4916 North Washington Street, Bismarck, ND 58503


Meet our Leadership Team

Reier Thompson

President & CEO

Reier Thompson has been President and CEO of Missouri Slope since 2013. Reier holds a Bachelor’s degree from the University of Mary, and a Master’s of Business Administration from the University of Mary. Reier is a Licensed Nursing Home Administrator (LNHA) in North Dakota and a Health Services Executive (HSE). He is a member of the American College of Health Care Administrators, North Dakota Long Term Care Association (NDLTCA), Bismarck Kiwanis Club, and the Bismarck/Mandan Young Professionals Network.

Stacy Hokanson

Vice President & CFO

Stacy Hokanson holds a Bachelor’s Degree in Accounting from Upper Iowa University and a Master of Business Administration with an Emphasis in Accounting from Upper Iowa University. She is a Certified Public Accountant licensed in North Dakota. She has worked in the accounting field for over twenty years and began her career with Missouri Slope in 2015 as the Finance Director and became Vice President and CFO in 2022. She is a member of the American Institute of Certified Public Accountants (AICPA).

LeAnn Hokanson

Vice President of Resident Services

LeAnn Hokanson holds a Bachelor’s degree in Nursing and Master’s degree in Nursing Administration from the University of Mary. She worked as a staff RN and then in a leadership role in an acute care hospital on a medical/oncology unit for 15 years prior to beginning her career in long term care at Missouri Slope in 2016. She is board certified in geriatrics and is a member of the National Association of Directors of Nursing Administration (NADONA), including long-term care’s North Dakota chapter.

Larry Giese

Director of Pastoral Care

Pastor Larry Giese has been at Missouri Slope since 2016. He has been an ordained pastor with the American Lutheran Church (ALC) and the Evangelical Lutheran Church in America (ELCA) since 1984. He holds a Master of Divinity from Wartburg Theological Seminary and a Master of Arts from St. Mary’s University. Pastor Larry has a Certificate of Endorsement for Specialized Pastoral Care and Clinical Education and an ELCA Endorsement. He is a member of the ND Chaplain’s Association and the American Association of Marriage and Family Therapy (AAMFT).

Ryan Bailey

Director of Maintenance

Ryan Bailey has been with Missouri Slope since 1979. Ryan is a member of the North Dakota Environmental Services Association (NDESA).

Vicki Butler

Director of Environmental Services

Vicki Butler has been at Missouri Slope since 1982. She started in the Nutritional Services Department before transitioning to the Laundry Department, where she worked until 1994, when she became the Director of Environmental Services. Vicki is a Member of CenDak Safety Association and North Dakota Environmental Services Association.

Jayne Hovland

Director of Nutritional Services

Jayne Hovland has been at Missouri Slope since 1995. Jayne holds a Bachelor’s degree from the University of North Dakota and has more than 35 years of experience working in long-term care, including two years as a state surveyor. Jayne is registered through the Commission on Dietetic Registration (Registered Dietician), and licensed in North Dakota (Licensed Regsitered Dietician).

Mellissa Nordsven

Director of Human Resources

Mellissa Nordsven holds a Bachelor’s degree in Human Resources and Organizational Leadership, and is Professional in Human Resources (PHR) certified. With over 8 years of experience in human resources in a nonprofit healthcare setting, she joined the leadership team at Missouri Slope in 2017. She holds membership in both the Society for Human Resource Management as well as the Central Dakota Human Resource Association.

Kaitlyn Green

Director of Assisted Living

Kaitlyn Green has more than 10 years of experience working in the social work field, primarily in the healthcare and long term care settings. She holds a Bachelor’s of Science in Social Work from the University of North Dakota. Kaitlyn began as a social worker at Missouri Slope in 2012, transitioned to the Director of Social Services in 2013 and to the Director of Assisted Living in 2017.

Catherine Anhalt

Development Officer

Catherine (Cathy) Anhalt joined the Missouri Slope Lutheran Care Center Foundation in 2021. She holds a Bachelor’s degree in Business Administration from Northern State University. She has worked primarily in the nonprofit sector in marketing, development, and administration. She also worked for the American Cancer Society, Medcenter One and St. Gabriel’s Community Foundations, and most recently was employed in Business Development for Sanford Home Care and Hospice.