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SMP Health - St Raphael
979 Central Ave N, Valley City, ND 58072 (opens Google Maps) · Barnes County · (701) 845-8222· 170 certified beds · avg 159 residents/day · certified since Oct 1, 1978 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: SMP HEALTH (5 facilities, chain avg rating 4.2★)
4/5
Health inspection rating (on-site)
inspected Sep 24, 2025
1
Serious findings on record
most recent Feb 16, 2024
$0
Fines, last 3 years
6.02
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Mar 8, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
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 F-0812
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 F-0880
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 F-0880
View all 9 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 24, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0812 |
| Sep 24, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Aug 8, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Aug 8, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0585 |
| Aug 8, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0658 |
| Aug 8, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0761 |
| Feb 16, 2024 | ▲ G · Actual harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Sep 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Sep 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 1
2025
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNorth Dakota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 6.02
North Dakota average: 5.15
U.S. average: 3.95
Registered Nurse hours
This facility: 0.90
North Dakota average: 1.09
U.S. average: 0.69
Weekend total nurse staffing
This facility: 5.37
North Dakota average: 4.43
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.71 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for SMP Health - St Raphael. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 12 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain SMP Health — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- SMP Health - Maryhill — Enderlin, ND · overall 5/5
- SMP Health - Ave Maria — Jamestown, ND · overall 3/5abuse
- SMP Health - St Catherine North — Fargo, ND · overall 4/5
- SMP Health - St Catherine South — Fargo, ND · overall 4/5
Listed by state, then facility name — not a ranking.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 355077.