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CMS Nursing Home Compare · March 2026

Smp Health - St Raphael

979 Central Ave N, Valley City, ND 58072

Smp Health - St Raphael, a 170-bed non profit - church related nursing facility in Valley City, 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: 7018458222

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5 / 5
Much above average · CMS overall · nat'l 3.0
4.82
Well above average · nurse hrs/day · nat'l 3.89
9
Inspection findings · 1 serious
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
355077
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
Beds
170
Residents
158
In Hospital
No
County
Barnes
Last Inspection
Sep 24, 2025

Staffing Data

How the 4.82 total nursing hours per resident-day are staffed:

RN Hours
0.63 (nat'l avg: 0.68)
LPN Hours
0.66
CNA Hours
3.54
Total Nursing Hours
4.82 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
31.9%
RN Turnover
18.5%

What the CMS Record Reveals About Smp Health - St Raphael

Smp Health - St Raphael operates 170 certified beds in Valley City, ND with approximately 158 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 (4★), staffing levels (5★), and quality measures (3★). 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 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 4.82 total nursing hours per resident day (national average 3.89), with RN coverage at 0.63 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Smp Health - St Raphael 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 31.9%, 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 (9 most recent)

D - Isolated - Minimal harm Sep 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 29, 2025

E - Pattern - Minimal harm Sep 24, 2025 Tag: 0812

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 29, 2025

E - Pattern - Minimal harm Aug 8, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 12, 2024

D - Isolated - Minimal harm Aug 8, 2024 Tag: 0761

Ensure 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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 12, 2024

D - Isolated - Minimal harm Aug 8, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 12, 2024

D - Isolated - Minimal harm Aug 8, 2024 Tag: 0585

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Sep 12, 2024

G - Isolated - Actual harm Feb 16, 2024 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 8, 2024

E - Pattern - Minimal harm Sep 14, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 19, 2023

D - Isolated - Minimal harm Sep 14, 2023 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Oct 19, 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 14.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 45.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.9% 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 26.0% 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 20.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.1% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Smp Health - St Raphael?
Smp Health - St Raphael has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (3★).
What are the staffing levels at Smp Health - St Raphael?
Smp Health - St Raphael reports 4.82 total nursing hours per resident day (national average: 3.89). RN hours are 0.63 per resident day (national average: 0.68). Nursing staff turnover is 31.9%.
How many beds does Smp Health - St Raphael have?
Smp Health - St Raphael has 170 certified beds with approximately 158 residents. The facility is located at 979 Central Ave N, Valley City, ND 58072.
Does Smp Health - St Raphael have any deficiencies on record?
Yes, Smp Health - St Raphael has 9 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Smp Health - St Raphael received any fines or penalties?
No, Smp Health - St Raphael has no fines or penalties on record.
Who owns Smp Health - St Raphael?
Smp Health - St Raphael is classified as "Non profit - Church related" ownership. The facility type is "Medicare and Medicaid".
When was Smp Health - St Raphael last inspected?
The most recent health inspection for Smp Health - St Raphael was on Sep 24, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Smp Health - St Raphael?
Smp Health - St Raphael is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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