Hillsboro, ND

Sanford Hillsboro Care Center

2-star overall rating with 2-star inspections with $42,488 in total fines with 3 recent health deficiencies

12 3rd St Se, Hillsboro, ND

(701) 636-3235

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

34

Certified beds

Average residents

32

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Sanford Health Good Samaritan (Prospera)

Operator or chain grouping

Approved since

1978-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing

LPN hours / resident day

0.72

Licensed practical nurse staffing

Aide hours / resident day

3.20

Nurse aide staffing

Weekend hours

3.81

Weekend nurse staffing

RN turnover

58%

Annual RN turnover

Total nurse turnover

42%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.8
1.4
0.6 pts better
1.9
1.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.9
0.4 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.2%
98.3%
5.1 pts worse
93.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
98.8%
1.9 pts worse
95.5%
1.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.8%
5.1%
1.7 pts worse
3.3%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 9.2%
4.4%
4.8 pts worse
11.4%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.5%
5.5%
About the same
5.4%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.3%
17.4%
6.9 pts worse
19.6%
4.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 31.9%
23.4%
8.5 pts worse
16.7%
15.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 21.6%
19.0%
2.6 pts worse
16.3%
5.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 19.3%
20.1%
0.8 pts better
14.9%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.4%
1.8%
5.6 pts worse
1.0%
6.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.7%
3.1%
1.4 pts better
1.7%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.8%
25.2%
6.4 pts better
19.8%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.7%
5.3%
2.4 pts worse
5.1%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.6%
93.6%
13 pts worse
81.7%
1.1 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-26 · Fire 2025-06-26

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-06-05 · Fire 2024-06-05

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-06-21 · Fire 2023-06-21

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-06-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-17

D · Potential for more than minimal harm 2025-06-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-17

D · Potential for more than minimal harm 2025-06-26

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-17

K · Immediate jeopardy 2024-06-05

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-05

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-05

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-05

C · Minimal harm 2024-06-05

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-06-28

G · Actual harm 2023-11-02

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-07

Penalties and ownership

What sits behind the stars

$35,045 2024-06-05

Fine

Fine · fine $35,045

Fine

$7,443 2023-11-02

Fine

Fine · fine $7,443

Fine

Ownership

Sanford

5% Or Greater Indirect Ownership Interest · Organization

100% 89 facilities 2010-07-20
Sanford North

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2011-03-01
Cain, James

Corporate Director · Individual

0% 28 facilities 2015-11-19
Dulski, Karin

W-2 Managing Employee · Individual

0% 3 facilities 2012-11-19
Engbrecht, Wesley

Corporate Director · Individual

0% 89 facilities 2021-01-01
Gassen, William

Corporate Director · Individual

0% 89 facilities 2020-11-24
Gassen, William

Corporate Officer · Individual

0% 89 facilities 2020-11-24
Gassen, William

W-2 Managing Employee · Individual

0% 89 facilities 2020-11-24
Gulsvig, Neil

Corporate Director · Individual

0% 89 facilities 2019-03-28
Jacobs, Donald

Corporate Director · Individual

0% 3 facilities 2014-12-04
Lundeen, Mark

Corporate Director · Individual

0% 89 facilities 2014-12-04
Marlette, William

Corporate Officer · Individual

0% 3 facilities 2023-06-16
Marlette, William

W-2 Managing Employee · Individual

0% 3 facilities 2023-06-16
Molbert, Lauris

Corporate Director · Individual

0% 89 facilities 2021-01-01
Morrison, Tony

Corporate Officer · Individual

0% 89 facilities 1991-02-01
Morrison, Tony

W-2 Managing Employee · Individual

0% 89 facilities 1991-02-01
Munson, Jolyn

W-2 Managing Employee · Individual

0% 4 facilities 2013-02-25
North, Andrew

Corporate Director · Individual

0% 89 facilities 2016-12-01
Swenson, Stephanie

W-2 Managing Employee · Individual

0% 3 facilities 2019-11-01
Teiken, Brent

Corporate Director · Individual

0% 89 facilities 2013-01-01
Ventling-Herrmann, Marnie

Corporate Director · Individual

0% 89 facilities 2022-01-01

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Health
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Staffing
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Fines
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Overall
4 / 5
Health
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Staffing
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Fines
$5,814
#3

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5-star overall rating with 4-star inspections with 4 recent health deficiencies

Overall
5 / 5
Health
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Staffing
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Fines
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