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4916 North Washington Street, Bismarck, ND 58503

Missouri Slope at Home

Missouri Slope was awarded a three-year grant from Lutheran Services of America to address the increasing number of underserved and isolated older adults in rural communities experiencing difficulty accessing services and supports to successfully age at home.

With deep understanding of what older adults need in rural communities, Missouri Slope has developed a new program called Missouri Slope at Home to provide a line of in home service that enable older adults to remain in their home.

Missouri Slope at Home has also created a partnership with other area providers to create the Rural Aging Action Network (RAAN) to collaborate and address the needs of older adults in our rural communities. 

Close up of hands working on quilt

Missouri Slope at Home exists to empower older adults in our region to age with independence, dignity and purpose in the community of their choice. Our program allows aging adults to get the assistance they need to live happily, healthy, and safely, while remaining in the home they love. 

Following a consultation with a member of our team, we will customize a home care plan based on individual needs and preferences. 

Our caregivers are ready to help you, your family member, friends or neighbors to age happily and safely in the comforts of home while providing peace of mind for loved ones.

Services are available individually or in preset packages which can be paired with other services based on individual need.

Missouri Slope at Home Individual Services

Meal Delivery

Made fresh at Missouri Slope, Frozen and delivered upon order.

Service Coordination

If additional services are needed, we coordinate with other providers to put services in place.

Safety Checks

Contact through a call up to 5 times per week to ensure all is well.

Referral services

If we don’t offer what you need, we connect you to other providers.


We provide medical and non-medical transportation paired with other services.


We provide an individual to spend time with you in or out of the home.


Light household tasks including sweeping vacuuming, dusting, laundry.

Personal Care

Assist with items you struggle with; dressing, bathing, showering, hair care.

Missouri Slope At Home Packages

Nurse going inside home

Services are available in preset packages which can be paired with other services based on individual need.

  • All services and packages are non-medical.
  • Our Personal Care attendants are unable to provide skilled nursing level care.
  • Services and Packages are private pay only or we accept Long Term care insurance if applicable.
  • If financial assistance is needed, refer to Home & Community / Medicaid Covered Services below.
  • Home safety check
  • Condensed Nurse visit (one time only BP, Pulse, Review Meds, Observe for dehydration)
  • Service Coordination
  • Safety checks
  • Referral services
  • Preventative and routine home maintenance
  • Vacation watch
Same day surgery, Medical testing or procedure, LTC Rehab discharge – 7-day service only
  • Transportation from facility or hospital to home
  • Follow-up appointment(s) transportation/escort (1 per week)
  • Pick up prescriptions (1 pickup)
  • Pick up groceries or run errands
  • Provide prepared meals (1 per day)
  • Follow discharge instructions
  • Nurse visit prior to ending services
  • Referral services/Service Coordination
  • Assistance with bathing, dressing, grooming, toileting
  • Breakfast meal preparation (7 prepared meals per week)
  • Assistance with medications reminders
  • Light housekeeping (bed making, laundry, vacuuming as needed)
  • If able, engage elderly in physical activity or exercise routine
  • Encourage cognitive stimulation/companionship
  • Social engagement coordination or chose activity/project client enjoys
  • Assistance with medications reminders
  • Light housekeeping
  • Undressing and dressing for bedtime
  • Assistance with oral care or denture care
  • Prepare bed for sleeping
  • Empty and change catheter bag (if applicable)
  • Light housekeeping, laundry, decluttering pathways, and vacuuming as needed
  • Prepare needed items for the following morning

Our service delivery area includes Burleigh, Morton and McLean counties, especially rural communities that may not otherwise have access to such services and supports.

Availability of services is subject to available staff and service delivery area.


Who is a Good Fit for Missouri Slope at Home?

Our program has been designed to assist older adults live independently in the place of their choosing for as long as possible.  If you experience one or more of the following, Missouri Slope at Home Services may be a good fit;

  • Struggles with mobility and need assistance safely moving throughout the home
  • Impaired motor skills who need assistance with daily household tasks
  • No longer drive and need transportation to the grocery store, friends’ houses, and more
  • Feelings of isolation and desire the companionship of a caregiver 
  • Seniors who need assistance with activities of daily living, including meal preparation, bathing, and more
  • Unable to take care of basic housekeeping and home chores or home maintenance 
Reasons why older adults may not be a good fit for Missouri Slope at Home
  • You need/ would benefit from 24 hour access to care, nursing care, or other regular medical care
  • You want an all-inclusive lifestyle like those offered in many residential care communities

Perhaps one of our other services may be more appropriate:

Call Missouri Slope at Home for information or free consultation at 701-223-9407 or 701-221-9449.


Home and Community Based Services (HCBS) / Medicaid Covered Services

elderly man signing paper

If you need financial assistance to pay for care or services, as a qualified service provider (ASP), Missouri Slope at Home can still help.

You must apply for services through the ND Department of Human Services, Aging and Disability Resource Link (ADRL) by calling: 1-855-462-5465.  Once qualified, you may request Missouri Slope at Home as your Qualified Service Provider.

As a new home service provider, we continue defining our program, adding services and hiring qualified experienced caregivers to ensure we are able to offer our full range of services and reach as many aging adults as possible. 

As a new home service provider, we continue defining our program, adding services and hiring qualified experienced caregivers to ensure we are able to offer our full range of services and reach as many aging adults as possible. 

Addressing Community Needs

In effort to develop a program that addresses the needs in rural communities, specifically rural Burleigh, Morton, and McLean counties, Missouri Slope at Home has developed a survey to help us determine the greatest areas of need. 

If you are 55 years old or older and would like to participate by completing a short survey/assessment to assist us in identifying the areas of need aging adults may be experiencing in their home, click on the survey link below:

The survey results are anonymous. Data will be used for the purpose of strengthening home and community-based services in the areas of: transportation, access to healthy meals, access to healthcare, safe housing and socialization.  Thank you for participating.

Rural Aging Action Network (RAAN)

small town street

The RAAN is a network of partners in Burleigh, Morton and McLean counties, and run by Missouri Slope at Home. Our partners, either play a role or have the ability to impact the lives of aging adults to remain in the home of their choosing.

The RAAN meets monthly and is collaborating to:

  1. Address barriers to senior care
  2. Strengthen caregiver’s capabilities and pipelines
  3. Optimize sustainable solutions in rural communities

If you are an organization, or individual interested in participating in the RAAN, as a partner, follow the link below to complete the partner profile.

Benefits of participation include:

  • Referrals from Missouri Slope at Home and other partners in the RAAN
  • Collaboration and Education form other organizations/businesses
  • Real-time updates from partners
  • Improved customer services
  • Free advertising to people who may not have thought of you as a provider
  • The opportunity to make a difference is the lives of aging adults

There is no fee for membership at this time

Missouri Slope at Home Meal Delivery Program

The goal of Missouri Slope At Home’s Meal Delivery Program is to ensure aging adults have access to healthy, affordable meals.

  • Meals are delivered on Monday Mornings.
  • All meals are made fresh, then directly packaged & sealed in our Missouri Slope kitchen with a variety of meals will be delivered each week.
  • Each meal includes protein, starch, & vegetable. (Casseroles/hotdishes may be inclusive of all three.)
  • 5 per order minimum for delivery.
  • Missouri Slope at Home will deliver within a 30 mile radius of Bismarck-Mandan.
  • Individual meals cost $10. For every 7 meals ordered in one week, receive a $5.00 discount (7 for $65).
  • Payment due at the time of delivery.
  • Cash or check acceptable.
  • Must Be 55 years of age or older.
Submit order by:

If you are new to the meal program, please call:

Only for current clients: Give this to a Missouri Slope at Home staff by the Wednesday prior to delivery on Monday.

Current clients only.

Orders submitted before Wednesday will be delivered Monday of next week. Orders submitted on or after Wednesday will be delivered Monday, the week after next.