facebook tracking SMP Health - St Raphael, Valley City ND: CMS Ratings
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SMP Health - St Raphael

All states › North Dakota › Valley City › SMP Health - St Raphael

979 Central Ave N Valley City, ND 58072 · Barnes County

(701) 845-8222

Cited for abuse Accepts Medicare Accepts Medicaid 170 certified beds Non profit

CMS certification number 355077 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is SMP Health - St Raphael a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for SMP Health - St Raphael as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the North Dakota average of 3.3. Inspectors issued 11 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 4 out of 5. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.64 hours per resident per day at SMP Health - St Raphael, above the North Dakota median of 4.42 (US median: 3.72). About 0.77 of those hours are from registered nurses. On weekends it falls to 4.08 hours, 12% below its all-week average. 35.4% of nursing staff left within a year (North Dakota median 47.6%). That is lower than most homes in North Dakota, a sign of a steadier team.

Nursing care per resident per day 4.64 hours
Above the North Dakota median of 4.42 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.77 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.08 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 35.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 27.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds170
Residents per day 163 About 96% of beds filled, on average
OwnershipNon profit - Church related
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1978
Part of a chainSmp Health
Legal business nameSISTERS OF MARY OF THE PRESENTATION LONG TERM CARE

Paying for care at SMP Health - St Raphael: Medicare and Medicaid

SMP Health - St Raphael is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 24, 2025 and found 0 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 11 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 11 citations at SMP Health - St Raphael across 5 inspection dates, 9 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on July 9, 2026. The most common areas cited were infection control (3) and freedom from abuse, neglect, and exploitation (2). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, July 9, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.

July 9, 2026 · 2 citations · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jul 27, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jul 27, 2026)

September 24, 2025 · 2 citations · includes complaint inspection

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Oct 29, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Oct 29, 2025)

August 8, 2024 · 4 citations · includes complaint inspection

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2024)

DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2024)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2024)

February 16, 2024 · 1 citation, includes actual harm · includes complaint inspection

GProvide safe, appropriate pain management for a resident who requires such services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Mar 8, 2024)

September 14, 2023 · 2 citations

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 19, 2023)

DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Oct 19, 2023)

Questions to ask on a tour of SMP Health - St Raphael

  1. Inspectors cited the home at the actual-harm level on July 9, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on July 9, 2026. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 5/5 4/5
August 2026 5/5 4/5 5/5 3/5
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Location

Hospitals near SMP Health - St Raphael

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.5 mi
    CHI Mercy Health Valley City
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 1h 40m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

SMP Health - Maryhill Enderlin · 28.1 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 42 beds · Medicaid
Eventide Jamestown Jamestown · 32.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 79 beds · Medicaid
SMP Health - Ave Maria Jamestown · 33.0 mi away ★★★☆☆ Inspection 2/5 · Staffing 5/5 100 beds · Medicaid
Griggs County Care Center Cooperstown · 35.4 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 40 beds · Medicaid
Parkside Lutheran Home Lisbon · 36.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 40 beds · Medicaid

More nursing homes near SMP Health - St Raphael ›   All nursing homes in Valley City ›

Compare SMP Health - St Raphael with the 3 closest homes side by side ›

Other Smp Health nursing homes in North Dakota

Affiliation comes from CMS's affiliated-entity data, October 2026. All 5 Smp Health nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-dakota/valley-city/smp-health-st-raphael/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.