Sunset Drive - a Prospera Community
1011 Boundary St Nw · Mandan, ND · 58554 · 7013231411
128 certified beds Non profit - Corporation Chain: Good Samaritan Society
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $42,226 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 3.49 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 2 · $42,226 |
Inspection citations (63 in the current record)
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Potential for harm · D February 5, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 24, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 25, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 9, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · L July 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 20, 2025 · Quality of Life and Care
-
Potential for harm · D July 28, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 20, 2025 · Quality of Life and Care
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Potential for harm · D July 28, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 20, 2025 · Nursing and Physician Services
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Potential for harm · E July 9, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 20, 2025 · Resident Assessment and Care Planning
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Actual harm · G May 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 5, 2025 · Quality of Life and Care
-
Potential for harm · D May 15, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 20, 2025 · Resident Rights
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Potential for harm · D May 15, 2025
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected August 20, 2025 · Resident Rights
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Potential for harm · D May 15, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D May 15, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D May 15, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · E May 15, 2025 · found via complaint
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 June 30, 2025 · Resident Rights
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Potential for harm · E May 15, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D May 15, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 15, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D May 15, 2025 · found via complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 15, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E May 15, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D May 15, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D May 15, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected August 20, 2025 · Quality of Life and Care
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Potential for harm · D May 15, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 30, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 15, 2025 | Fine | $8,412 |
| May 15, 2025 | Fine | $33,814 |
| May 15, 2025 | Payment Denial | 25 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355065 · certified since July 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.