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B
Good

LUTHERAN SUNSET HOME

333 EASTERN AVE · GRAFTON, ND 58237

7013521901 · Non profit - Church related

87 beds82.6 residents112 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LUTHERAN SUNSET HOME receives an overall staffing grade of B (Good). With 4.3257 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.652 HPRD, below the recommended 0.75. It is 0.43 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 19.65% compared to weekdays. The facility relies heavily on temporary agency staff (34.45% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.652 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️34.45% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
4.3257hrs/resident/day▲ 0.43
CMS benchmark: 3.48
RN HPRD
0.652hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
19.65%
4.58 weekday → 3.68 weekend
Agency Staff
34.45%
2.65% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.9784hrs/resident/day
Direct care aides
LPN HPRD
0.6801hrs/resident/day
Licensed practical nurses
Consistency
0.4723std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Walsh County Average+0.53 HPRD
3.80
04.33 HPRD
vs. North Dakota State Average-0.10 HPRD
4.43
04.33 HPRD
vs. National Average+0.43 HPRD
3.90
04.33 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LUTHERAN SUNSET HOME ★
GRAFTON · This facility
—
B
4.32570.652★★★★☆
GOOD SAMARITAN SOCIETY - PARK RIVER
PARK RIVER
18.6 mi
C
3.26690.8023★★☆☆☆
WEDGEWOOD MANOR
CAVALIER
27.8 mi
B
4.07370.966★★☆☆☆
GOOD SAMARITAN SOCIETY - LARIMORE
LARIMORE
37 mi
C
3.1460.7201★☆☆☆☆
VALLEY SENIOR LIVING ON COLUMBIA
GRAND FORKS
38.6 mi
A+
5.39491.3472★★★★☆
WOODSIDE VILLAGE
GRAND FORKS
38.9 mi
B
3.54750.5998★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
17
Total Deficiencies
$11,057
Fines Assessed
Dec 19, 2024Health
7 deficiencies cited
▼
May 21, 2024Health
1 deficiency cited· Includes actual harm
▼
Jan 25, 2024Health
1 deficiency cited
▼
Nov 2, 2023Health
4 deficiencies cited
▼
Sep 14, 2022Health
4 deficiencies cited
▼

Penalty History

May 21, 2024Fine
$11,057
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.