Smp Health - Maryhill
110 Hillcrest Dr, Enderlin, ND 58027
Smp Health - Maryhill, a 42-bed non profit - corporation nursing facility in Enderlin, ND, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7014373544
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- 4.22
- Above average · nurse hrs/day · nat'l 3.89
- 14
- Inspection findings · 1 serious
- $10K
- Federal penalties (1)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 355108
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 42
- Residents
- 42
- In Hospital
- No
- County
- Ransom
- Last Inspection
- Nov 21, 2025
Staffing Data
How the 4.22 total nursing hours per resident-day are staffed:
- RN Hours
- 0.78 (nat'l avg: 0.68)
- LPN Hours
- 0.18
- CNA Hours
- 3.26
- Total Nursing Hours
- 4.22 (nat'l avg: 3.89)
- PT Hours
- 0.03
- Nursing Turnover
- 41.2%
- RN Turnover
- 25.0%
What the CMS Record Reveals About Smp Health - Maryhill
Smp Health - Maryhill operates 42 certified beds in Enderlin, ND with approximately 42 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (5★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 14 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $10K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.22 total nursing hours per resident day (national average 3.89), with RN coverage at 0.78 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Smp Health - Maryhill falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 41.2%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (14 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Oct 7, 2024
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Category: Administration Deficiencies
Corrected: Mar 21, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 8, 2023
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Nov 3, 2023
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category: Nursing and Physician Services Deficiencies
Corrected: Nov 3, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 3, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 3, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 8, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 3, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 3, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Nov 3, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Nov 3, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.8% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.5% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 10.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 11.7% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 26.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 21.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 1 penalties totaling $10K
| Date | Type | Amount |
|---|---|---|
| Oct 5, 2023 | Fine | $10K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Smp Health - Maryhill?
What are the staffing levels at Smp Health - Maryhill?
How many beds does Smp Health - Maryhill have?
Does Smp Health - Maryhill have any deficiencies on record?
Has Smp Health - Maryhill received any fines or penalties?
Who owns Smp Health - Maryhill?
When was Smp Health - Maryhill last inspected?
What quality measures are tracked for Smp Health - Maryhill?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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