, the facility failed to ensure appropriate care and services for 1 of 1 sampled resident (Resident #117) reviewed for fecal impaction. Failure to follow bowel protocol interventions may have contributed to Resident #117's fecal impaction.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of a facility reported incident (FRI) investigation, record review, review of facility policy, and staff interview, the facility failed to ensure adequate supervision and/or monitoring for 1 of 1 sampled resident (Resident #49) with an elopement. Failure to identify the resident's risk for elopement and implement, monitor, and modify individualized resident-centered interventions when necessary placed all residents at risk for elopement and injuries.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 2 of 2 sampled residents (Resident #12 and #117) in Enhanced Barrier Precautions (EBP). Failure to practice infection control standards related to EBP has the potential to spread infection throughout the facility.
June 12, 2024Standard inspection, Complaint inspection · 3 citations
- E 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 and prevention for 6 of 15 sampled residents (Resident #15, #19, #30, #55, #59, and #65) observed during cares. Failure to practice infection control standards related to use of personal protective equipment (PPE) and hand hygiene has the potential to spread infection throughout the facility.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review, family interview, and staff interview, the facility failed to notify the physician of a resident's rejection of a prescribed medication for 1 of 1 sampled resident (Resident #2) with a pattern of refusing a medication. Failure to notify the physician of the rejection of Ativan (antianxiety medication) may have prevented the physician from altering the treatment/care provided to the resident.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.18.11), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 3 of 18 sampled residents (Resident #13, #55, and #62). 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.
July 13, 2023Standard inspection · 4 citations
- D 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, record review, and staff interview, the facility failed to ensure a safe, clean, comfortable, homelike environment for 1 of 5 sampled residents (Resident #18) on oxygen. Failure to clean a personal fan and the oxygen concentrator filter does not provide a safe and clean environment and has the potential to place the resident at risk for illness.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review, review of the North Dakota Provider Manual Preadmission Screening and Resident Review (PASRR) and Level of Care Screening Procedures for Long Term Care Services, facility staff interview, and PASRR agency staff interview, the facility failed to complete a status change assessment for 1 of 2 sampled residents (Resident #2) reviewed for PASRR. Failure to complete a change in status assessment with a newly diagnosed mental illness and/or new or increased behaviors may result in the delivery of care and services inconsistent with the resident's needs.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review, staff interview, and Preadmission Screening and Resident Review (PASRR) agency staff interview, the facility failed to complete a Level I PASRR for 1 of 2 sampled residents (Resident #60) reviewed for PASRR. Failure to complete the required Level I screen within 30 days as indicated increased the potential for not identifying/providing needed mental health services.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, review of professional reference, policy review, and staff interview, the facility failed to transcribe a medication order accurately and verify the correct medication during medication administration in accordance with professional standards for 1 of 5 residents (Resident #50) observed during med pass. Failure to accurately transcribe medication orders and ensure the pharmacy label matches the Medication Administration Record (MAR) when passing medications may result in residents receiving the wrong medication and cause adverse health effects.
Fire safety inspections
2 fire safety citations on file: 2 on July 13, 2023.
Every fire safety citation2 citations
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
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) | 4.27 | 4.42 | 3.86 |
| Registered nurses | 1.05 | 0.93 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.80 | 3.42 |
| Nurse aides | 2.86 | ||
| Licensed practical nurses | 0.35 | ||
| Nursing staff turnover (share who left in a year) | 27.9% | 48.8% | 45.8% |
| Registered nurse turnover | 29.4% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.69 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 4.46 on weekdays and 3.79 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.36 in April to June 2025 to 4.27 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 | 4.27 | 1.05 | 4.46 | 3.79 | 0.0% | 0 of 90 | 71 |
| Oct to Dec 2025 | 4.33 | 1.05 | 4.51 | 3.86 | 0.0% | 0 of 92 | 70 |
| Jul to Sep 2025 | 4.35 | 1.11 | 4.56 | 3.81 | 0.0% | 0 of 92 | 70 |
| Apr to Jun 2025 | 4.36 | 1.07 | 4.58 | 3.81 | 0.0% | 0 of 91 | 70 |
| 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 | 21.0 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.3 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 5.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.6 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.0 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.1 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.8 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 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: BENEDICTINE LIVING COMMUNITIES-BISMARCK, INC.. CMS links this home to Benedictine Health System, a group of 23 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Benedictine Living Communities Inc | 5% or greater direct ownership interest | Organization | 100% | 02/24/2009 |
| Benedictine Health System | 5% or greater indirect ownership interest | Organization | 100% | 02/24/2009 |
| Carley, Gerald | Corporate director | Individual | 01/01/2018 | |
| Glynn, Jeffrey | Corporate director | Individual | 09/01/2024 | |
| Graeber, Luanna | Corporate director | Individual | 05/18/2023 | |
| Greff, Kevin | Corporate director | Individual | 09/01/2018 | |
| Hack, Taylar | Corporate director | Individual | 07/01/2022 | |
| Kadrmas, Beverly | Corporate director | Individual | 09/01/2020 | |
| Lindemann, Gene | Corporate director | Individual | 04/02/2024 | |
| Trupka, Jerry | Corporate director | Individual | 09/01/2024 | |
| Bergien, Tricia | Corporate officer | Individual | 11/17/2016 | |
| Rymanowski, Kevin | Corporate officer | Individual | 07/01/2015 | |
| Benedictine Health System | Operational/managerial control | Organization | 02/24/2009 | |
| Benedictine Living Communities Inc | Operational/managerial control | Organization | 02/24/2009 | |
| Opp, Kurran | Operational/managerial control | Individual | 07/07/2022 | |
| Willis, Karin | Operational/managerial control | Individual | 01/01/2024 | |
| Carley, Gerald | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 01/23/2026 | |
| Benedictine Health System | Adp of the SNF | Organization | 02/24/2009 | |
| Benedictine Living Communities Inc | Adp of the SNF | Organization | 02/24/2009 | |
| Opp, Kurran | Adp of the SNF | Individual | 01/21/2026 | |
| Willis, Karin | Adp of the SNF | Individual | 01/01/2024 |
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 6 problems in this area, most recently on June 26, 2025: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 12, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 26, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- 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 June 26, 2025: "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 3.79 hours per resident per day, below the North Dakota average of 3.80.
Other nursing homes nearby
- Missouri Slope Bismarck, 0.9 mi · 4 of 5 stars · 20 citations
- Good Samaritan Society Augusta Place a Prospera Co Bismarck, 1.2 mi · 5 of 5 stars · 13 citations
- Baptist Health & Rehab Bismarck, 1.5 mi · 4 of 5 stars · 14 citations
- St. Vincent's - a Prospera Community Bismarck, 3.2 mi · 2 of 5 stars · 36 citations
- Good Samaritan Society Miller Pointe a Prospera Co Mandan, 5.4 mi · 3 of 5 stars · 16 citations
- Dakota Alpha Mandan, 6.6 mi · 5 of 5 stars · 9 citations
- Sunset Drive - a Prospera Community Mandan, 6.7 mi · 1 of 5 stars · 72 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 St. Gabriel's Community's Medicare star rating?
- CMS rates St. Gabriel's Community 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. Gabriel's Community get at its last inspection?
- 5 health deficiencies at the standard inspection on June 26, 2025. The North Dakota average is 5.6.
- Has St. Gabriel's Community been fined?
- CMS lists no fines in the last three years.
- Does St. Gabriel's Community 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 St. Gabriel's Community?
- CMS lists 21 owners and managers, and links the home to Benedictine Health System. Legal business name: BENEDICTINE LIVING COMMUNITIES-BISMARCK, 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.