Home / North Dakota / Wishek
Wishek Living Center
400 S 4th St., Wishek, ND 58495 · McIntosh County · (701) 452-2333
43 certified beds, about 39 residents a day · Non profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355066 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 24, 2026, inspectors cited 3 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 8 health citations since March 2024, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $26,272 in the last three years; the largest was $17,934, and the latest is dated May 2, 2024.
Nurses and nurse aides worked 4.91 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.
52.9% 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 8 health citations on file.
June 24, 2026Standard inspection · 3 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 dietary manager (#3) obtained the proper qualifications to serve as the director of food and nutrition services.
- F 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, review of professional reference, and staff interview, the facility failed to ensure proper storage, labeling, and service of food items in 1 of 1 kitchen. Failure to label food taken out of the original container, discard expired food, handle food safely and maintain a clean environment may result in foodborne illness to residents, staff, and visitors.
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to show the resident or their representative received a bed-hold notice for 4 of 4 sampled residents (Resident #1, #2, #3, and #23) and 1 closed record (Resident #37) reviewed for hospital transfers. Failure to provide a written copy of the bed-hold notice does not allow the residents and/or their representative to make informed decisions regarding their rights.
May 14, 2025Standard inspection · 2 citations
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review, review of facility policy, review of the Centers for Disease Control and Prevention (CDC) guidelines and recommendations, and staff interview, the facility failed to offer residents the pneumococcal immunization to 4 of 5 residents (Resident #7, #9, #14, and #31) reviewed for immunization status. Failure to offer the pneumococcal vaccine to all residents, provide education to residents and their legal representatives, and document the administration or refusal has the potential for non-immunized residents to contract pneumonia and spread the infection to other residents, visitors, and staff.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interviews, the facility failed to follow standards of infection control and prevention for 1 of 3 sampled residents (Resident #22) observed with a wound. Failure to use enhanced barrier precautions (EBP) for residents with wounds has the potential to spread infection throughout the facility.
May 2, 2024Complaint inspection · 1 citation
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and review of the facility reported incident investigation, the facility failed to ensure food served accommodated resident allergies for 1 of 1 resident (Resident #1) who was hospitalized for an allergic reaction. Failure to ensure resident allergies are noted and followed while serving meals resulted in hospitalization and treatment for an anaphylactic reaction. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following the incident.
March 13, 2024Standard inspection · 2 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, review of professional reference, review of facility policy, and staff interview the facility failed to provide care and services for 1 of 1 closed record (Resident #43) reviewed with a change in health status and transfer to the emergency room (ER). Failure to assess and monitor the resident's changing condition resulted in a worsening of symptoms and delay in emergency care.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, review of professional reference, and staff interview, the facility failed to follow professional standards of practice for 1 of 1 resident (Resident #13) observed for insulin pen preparation. Failure to properly prepare insulin pens may result in the resident receiving an inaccurate dose of insulin.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 2, 2024 | Fine | $8,338 |
| March 13, 2024 | Fine | $17,934 |
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) | 4.91 | 4.42 | 3.86 |
| Registered nurses | 0.90 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.17 | 3.80 | 3.42 |
| Nurse aides | 3.37 | ||
| Licensed practical nurses | 0.65 | ||
| Nursing staff turnover (share who left in a year) | 52.9% | 48.8% | 45.8% |
| Registered nurse turnover | 44.4% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.29 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 5.21 on weekdays and 4.17 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 35.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.22 in April to June 2025 to 4.91 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 | 4.91 | 0.90 | 5.21 | 4.17 | 35.5% | 0 of 90 | 39 |
| Oct to Dec 2025 | 4.64 | 0.82 | 4.97 | 3.81 | 27.0% | 0 of 92 | 41 |
| Jul to Sep 2025 | 4.83 | 0.90 | 5.12 | 4.10 | 39.1% | 0 of 92 | 39 |
| Apr to Jun 2025 | 5.22 | 1.04 | 5.53 | 4.43 | 44.0% | 0 of 91 | 37 |
| 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.
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 | 21.7 | 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 | 0.7 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 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 | 14.5 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.0 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.4 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.6 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.2 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.9 | 1.8 |
Owners and operators
Legal business name: WISHEK HOME FOR THE AGED.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Wishek Home for the Aged | Direct ownership interest | Organization | 07/01/1978 | |
| Gall, Renae | Managing control - governing body | Individual | 11/01/2023 | |
| Gray, Brenda | Managing control - governing body | Individual | 05/01/2022 | |
| Kaseman, Daryl | Managing control - governing body | Individual | 06/25/2026 | |
| Kienzle, Michael | Managing control - governing body | Individual | 04/01/2018 | |
| Rath, Megan | Managing control - governing body | Individual | 06/25/2026 | |
| Regner, Linda | Managing control - governing body | Individual | 05/01/2022 | |
| Sayler, Keith | Managing control - governing body | Individual | 04/01/2011 | |
| Wald, Larry | Managing control - governing body | Individual | 09/01/2023 | |
| Weber, Gregory | Managing control - governing body | Individual | 12/01/1987 | |
| Gall, Renae | Corporate director | Individual | 11/01/2023 | |
| Gray, Brenda | Corporate director | Individual | 05/01/2022 | |
| Kaseman, Daryl | Corporate director | Individual | 06/25/2026 | |
| Kienzle, Michael | Corporate director | Individual | 04/01/2018 | |
| Rath, Megan | Corporate director | Individual | 06/25/2026 | |
| Regner, Linda | Corporate director | Individual | 05/01/2022 | |
| Sayler, Keith | Corporate director | Individual | 04/01/2011 | |
| Wald, Larry | Corporate director | Individual | 09/01/2023 | |
| Weber, Gregory | Corporate director | Individual | 12/01/1987 | |
| Kaseman, Daryl | Corporate officer | Individual | 06/25/2026 | |
| Wald, Larry | Corporate officer | Individual | 12/01/2023 | |
| Weber, Gregory | Corporate officer | Individual | 03/23/2006 | |
| Kaseman, Karista | Operational/managerial control | Individual | 08/15/2023 | |
| Klein, Dakota | Operational/managerial control | Individual | 06/01/2026 | |
| Kosiak, Donald | Operational/managerial control | Individual | 08/15/2019 | |
| Piatz, Melissa | Operational/managerial control | Individual | 08/01/2016 | |
| Schnabel, Tanya | Operational/managerial control | Individual | 02/07/2023 | |
| Wishek Home for the Aged | Adp of the SNF | Organization | 07/01/1978 | |
| Kosiak, Donald | Adp of the SNF | Individual | 08/15/2019 | |
| Schnabel, Tanya | Adp of the SNF | Individual | 07/08/2026 |
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.
- 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 June 24, 2026: "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."
- 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 May 14, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- 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 May 2, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 24, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
Other nursing homes nearby
- Ashley Medical Center Nursing Home Ashley, 17.4 mi · 5 of 5 stars · 7 citations
- Wentz Living Center Napoleon, 19.5 mi · 4 of 5 stars · 5 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 Wishek Living Center's Medicare star rating?
- CMS rates Wishek Living Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Wishek Living Center get at its last inspection?
- 3 health deficiencies at the standard inspection on June 24, 2026. The North Dakota average is 5.6.
- Has Wishek Living Center been fined?
- Yes. CMS lists 2 fines totaling $26,272 in the last three years.
- Does Wishek Living 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 Wishek Living Center?
- CMS lists 30 owners and managers. Legal business name: WISHEK HOME FOR THE AGED.
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.