Lutheran Sunset Home
333 EASTERN AVE, Grafton, ND 58237
Grafton, North Dakota · CMS verdict
On the federal five-star scale, Lutheran Sunset Home shows above-average quality that runs above North Dakota's state average of 3.2.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Lutheran Sunset Home in Grafton, North Dakota holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 66 of 100 (grade D). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (mid-pack stars)
This facility's CMS overall rating is mid-pack among U.S. rated homes. A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 66 is built
Each segment is a dimension's weighted points toward the score, summing to 66.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Lutheran Sunset Home's mid-pack CMS stars
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Lutheran Sunset Home on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the North Dakota average below.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Grafton, North Dakota. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 95% occupancy, this facility is running near full capacity, worth confirming current bed availability directly before visiting.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Lutheran Sunset Home compares to North Dakota
CMS five-star sub-ratings (0–5) for this facility against the North Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = North Dakota state average. Higher is better on all four CMS measures.
Where Lutheran Sunset Home ranks in North Dakota
Among the 72 CMS-rated nursing homes in North Dakota, Lutheran Sunset Home’s 4-star overall rating is higher than 54% of them. The bars show how all North Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
15 North Dakota homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 87 |
| Residents | 83 |
| Ownership | Non profit - Church related |
| County | Walsh |
| Penalties | 1 |
| Deficiencies | 17 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Lutheran Sunset Home? ▾
Lutheran Sunset Home has an overall CMS quality rating of 4 out of 5 stars. The health inspection, staffing, and quality measures sub-ratings behind it are compared with the North Dakota average in the chart on this page.
How much does a nursing home cost per month in North Dakota? ▾
CareScout's 2025 survey puts North Dakota's median semi-private nursing home rate at $11,528 per month ($138,335 per year), with private rooms averaging $12,304 per month.
What services does Lutheran Sunset Home offer? ▾
Lutheran Sunset Home operates as a skilled nursing facility. For the specific care and therapy services, contact the facility: CMS data covers capacity, ownership, ratings, and inspections, not a service menu.
Does Lutheran Sunset Home have any deficiencies or penalties? ▾
Lutheran Sunset Home has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in North Dakota? ▾
In North Dakota, alternatives include assisted living ($4,729/mo), home health aides ($6,483/mo), and adult day care ($5,525/mo).
Keep reading
Also see the North Dakota elder-care overview and highest-rated states. Provider ID: 355084.
Read our methodology - how this data is sourced, computed, and verified.