What is St. Gerard's Community of Care's Medicare star rating?

CMS rates St. Gerard's Community of Care 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did St. Gerard's Community of Care get at its last inspection?

2 health deficiencies at the standard inspection on July 23, 2025. The North Dakota average is 5.6.

Does St. Gerard's Community of Care 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. Gerard's Community of Care?

CMS lists 11 owners and managers. Legal business name: ST GERARDS COMMUNITY OF CARE.

St. Gerard's Community of Care: Inspections & Ratings

The record in brief

At its most recent standard inspection, on July 23, 2025, inspectors cited 2 health deficiencies (the North Dakota average is 5.6, the national average 9.2).

Of 10 health citations since July 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $48,233 in the last three years; the largest was $48,233, and the latest is dated June 13, 2024.

Nurses and nurse aides worked 4.67 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.

34.2% 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.

107/23

706/24

207/25

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 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 23, 2025Standard inspection · 2 citations

D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025

Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to ensure staff followed professional standards of practice for 3 of 3 residents (Residents #8, #16, and #23) observed for insulin preparation and administration. Failure to properly prime an insulin pen and administer insulin correctly may result in residents receiving an inaccurate dose of insulin.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025

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 8 sampled residents (Residents #8 and #15) and 1 supplemental resident (Resident #18) observed during cares. Failure to practice infection control standards related to enhanced barrier precautions (EBP) and hand hygiene has the potential to spread infection throughout the facility.

June 13, 2024Standard inspection · 7 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)

K

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) August 9, 2024

Inspectors wroteBased on observation, record review, review of facility policy, and family and staff interviews, the facility failed to ensure 3 of 3 supplemental residents (Resident #13, #19, and #23) with impaired cognition and unable to consent were free from resident to resident abuse. Failure to assess, care plan, and operationalize a plan/process may result in unwanted physical and/or sexual contact and may cause residents to experience fear, anxiety, and psychosocial harm. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 06/09/24. The facility failed to assess, care plan, and operationalize a plan/process for; [...]
K

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) August 9, 2024

Inspectors wroteBased on observation, record review, review of facility policy, and family and staff interview, the facility failed investigate incidents of resident to resident abuse for 3 or 3 supplemental resident (Resident #13, #19, and #23) with impaired cognition and unable to consent. Failure to investigate incidents of abuse may result in unwanted physical and/or sexual contact and may cause residents to experience fear, anxiety, and psychosocial harm. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 06/09/24. The facility failed to investigate resident to resident abuse. The IJ was identified when a nurse's note in Resident #24's medical record, dated 06/09/24, stated he had kissed two female residents on the cheek (Resident #19 and #23). An observation on 06/12/24 at 3:07 p.m. [...]
F

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 9, 2024

Inspectors wroteBased on review of facility policy, record review, and staff interview, the facility failed to protect all residents in the facility (31 of 31 residents) by failing to screen unlicensed employees prior to employment. Failure to screen unlicensed employees placed all residents at risk for abuse, neglect, exploitation, and misappropriation of resident property.
E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 9, 2024

Inspectors wroteBased on observation, record review, review of facility policy, and family and staff interview, the facility failed to report incidents of resident to resident abuse to the Administrator and State Survey Agency (SSA) for 3 of 3 supplemental residents (Resident #13, #19, and #23) with cognitive impairments and unable to consent. Failure to report incidents of abuse may result in unwanted physical and/or sexual contact and may cause residents to experience fear, anxiety, and psychosocial harm.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024

Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to review and revise care plans to reflect residents' current status for 2 of 3 sampled residents (Resident #4 and #10). Failure to update care plans limited staffs' ability to communicate needs and ensure continuity of care.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024

Inspectors wroteBased on observation, record review, review of facility policy, review of manufacturer's instructions, review of facility investigation reports, and staff interview, the facility failed to provide adequate assistance for 2 of 2 sampled residents (Resident #3 and #10) observed during a sit-to-stand mechanical lift transfer and failed to complete an investigation for 1 of 1 sampled resident (Resident #4) with a history of falls and a fracture. Failure to ensure proper use of the stand lift, including use of the seat and leg strap, and failure complete a fall investigation, including intervention to alleviate falls, placed the residents at risk of experiencing pain/discomfort and/or possible accidents with/without injury.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024

Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to ensure an effective infection prevention and control program for a safe, sanitary, and comfortable environment and to help prevent the development and transmission of infections for 2 of 3 sampled residents (Resident #10 and #18) observed during care and 1 of 2 certified nurse aides (CNAs) reviewed for handwashing (CNA #4). Failure to removed soiled gloves and perform hand hygiene after incontinence cares and failure to disinfect multi-use equipment may result in exposure of infections to residents, staff, and visitors.

July 19, 2023Standard inspection · 1 citation

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 3, 2023

Inspectors wroteBased on record review, review of professional reference, and staff interview, the facility failed to complete Minimum Data Set (MDS) assessments that accurately reflected the resident's status for 3 of 12 sampled residents (Resident #7, #8, and #26). Failure to correctly code MDS assessments may affect the development of an accurate care plan and impact resident care.

Fire safety inspections

5 fire safety citations on file: 3 on June 13, 2024, 2 on July 19, 2023.

Every fire safety citation5 citations

F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · June 13, 2024 · Corrected (the home has a date of correction)
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · June 13, 2024 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · June 13, 2024 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · July 19, 2023 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · July 19, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
June 13, 2024	Fine	$48,233

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)	4.67	4.42	3.86
Registered nurses	0.77	0.93	0.69
All nursing staff on weekends	4.00	3.80	3.42
Nurse aides	3.18
Licensed practical nurses	0.72
Nursing staff turnover (share who left in a year)	34.2%	48.8%	45.8%
Registered nurse turnover	44.4%	40.3%	42.9%
Administrators who left	0

CMS expects 3.70 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 4.95 on weekdays and 4.00 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.25 in April to June 2025 to 4.67 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	4.67	0.77	4.95	4.00	13.5%	0 of 90	31
Oct to Dec 2025	4.51	0.82	4.78	3.82	17.3%	0 of 92	32
Jul to Sep 2025	4.87	0.99	5.12	4.22	13.0%	0 of 92	29
Apr to Jun 2025	5.25	1.22	5.60	4.37	15.0%	0 of 91	26
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.

How staff pay reports work · CNA pay by state

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	27.1	19.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.6	1.6	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.9	2.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	7.4	5.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	17.6	17.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.0	4.9	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	12.9	22.7	15.4
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.4	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.1	1.9	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for St. Gerard's Community of Care's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

44.2% this home

No different from the national rate

US median of homes 51.5% · North Dakota: 0 better, 21 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 26 eligible stays.

Potentially preventable readmissions

11.5% this home

No different from the national rate

US median of homes 10.7% · North Dakota: 2 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 32 eligible stays.