Lutheran Sunset Home
333 Eastern Ave, Grafton, ND 58237
Lutheran Sunset Home, a 87-bed non profit - church related nursing facility in Grafton, ND, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #43 of 71 rated homes in ND on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7013521901
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #43 of 71
- In-state rank among rated ND homes
- 4.04
- About average · nurse hrs/day · nat'l 3.86
- 20
- Inspection findings · 1 serious
The verdict
Lutheran Sunset Home, a 87-bed non profit - church related nursing facility in Grafton, ND, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #43 of 71 rated homes in ND on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #43 of 71
- In-state rank among rated ND homes
- 4.04
- Nurse hrs/resident-day · national 3.86
- 20
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 72 ND nursing homes split by ownership sector
This facility is recorded as Non profit - Church related. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 355084
- Ownership
- Non profit - Church related
- Provider Type
- Medicare and Medicaid
- Beds
- 87
- Residents
- 82
- In Hospital
- No
- County
- Walsh
- Last Inspection
- Feb 26, 2026
Staffing Data
How the 4.04 total nursing hours per resident-day are staffed:
- RN Hours
- 0.66 (nat'l avg: 0.69)
- LPN Hours
- 0.71
- CNA Hours
- 2.67
- Total Nursing Hours
- 4.04 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 32.6%
- RN Turnover
- 30.8%
What the CMS Record Reveals About Lutheran Sunset Home
According to CMS Nursing Home Compare, Lutheran Sunset Home ranks #43 of 71 rated nursing homes in ND on overall stars (tie-broken by health+staffing+quality, then fewer fines). Lutheran Sunset Home operates 87 certified beds in Grafton, ND with approximately 82 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 5★ · quality 2★).
The inspection file contains 20 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $11K against this provider. Reported nurse staffing runs 4.04 total hours per resident day (national average 3.86); RN hours specifically are 0.66 per resident day.
Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Lutheran Sunset Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 32.6% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (20 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 31, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Category: Administration Deficiencies
Corrected: Mar 31, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 31, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 31, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Mar 31, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 31, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Mar 31, 2026
Assure the security of all personal funds of residents deposited with the facility.
Category: Resident Rights Deficiencies
Corrected: Jan 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 23, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 23, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 23, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 23, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 17, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 29, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Category: Administration Deficiencies
Corrected: Nov 21, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 21, 2023
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.
Category: Resident Rights Deficiencies
Corrected: Nov 21, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 21, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.5% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.6% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 19.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 23.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 98.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 59.1% | No |
Penalty History 1 penalties totaling $11K
| Date | Type | Amount |
|---|---|---|
| May 21, 2024 | Fine | $11K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Lutheran Sunset Home, both outside ND so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside ND (87 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside ND (4.99 here).
Nearby Nursing Homes in ND
71 other nursing homes are on record in ND; 6 are shown here.
Aneta Parkview Health Ctr
Aneta, ND
Ashley Medical Center Nursing Home
Ashley, ND
Baptist Health & Rehab
Bismarck, ND
Benedictine Living Center of Garrison
Garrison, ND
Bethany on 42nd
Fargo, ND
Bethany on University
Fargo, ND
Understanding Nursing Home Data
What the CMS records show for Lutheran Sunset Home
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The ND registry aggregates state averages and the highest-rated homes in this cohort. View ND registry
- Peer homes near 87 beds show how CMS stars vary at a similar scale in ND. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Lutheran Sunset Home?
Where does Lutheran Sunset Home rank among nursing homes in ND?
What are the staffing levels at Lutheran Sunset Home?
How many beds does Lutheran Sunset Home have?
Does Lutheran Sunset Home have any deficiencies on record?
Has Lutheran Sunset Home received any fines or penalties?
Who owns Lutheran Sunset Home?
When was Lutheran Sunset Home last inspected?
What quality measures are tracked for Lutheran Sunset Home?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
