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A
Very Good

WISHEK LIVING CENTER

400 S 4TH ST · WISHEK, ND 58495

7014522333 · Non profit - Corporation

43 beds38.9 residents76 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WISHEK LIVING CENTER receives an overall staffing grade of A (Very Good). With 4.8344 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.94 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 19.78% compared to weekdays. The facility relies heavily on temporary agency staff (39.11% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️39.11% 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 (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.8344hrs/resident/day▲ 0.94
CMS benchmark: 3.48
RN HPRD
0.9072hrs/resident/day▲ 0.22
Recommended: 0.75
Weekend Drop-off
19.78%
5.1207 weekday → 4.1078 weekend
Agency Staff
39.11%
31.52% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.0621hrs/resident/day
Direct care aides
LPN HPRD
0.676hrs/resident/day
Licensed practical nurses
Consistency
0.5789std 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. Mcintosh County Average-0.28 HPRD
5.11
04.83 HPRD
vs. North Dakota State Average+0.41 HPRD
4.43
04.83 HPRD
vs. National Average+0.94 HPRD
3.90
04.83 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
WISHEK LIVING CENTER ★
WISHEK · This facility
—
A
4.83440.9072★★★★☆
ASHLEY MEDICAL CENTER NURSING HOME
ASHLEY
17.4 mi
A+
5.39221.2444★★★☆☆
WENTZ LIVING CENTER
NAPOLEON
19.5 mi
A
4.69151.0478★★★★☆
STRASBURG NURSING HOME
STRASBURG
29.7 mi
A
4.2951.1313★★★★☆
PRINCE OF PEACE CARE CENTER
ELLENDALE
52.2 mi
C
3.40030.8886★★★★☆
ST ROSE CARE CENTER
LAMOURE
60.9 mi
C
3.42940.6174★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
6
Total Deficiencies
$26,272
Fines Assessed
May 14, 2025Health
2 deficiencies cited
▼
May 2, 2024Health
1 deficiency cited· Includes actual harm
▼
Mar 13, 2024Health
2 deficiencies cited· Includes actual harm
▼
Apr 12, 2023Health
1 deficiency cited
▼

Penalty History

May 2, 2024Fine
$8,338
Mar 13, 2024Fine
$17,934
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.