Sanford Hillsboro Care Center
A nursing home in Hillsboro, North Dakota 58045
12 3rd St SE, Hillsboro, North Dakota 58045. (701) 636-3235.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 2 health citations at the latest inspection cycle North Dakota average: 5.6
- 4.23 nurse hours per resident per day North Dakota average: 4.47
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
2 health citations at the latest inspection cycle
The North Dakota average is 5.6.
Last standard inspection Aug 19, 2026.
Most serious in three years: immediate jeopardy to health or safety (K), at a standard inspection on Jun 5, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
11 citations in 3 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 11 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 19, 2026: standard inspection2 citations
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jun 26, 2025: standard inspection3 citations
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 5, 2024: standard inspection6 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide and implement an infection prevention and control program.
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Post nurse staffing information every day.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 1, 1978.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 34 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $35,045 in all.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jun 5, 2024 | Fine | $35,045 |
Who does the caring?
4.23 nurse hours per resident per day
The North Dakota average is 4.47.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | North Dakota average |
|---|---|---|
| Nurse hours per resident per day | 4.23 | 4.47 |
| Of which registered nurses | 0.65 | 0.93 |
| At weekends | 3.27 | 3.80 |
| Nursing staff turnover | 47.6% | 47.5% |
| Registered nurse turnover | 66.7% | 38.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- Sanford North owns 100% directly since Mar 1, 2011.
- 19 owners or officers are people: Mark Allen Lundeen (corporate director); Marnie Lynn Ventling-Herrmann (corporate director); Tony Lee Morrison (corporate officer); Tony Lee Morrison (managing employee (on the payroll)); James Edward Cain (corporate director); Karin Louise Dulski (managing employee (on the payroll)); Brent Gerard Teiken (corporate director); Jolyn Joy Munson (managing employee (on the payroll)); William D Marlette (corporate officer); William D Marlette (managing employee (on the payroll)); Andrew Stewart North (corporate director); Stephanie Marie Swenson (managing employee (on the payroll)); William Joseph Gassen (corporate officer); William Joseph Gassen (corporate director); William Joseph Gassen (managing employee (on the payroll)); Wesley Owen Engbrecht (corporate director); Donald Darwin Jacobs (corporate director); Neil Leslie Gulsvig (corporate director); Lauris Nelson Molbert (corporate director).
- Part of Sanford Health (4 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sanford | Owns 5% or more through other companies | 100% | Jul 20, 2010 |
| Sanford North | Owns 5% or more directly | 100% | Mar 1, 2011 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (North Dakota average 2.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 38.1 miles, this one had the 9th most health citations at the latest inspection cycle (2; the middle value was 3.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Sanford Hillsboro Care Center This nursing home | 2 | |
| Halstad Living Center | 11.6 | 1 |
| Luther Memorial Home | 13.8 | 3 |
| Hatton Prairie Village | 24.5 | 4 |
| Benedictine Care Community | 25.7 | 20 |
| Villa St. Vincent | 33.6 | 8 |
| Woodside Village | 34.1 | 4 |
| Valley Senior Living on Columbia | 34.8 | 3 |
| Bethany on 42nd | 35.8 | 0 |
| Smp Health - St Catherine North | 37.3 | 4 |
| Fair Meadow Nursing Home | 37.4 | 8 |
| Sheyenne Crossings Care Center/Tcu | 38.1 | 1 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.