SMP Health - Maryhill
110 Hillcrest Dr, Enderlin, ND 58027 · Ransom County · 42 certified beds · avg 41 residents/day · certified since Sep 1, 1991
Part of chain: SMP HEALTH (5 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 5, 2023 · F-0726
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 3, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 12, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 3, 2024 | E · Potential for harm, repeated | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint |
| Oct 5, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 5, 2023 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 1 | J ▲ |
| 2024 | 2 | 0 | E |
| 2025 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,036.
| Date | Type | Amount / length |
|---|---|---|
| Oct 5, 2023 | Fine | $10,036 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.22 | 5.15 | 3.95 | top 46% in North Dakota; top 10% in the U.S. |
| Registered Nurse hours | 0.94 | 1.09 | 0.69 | bottom 34% in North Dakota; top 19% in the U.S. |
| Weekend total nurse staffing | 4.29 | 4.43 | 3.50 | bottom 40% in North Dakota; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.59 | 0.48 | bottom 24% in North Dakota; top 43% in the U.S. |
| Total nursing staff turnover (%) | 31.1 | 48.8 | 45.8 | top 6% in North Dakota; top 16% in the U.S. |
| RN turnover (%) | 0.0 | 40.3 | 42.9 | top 1% in North Dakota; top 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.11, RN 0.74, weekend 3.37. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alton, Aaron | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2002 |
| Alton, Aaron | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2002 |
| Carson, Paul | Individual | Corporate Director | NOT APPLICABLE | 12/01/2020 |
| Hansen, Becky | Individual | Corporate Director | NOT APPLICABLE | 07/01/2021 |
| Hansen, Becky | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2020 |
| Houle, Sharon | Individual | Corporate Director | NOT APPLICABLE | 02/06/2020 |
| Montecuollo, David | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Redlin, Frank | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Schmitz, Lynette | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
| Sisters of Mary of the Presentation Long Term Care | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2002 |
| Walz, Bailyn | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/01/2021 |
| Walz, Bailyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you tell me about this citation and confirm your license and compliance status today?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Parkside Lutheran Home | 13.4 mi | Lisbon, ND | ★☆☆☆☆ | 2/5 | |
| North Dakota Veterans Home | 14.9 mi | Lisbon, ND | ★★★★★ | 5/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355108.