01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-07-01 | 0 | 2026-07-01 | 1 |
| Cycle 2 | 2025-04-16 | 6 | 2025-04-16 | 0 |
| Cycle 3 | 2024-03-07 | 8 | 2024-03-07 | 0 |
CMS CCN 3550582026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Baptist Health & Rehab
3400 Nebraska Drive · Bismarck, ND 58503 · Burleigh County
Certified beds140CMS provider file
Recent citation rows15current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
15 rows in the current release
4 rows carry G–L scope/severity codes; 1 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-07-01 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has plan of correction · 2026-08-282025-07-22 · HEALTHF0695Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Past Non-Compliance · 2025-07-15 · complaint2025-04-16 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2025-05-212025-04-16 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-05-212025-01-23 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Past Non-Compliance · 2024-11-08 · complaint2025-01-23 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-02-14 · complaint2025-01-02 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2024-12-20 · complaint2024-03-07 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-03-07 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-03-07 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-03-07 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-03-07 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-03-07 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-03-07 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-01-31 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2023-10-06 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-07-22 | Fine | $17,345 | 0 |
| 2025-01-23 | Fine | $11,190 | 0 |
| 2025-01-02 | Fine | $6,788 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ELIM CARE INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/26/2009
- GROSZ, GERALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/11/2013
- GRUBB, DARRELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/10/2013
- GRUPP, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/09/2009
- JUST, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/23/2020
- MALARD, MAYSILIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/29/2011
- SOTEBEER, DENNISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- TANGEDAHL, GUYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- WRIGHT, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/23/2020
- DAHL, ROBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/26/2009
- KERN, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/28/2019
- YOUNGQUIST, KATHRYNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2009
- CASSIA SERVICESOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2020
- BERG, DEANNAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.09per resident day
RN hours0.73per resident day
Weekend nurse hours4.62per resident day
Staff turnover49.3%CMS reported field
06 / LOCAL RECORDS
Open the Bismarck ledger →