SMP Health - St Raphael
979 Central Ave N, Valley City, ND 58072 · Barnes County · 170 certified beds · avg 159 residents/day · certified since Oct 1, 1978
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: ★★★★☆4/5 · 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)
▲ Actual harm, one-off · Feb 16, 2024 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 8, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (9)
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 |
|---|---|---|
| Sep 24, 2025 | 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. · from a complaint |
| Sep 24, 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. · from a complaint |
| Aug 8, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Aug 8, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Aug 8, 2024 | 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. · from a complaint |
| Aug 8, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Feb 16, 2024 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Sep 14, 2023 | E · Potential for harm, repeated | 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 14, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 5 | 1 | G ▲ |
| 2025 | 2 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 6.02 | 5.15 | 3.95 | top 13% in North Dakota; top 4% in the U.S. |
| Registered Nurse hours | 0.90 | 1.09 | 0.69 | bottom 29% in North Dakota; top 21% in the U.S. |
| Weekend total nurse staffing | 5.37 | 4.43 | 3.50 | top 10% in North Dakota; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.59 | 0.48 | bottom 9% in North Dakota; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 38.5 | 48.8 | 45.8 | top 26% in North Dakota; top 32% in the U.S. |
| RN turnover (%) | 34.8 | 40.3 | 42.9 | top 45% in North Dakota; top 38% 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 4.71, RN 0.70, weekend 4.20. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Sisters of Mary of the Presentation Health System | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2016 |
| Ahrndt, Matthew | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/01/2021 |
| Ahrndt, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
| 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 | 07/01/2017 |
| Redlin, Frank | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Schmitz, Lynette | Individual | Corporate Director | NOT APPLICABLE | 07/01/2015 |
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 assess and manage residents' pain, especially for those who have trouble communicating?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| SMP Health - Maryhill | 28.1 mi | Enderlin, ND | ★★★★★ | 5/5 | |
| Eventide Jamestown | 32.5 mi | Jamestown, ND | ★★★☆☆ | 3/5 | |
| SMP Health - Ave Maria | 33.0 mi | Jamestown, ND | ★★★☆☆ | 2/5 | abuse |
| Griggs County Care Center | 35.4 mi | Cooperstown, ND | ★★★★★ | 4/5 | |
| Parkside Lutheran Home | 36.9 mi | Lisbon, ND | ★☆☆☆☆ | 2/5 | |
| North Dakota Veterans Home | 39.4 mi | Lisbon, ND | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
All facilities in Valley City →
Facility data as of CMS processing date 2026-08-01. CCN 355077.