I appreciate this truly mission-driven, rural North Dakota home run by Catholic nuns-staff are understanding and genuinely nice, and they regularly take residents outside for social and mental stimulation. I'm pleased with the care overall.
Loved one of resident
Jul 2026
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Wifi
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Community services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Resident-run activities
Scheduled daily activities
Reviews
4.33·(9)
Overall rating
5
4
3
2
1
Care
3.0
Staff
3.0
Meals
2.0
Amenities
1.5
Value
4.3
Pros
Compassionate, mission-driven leadership
Friendly and understanding staff interactions
Structured outdoor and social stimulation activities
Quiet rural setting
Cons
Chronic understaffing
Aging physical plant and infrastructure
Odor concerns in resident rooms and dining areas
Equipment maintenance lapses and frequent nonfunctional equipment
Inconsistent care quality and responsiveness
Staff communication tone
Subdued, institutional atmosphere
Resource limitations associated with a rural location
Summary of reviews
Overall impression: Review summaries describe a facility with clear strengths in mission-driven culture and staff goodwill, alongside persistent operational challenges. Families and observers highlight a compassionate, faith-based leadership and generally friendly caregivers, but they also identify recurring issues that affect day-to-day resident experience.
Care quality and staff: Care is portrayed as adequate in many respects, with staff who are described as kind and understanding. At the same time, reviewers raise concerns about inconsistent care quality and responsiveness, which appear linked to chronic understaffing. Several comments note a communication tone from some employees that can feel patronizing; this affects perceived dignity in staff–resident interactions. Staffing shortages are also cited as a factor that may delay routine tasks or limit individualized attention.
Dining: Dining-related feedback includes concerns about food quality and odors in dining areas. These sanitation and odor concerns suggest inconsistencies in food service and dining-area maintenance. While there is no single consistent praise for the culinary program in the summaries, the presence of staff who try to be attentive is noted.
Activities and atmosphere: The facility offers structured social stimulation, including taking residents outside their rooms for interaction and mental engagement. This is a positive operational feature. However, an overall subdued or institutional atmosphere is also described, which may limit the perception of cheerfulness or vibrancy in day-to-day life for some residents.
Facilities and equipment: The physical plant is characterized as aging, reminiscent of an older hospital-style building. Reviewers point to frequent equipment problems and maintenance lapses that reduce reliability of certain devices and services. Together with infrastructure age, these issues suggest a need for capital and maintenance investment to improve the environment and operational reliability.
Management and notable patterns: The facility’s Catholic, mission-driven governance is a consistent theme and appears to inform a compassionate approach to residents. Conversely, management-level challenges are implied by ongoing understaffing, equipment nonfunction, and sanitation/odor issues. The rural North Dakota location likely contributes to resource constraints, influencing staffing recruitment, supply availability, and maintenance response times.
Bottom line for prospective families: If you value a faith-based, mission-oriented provider with personable staff and organized outdoor/social activities, this facility may align with those priorities. At the same time, be prepared to evaluate operational factors—staffing levels, maintenance plans, sanitation protocols, and dining quality—during your visit and in conversations with leadership, because these areas are the primary sources of concern in the summaries.
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Medicare Ratings
3·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
St Gerard's Community of Care is located at 613 1st Ave SW, Hankinson, ND, 58041.
About St Gerard's Community of Care
St Gerard's Community of Care sits as a non-profit, church-related place owned and run by the Sisters of St. Francis, where folks get support with daily needs like bathing, dressing, transfers, and all the small things that add up, and you see that the community goes above and beyond to keep everyone involved with social gatherings, resident-run events, and activities for every age group, since you'll also find a preschool and childcare center right on site, called the Child Care & Kinder Kollege, so young children and seniors cross paths and share a busy campus. The community offers daily Catholic mass, prayers, retreats, spiritual direction, and a resident Chaplain who also helps with services for denominations besides Catholic, and there are traditions like the Women of Prayer, horarium, and youth work that tie back to Franciscan spirituality and the Psalm of God's Providence.
There's a 37-bed skilled nursing unit for people needing more help, an Independent Living Wing for those able to take care of themselves but who want some extra support and connection, Assisted Living, Memory Care, and even Continuing Care Retirement Community (CCRC) services all under one roof, so people don't need to move every time their needs change, and if you or a neighbor want to regain strength after a hospital stay there's orthopedic and sports physical therapy programs. Trained staff, including Certified Nurse Assistants from their own training program, provide 24-hour care with supervision, a call system, and help with medicine. The place also has a Director of Nurses named Kasey Brandenburger, RN, and the administrator Jill Foertsch, RN, works with a Board of Directors made up of sisters and community members, making sure people are cared for in both body and spirit.
On campus, residents find an emergency alert system, arts room, walking paths, gardens, movie nights, barber and salon, as well as shared transportation and parking, plus a secure portal for information, an Emergency Notification Plan, and Resident Notice of Privacy Rights. The Social Services and Recreation Director, Terry Bladow, along with others, keep the community busy and connected through media, news, and Giving Hearts Day or volunteer opportunities, and folks can email residents or look up job openings if they want to join the staff. St Gerard's holds a five-star Medicare rating thanks to steady leadership and staff service, and while the building's main focus is community care, you see that they've built connections across ages and faiths, with services and care types that meet a lot of needs as life changes. The facility has chosen to build on faith, care, and neighborly support, with opportunities for donating and being involved, yet what strikes you most is how it keeps everyone, young and old, in tune with daily living and spiritual life.
People often ask...
St Gerard's Community of Care offers independent living, assisted living, memory care, and skilled nursing.
There are 1 photos of St Gerard's Community of Care on Mirador.
Yes, St Gerard's Community of Care allows residents to age in place and adjust their level of care as needed.
The full address for this community is 613 1st Ave SW, Hankinson, ND 58041.
No, St Gerard's Community of Care does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.
License number
SNF-st-gerard-s-community-nursing-home-hankinson
Facility type
Skilled Nursing Facility
Inspection Reports
37
Reports
3
Type A Citations
0
Type B Citations
0
Complaints
17
Years
23 Jul 2025Inspection
23 Jul 2025Inspection
Found deficiencies in insulin pen administration practices and in infection prevention and control, including improper hand hygiene and PPE use.
CFR 483.21(b)(3)(i)Comprehensive Care Plans
CFR 483.80(a)(1)-(4)(e)(f)Infection Prevention & Control
22 Jul 2025Life Safety
22 Jul 2025Life Safety
Found no deficiencies related to life safety or emergency preparedness. The review showed compliance with applicable requirements.
17 Jun 2024Life Safety
17 Jun 2024Life Safety
Identified several life-safety deficiencies related to cooking facilities, fire doors, and emergency power systems.
NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking OperationsCooking Facilities
NFPA 80, Standard for Fire Doors and Other Opening ProtectivesMaintenance, Inspection & Testing - Doors
NFPA 99, Health Care Facilities CodeElectrical Systems - Essential Electric System
13 Jun 2024Inspection
13 Jun 2024Inspection
Investigated allegations of resident-to-resident abuse involving residents with cognitive impairment and found multiple deficiencies in abuse prevention, reporting, care planning, transfers, and infection control.
CFR(s): 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
CFR(s): 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
CFR(s): 483.25(d)(1)-(2)Care and Safety During Transfers; Accident Prevention
CFR(s): 483.80(a)(1)-(2)(4)(e)(f)Infection Prevention & Control
24 Jul 2023Life Safety
24 Jul 2023Life Safety
Identified deficiencies in emergency lighting and fire alarm system maintenance, including missing annual 90-minute testing and lack of semiannual load voltage tests on fire alarm batteries.
NFPA 101 Emergency LightingEmergency Lighting
NFPA 72 / NFPA 70 Fire Alarm System Testing and MaintenanceFire Alarm System - Testing and Maintenance
19 Jul 2023Inspection
19 Jul 2023Inspection
Identified inaccuracies in MDS assessments for three residents due to misclassification of medications; Plavix was coded as an anticoagulant and Tramadol as an opioid instead of correct classifications.
CFR 483.20(g)Accuracy of Assessments
17 May 2022Life Safety
17 May 2022Life Safety
Concluded no deficiencies were identified related to Emergency Preparedness.
01 May 2022Inspection
01 May 2022Inspection
Found multiple deficiencies where staff did not consistently follow orders or professional standards for medication administration, skin care, wheelchair safety, and oxygen therapy.
CFR 483.21(b)(3)(i)Comprehensive Care Plans
CFR 483.25Quality of care
CFR 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
CFR 483.25(i)Respiratory care
10 Mar 2021Inspection
10 Mar 2021Inspection
Found deficiencies in supervising residents and using assistive devices during transfers and in offering fluids during cares, risking falls and dehydration.
CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
CFR 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
21 Sept 2020Life Safety
21 Sept 2020Life Safety
Determined no violations found for emergency preparedness requirements.
24 Jun 2020Inspection
24 Jun 2020Inspection
Identified deficiencies in developing resident-centered care plans and in infection prevention/control practices.
42 CFR §483.21(b)Comprehensive Care Plans
42 CFR §483.80Infection Prevention & Control
17 Mar 2020Inspection
17 Mar 2020Inspection
Found in compliance with COVID-19 infection control requirements; no deficiencies were cited.
16 May 2019Inspection
16 May 2019Inspection
Investigated deficiencies found in providing Medicare notices, maintaining safe hot water temperatures, and following infection control practices during resident care.
Concluded compliance with NFPA 101 and NFPA 99; no deficiencies were identified.
05 Apr 2017Inspection
05 Apr 2017Inspection
Identified deficiencies in resident assessments and care planning, medication management, safety during transport, and kitchen sanitation. Found incomplete assessments, unsafe wheelchair use, unnecessary drugs, and improper sanitizer handling.
483.20(b)(2)(ii)Comprehensive assessment after significant change
Found multiple fire-safety deficiencies, including incomplete sprinkler coverage, exit separation issues, mislocated detectors, and missing risk assessment.
NFPA 101, Means of Egress - General; Section 7.1.3.2.1(1); 8.2; 18.2.1; 19.2.1Means of Egress - General
NFPA 13; 8.3.2; 8.3.2.5(1); Table 8.3.2.5(a)(2)Sprinkler System - Installation
NFPA 72; 17.7.6.3.2; A.17.7.4.1Corridors - Areas Open to Corridor
NFPA 99 Health Care Facilities Code, 2012 edition; 4.1; 4.2Fundamentals - Building System Categories
19 May 2016Inspection
19 May 2016Inspection
Identified lack of privacy during care and insulin injections, incorrect restraint coding on MDS, and infection control lapses including hand hygiene and tub disinfection.
Found no deficiencies in Life Safety Code compliance. The review concluded adherence to NFPA 101 requirements.
30 Jul 2015Inspection
30 Jul 2015Inspection
Concluded that the provider was in substantial compliance with Medicare/Medicaid requirements after the recertification survey.
29 Jun 2015Life Safety
29 Jun 2015Life Safety
Found no deficiencies. The survey concluded compliance with the Life Safety Code.
10 Jul 2014Inspection
10 Jul 2014Inspection
Investigated deficiencies in resident documentation and MDS coding, including failure to notify physicians of changes in condition and improper reimbursement coding.
—Records: address/phone updates for resident representatives
—MDS reimbursement/not reimbursable
02 Jul 2014Life Safety
02 Jul 2014Life Safety
Identified deficiencies in life-safety and fire protection systems, including failures to test and maintain fire alarms and sprinklers, inadequate smoke barriers, and improper emergency power controls.
NFPA 101 Life Safety Code StandardContinued From page 3
NFPA 101 Life Safety Code Standard; NFPA 25, Standard for the Inspection, Testing and Maintenance of Water-Based Fire Protection SystemsContinued From page 4
NFPA 101 Life Safety Code Standard; NFPA 25Continued From page 5
NFPA 101 Life Safety Code StandardContinued From page 1
01 Aug 2013Inspection
01 Aug 2013Inspection
Concluded substantial compliance with federal requirements during the Medicare/Medicaid recertification survey.
26 Jul 2012Inspection
26 Jul 2012Inspection
Identified deficiencies in informing residents about services and charges, medication management safety, resident safety, and staff training and infection control. Noted unsafe practices and policy gaps across multiple areas.
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05 Jun 2012Life Safety
05 Jun 2012Life Safety
Found no deficiencies; the Life Safety Code survey concluded compliance.
02 Nov 2011Inspection
02 Nov 2011Inspection
Investigated a Medicare/Medicaid recertification survey conducted in September 2011, reviewing a sample of residents and including additional residents to verify concerns.
14 Sept 2011Inspection
14 Sept 2011Inspection
Investigated feeding practices and infection-control measures; found improper positioning during tube feeding and inadequate adherence to infection-control procedures.
—Improper positioning during tube feeding (risk of aspiration)
—Inadequate infection-control practices during meals
—Infection control program not established
06 Jul 2011Life Safety
06 Jul 2011Life Safety
Investigated a construction deficiency related to Life Safety Code; portions of the building were not protected throughout with an automatic sprinkler system as required.
NFPA 101 Life Safety Code, 2000 Edition; Chapter 19 Existing Health Care OccupanciesBuilding construction requiring sprinkler protection
11 May 2011Life Safety
11 May 2011Life Safety
Identified life-safety deficiencies including lack of complete automatic sprinkler coverage, improper fire-resistive construction, unsealed openings, and damper maintenance failures.
NFPA 101 LIFE SAFETY CODE STANDARDBuilding construction type and fire protection provisions
NFPA 101 LIFE SAFETY CODE STANDARDCorridor construction and fire-resistance requirements
NFPA 101 LIFE SAFETY CODE STANDARDSeparation between occupancies; openings and penetrations
NFPA 101 LIFE SAFETY CODE STANDARDMiscellaneous deficiencies; dampers and related maintenance
03 Nov 2010Inspection
03 Nov 2010Inspection
Investigated the recertification process and reviewed initial comments; no specific deficiencies are listed on this page.
04 Oct 2010Life Safety
04 Oct 2010Life Safety
Found that the NFPA 101 Life Safety Code standard for building construction type was not met because a Fire Safety Evaluation System was used to determine compliance after a 2010 survey.
NFPA 101 Life Safety Code StandardLIFE SAFETY CODE STANDARD
23 Sept 2010Inspection
23 Sept 2010Inspection
Investigation found deficiencies in medication administration and continence care with incomplete records and documentation gaps.
—Medication administration without a proper order
—Continence/urination assessment and scheduling not properly documented or implemented
27 Jul 2010Life Safety
27 Jul 2010Life Safety
Identified Life Safety Code deficiencies related to building construction and interior finishes, plus deficiencies in generator maintenance and battery compatibility.
Type ANFPA 101 Life Safety Code - Building Construction Type (Type III) and height; two-story construction without automatic sprinkler coverageBuilding construction type and height not in full compliance
Type ANFPA 101 Life Safety Code - Chapter 19; interior finish classifications (19.3.3.1, 19.3.3.2)Interior wall finishes not Class A in rooms not used for corridors
Type ANFPA 110 - Standard for Emergency and Standby Power Systems, 3-5.4.5Generator maintenance and battery requirements
30 Sept 2009Inspection
30 Sept 2009Inspection
Found an unsecured oxygen cylinder in the medication storage area, indicating non-compliance with safety standards for oxygen storage.
NFPA 99 - Life Safety Code for Health Care Facilities (storage/handling of compressed gases)Storage of compressed gases - oxygen cylinders secured
28 Jul 2009Life Safety
28 Jul 2009Life Safety
Determined noncompliance with life-safety requirements in several areas, including exit signage, emergency lighting, fire alarm testing, and maintenance.
NFPA 101 LIFE SAFETY CODE STANDARD 7.10.1.4Exit path/egress signage
NFPA 101 LIFE SAFETY CODE STANDARD 7.9.2.2; 7.9.2.5Emergency illumination/means of egress lighting
NFPA 72; NFPA 101 LIFE SAFETY CODE STANDARDFire alarm testing and maintenance
NFPA 101 LIFE SAFETY CODE STANDARDSmoke detectors maintenance and testing
NFPA 101 LIFE SAFETY CODE STANDARDEmergency procedures manual and fire watch
NFPA 101 LIFE SAFETY CODE STANDARDGenerator inspections
NFPA 101 LIFE SAFETY CODE STANDARDFire alarm and smoke detector testing
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of St Gerard's Community of Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact St Gerard's Community of Care directly. There is no cost for this service. We are compensated by the community you select.
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