Cycle 1
Health 2025-05-14 · Fire 2025-05-14
2 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Wishek, ND
Wishek Living Center
4-star overall rating with 4-star inspections with $26,272 in total fines with 2 recent health deficiencies
400 S 4th St, Wishek, ND
(701) 452-2333
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
43
Certified beds
Average residents
39
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.90
Registered nurse staffing · state 0.93 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.50 · national 0.87
Aide hours / resident day
3.25
Nurse aide staffing · state 2.99 · national 2.35
Total nurse hours
4.83
All reported nurse hours · state 4.41 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
4.10
Weekend nurse staffing · state 3.75 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.59 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.08
CMS adjusted RN staffing hours
Adjusted total hours
5.78
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,770
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.77
Composite VBP score used to determine payment impact.
Payment multiplier
0.9957
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.37
Performance 20.33% · Measure score 2.37 · Achievement 2.37 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.62
Performance 6.75% · Measure score 3.62 · Achievement 3.62 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
2.41
Baseline 52.63% · Performance 53.85% · Measure score 2.41 · Achievement 2.41 · Improvement 0
Adjusted total nurse staffing
8.71
Baseline 5.05 hours · Performance 5.56 hours · Measure score 8.71 · Achievement 8.71 · Improvement 6.42
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.19% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 29 · Observed rate 3.45% · Lower 95% interval 6.48% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 28 · Denominator 28 |
| Falls with major injury | 3.57% |
0.77%
2.8 pts worse
|
Numerator 1 · Denominator 28 |
| Discharge self-care score | 19.05% |
53.69%
34.6 pts worse
|
Numerator 4 · Denominator 21 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 7 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 3.57% |
2.29%
1.3 pts worse
|
Numerator 1 · Denominator 28 · Adjusted rate 3.42% |
| Healthcare-associated infections requiring hospitalization | 6.75% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 3.23% · Lower 95% interval 3.31% |
| Staff COVID-19 vaccination coverage | 6.35% |
8.2%
1.8 pts worse
|
Numerator 4 · Denominator 63 |
| Staff flu vaccination coverage | 58.33% |
42%
16.3 pts better
|
Numerator 42 · Denominator 72 |
| Discharge function score | 38.1% |
56.45%
18.4 pts worse
|
Numerator 8 · Denominator 21 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.4
1 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.9
0.8 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
98.3%
0.4 pts worse
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 94.3% · Q4 97.1% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
98.8%
3.8 pts worse
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
5.1%
1.7 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.1% · Q3 2.9% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.4% |
4.4%
About the same
|
11.4%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.9% · Q3 6.2% · Q4 6.1% · 4Q avg 4.4% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
5.5%
1.9 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.8% · Q3 3.2% · Q4 3.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.7% |
17.4%
9.7 pts better
|
19.6%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 7.7% · Q3 6.1% · Q4 9.1% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.2% |
23.4%
9.2 pts better
|
16.7%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 20.7% · Q3 12.0% · Q4 11.5% · 4Q avg 14.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.9% |
19.0%
3.1 pts better
|
16.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.3% |
20.1%
2.8 pts better
|
14.9%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 27.3% · Q3 3.3% · Q4 12.9% · 4Q avg 17.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.8%
1.8 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
3.1%
3.1 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.8% |
25.2%
2.4 pts better
|
19.8%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 25.4% · Q3 19.7% · Q4 16.1% · 4Q avg 22.8% |
| Percentage of long-stay residents with pressure ulcers | 9.4% |
5.3%
4.1 pts worse
|
5.1%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 8.0% · Q3 14.0% · Q4 8.8% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.6%
6.4 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
10.7%
10.7 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.3% |
1.9%
2.4 pts worse
|
1.6%
2.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.1% |
20.5%
2.6 pts worse
|
23.9%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 26.1% · Expected 26.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-13 · Fire 2024-03-13
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-04-12 · Fire 2023-04-12
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-14
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-03
G · Actual harm
2024-05-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-22
G · Actual harm
2024-03-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-03-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-11
D · Potential for more than minimal harm
2023-04-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-12
Penalties and ownership
What sits behind the stars
$8,338
2024-05-02
Fine
Fine · fine $8,338
Fine
$17,934
2024-03-13
Fine
Fine · fine $17,934
Fine
Ownership
Wishek Home For The Aged
5% Or Greater Direct Ownership Interest · Organization
Bauer, Wayne
Corporate Director · Individual
Bauer, Wayne
Corporate Officer · Individual
Feist, Hannah
Operational/Managerial Control · Individual
Gall, Renae
Corporate Director · Individual
Gray, Brenda
Corporate Director · Individual
Kaseman, Karista
Operational/Managerial Control · Individual
Kienzle, Michael
Corporate Director · Individual
Klein, Keith
Operational/Managerial Control · Individual
Kosiak, Donald
Operational/Managerial Control · Individual
Piatz, Melissa
Operational/Managerial Control · Individual
Regner, Linda
Corporate Director · Individual
Sayler, Keith
Corporate Director · Individual
Schnabel, Tanya
Operational/Managerial Control · Individual
Wald, Larry
Corporate Director · Individual
Wald, Larry
Corporate Officer · Individual
Weber, Gregory
Corporate Director · Individual
Weber, Gregory
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Ashley Medical Center Nursing Home
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3-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Wentz Living Center
Napoleon, ND
4-star overall rating with 4-star inspections with $13,627 in total fines
#3
Strasburg Nursing Home
Strasburg, ND
4-star overall rating with 3-star inspections with 6 recent health deficiencies
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