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Skilled nursing facility · CMS certified · CCN 355101

Dakota Alpha

1303 27th Street Nw, Mandan, ND 58554 · Morton County · one of 72 skilled nursing facilities in North Dakota
CMS High Performing · Medicare's High Performing icon, the gold trophy on Care Compare: five-star buildings with clean recent inspections and no recent change of ownership.
20
certified beds
5 / 5
overall CMS rating
Nonprofit
ownership type
98.5%
occupancy, Oct 2026: 20 residents a day · North Dakota 91.8%
1.23
case mix, 0.87x the national average
4.83
nurse hours per resident day · North Dakota 4.42
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There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Dakota Alpha compares

Better than most of Morton County on 6 of 8 lines.

Occupancy, Oct 202698.5%Better than mostHigher than all 4 other buildings in Morton County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 95.8%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.83Better than mostHigher than all 4 other buildings in Morton County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 4.22. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating5 / 5Better than mostHigher than all 4 other buildings in Morton County

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating5 / 5Better than mostHigher than all 4 other buildings in Morton County

CMS's star rating for the building's recent health inspections. The middle of the set: 1 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Mid-packHigher than 2 of the 4 other buildings in Morton County, level with 2

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Better than mostHigher than all 4 other buildings in Morton County

CMS's star rating for resident-care quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.29Better than mostHigher than all 4 other buildings in Morton County

Registered nurse hours for each resident, each day. The middle of the set: 0.76. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited8Behind mostFewer than 1 of the 4 other buildings in Morton County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 7. Source: CMS Provider Information, Oct 2026 file.

Better than most of North Dakota on 6 of 8 lines.

Occupancy, Oct 202698.5%Better than mostHigher than 68 of the 70 other buildings in North Dakota

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 94.2%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.83Better than mostHigher than 50 of the 69 other buildings in North Dakota

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 4.34. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating5 / 5Better than mostHigher than 49 of the 70 other buildings in North Dakota, level with 21

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating5 / 5Better than mostHigher than 63 of the 70 other buildings in North Dakota, level with 7

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Mid-packHigher than 31 of the 70 other buildings in North Dakota, level with 39

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 5 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Better than mostHigher than 50 of the 70 other buildings in North Dakota, level with 14

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.29Better than mostHigher than 65 of the 71 other buildings in North Dakota

Registered nurse hours for each resident, each day. The middle of the set: 0.88. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited8Mid-packFewer than 32 of the 71 other buildings in North Dakota, the same as 8

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against North Dakota
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Dakota Alpha
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Street View
1303 27th Street Nw, Mandan, ND
Map around Dakota Alpha
Map · Morton County
Morton County, North Dakota
5 skilled nursing facilities; average overall rating 3.0, North Dakota 3.3.
See how Morton County compares ›
Cost report, against North Dakota
Each line is what this building filed with Medicare for its latest full year, beside the middle building in North Dakota. The rank counts from the top: 1st is the highest figure among North Dakota's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in North Dakota that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
94.3%
50
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
5.3%
51
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
54.7%
49
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$432
51
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$440
51
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$13
51
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
2.6%
51
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating5 / 5 · state 3.3
Health inspection5 / 5 · state 2.8
Staffing5 / 5 · state 4.3
RN hours per resident per day1.29 · state 0.93
Overall rating, last 8 quarters
054Q3’245Q4’245Q1’255Q2’255Q3’255Q4’255Q1’265Q2’26latest
up 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingNorth Dakotanationrecent quarters
Needed more help with daily activities10.3%better than state19.9%13.5%2025Q2: 10.0%2025Q3: 15.0%2026Q2: 15.0%
10.0% → 15.0%
Q2’25 to Q2’26
Catheter inserted and left in0.0%better than state1.4%0.7%too few quarters to chart
Urinary tract infection1.3%better than state2.5%1.5%2025Q2: 0.0%2025Q3: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Fall with major injury3.8%better than state5.1%3.2%2025Q2: 0.0%2025Q3: 0.0%2026Q2: 5.0%
0.0% → 5.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.7%1.5%too few quarters to chart
Ability to walk independently worsened5.4%better than state16.3%12.7%too few quarters to chart
Pressure ulcers1.6%better than state4.7%4.5%2025Q2: 0.0%2025Q3: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Given an antipsychotic83.3%worse than state22.8%15.4%too few quarters to chart

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jul 2025
last standard survey
8
deficiencies cited · North Dakota avg 9.3
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in North Dakota
state rate files
$401
median daily rate across the North Dakota buildings in our rate book, Jan 2026 file
North Dakota rates and what changed ›
Morton County
buildingbedsoverallDakota Alpha205 / 5Elm Crest Manor624 / 5Good Samaritan Society Miller Pointe A Prospera Co1203 / 5Marian Manor Healthcare Center542 / 5Sunset Drive - A Prospera Community1281 / 5
All North Dakota buildings in Morton County ›
Also in Mandan, ND
1 other certified skilled nursing facility in Mandan
buildingbedsoverallSunset Drive - A Prospera Community1281 / 5
North Dakota at a glance
72
buildings
4,909
licensed beds
93%
occupancy
6%
for-profit
North Dakota market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancySunset Drive - A Prospera CommunityMandan · 0.5 mi1281 / 5over 85%Good Samaritan Society Miller Pointe A Prospera CoMandan · 4.3 mi1203 / 5over 85%Missouri SlopeBismarck · 5.7 mi1924 / 5over 85%Good Samaritan Society Augusta Place A Prospera CoBismarck · 5.7 mi485 / 5over 85%St Gabriel's CommunityBismarck · 6.6 mi725 / 5over 85%Baptist Health & RehabBismarck · 7.6 mi1405 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Dakota Alpha?
Dakota Alpha in Mandan, ND carries an overall CMS rating of 5 out of 5 stars in the Oct 2026 CMS file.
Is Dakota Alpha a CMS High Performing nursing home?
Yes. Dakota Alpha in Mandan, ND carries Medicare's High Performing icon, the gold trophy on Care Compare, given to five-star buildings with clean recent inspections and no recent change of ownership.
How many beds does Dakota Alpha have?
Dakota Alpha is certified for 20 beds in the Oct 2026 CMS file.
How full is Dakota Alpha?
CMS's reported average residents put Dakota Alpha's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.