North Dakota › Barnes County › Valley City
Smp Health - St Raphael
979 Central Ave N, Valley City, ND 58072
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Smp Health - St Raphael, in Valley City, North Dakota, is certified for 170 beds under non-profit, church related ownership and belongs to the Smp Health chain.
CMS gives it 5 of 5 stars overall, above the North Dakota median of 3; the health inspection rating is 4, staffing 5 and quality measures 3.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (2, 4, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 5.3 per 100 beds, fewer than the state median of 27.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.7 hours per resident per day (0.7 RN), close to the North Dakota median of 4.4; nursing staff turnover is 38.5%.
Compared with county, state and nation
| Measure | This facility | Barnes Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 9 | 13 | 28.7 |
| Citations per 100 beds | 5.3 | 5.3 | 27.1 | 26.8 |
| Total nurse hours per resident day | 4.7 | 4.7 | 4.4 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 38.5% | 38.5% | 50.0% | 45.8% |
| Fines listed | $0 | $0 | $9,030 | — |
County and state figures are medians across facilities (1 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Sep 2025, 8 Aug 2024.
Severity mix: G ×1 D ×5 E ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 29 Oct 2025 |
| 24 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Oct 2025 |
| 8 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 12 Sep 2024 |
| 8 Aug 2024 | F0585 | 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. | D | Complaint investigation | 12 Sep 2024 |
| 8 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 12 Sep 2024 |
| 8 Aug 2024 | F0761 | 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. | D | Complaint investigation | 12 Sep 2024 |
| 16 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 8 Mar 2024 |
| 14 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 Oct 2023 |
| 14 Sep 2023 | F0584 | 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. | D | Standard survey | 19 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff 38.5%, RNs 34.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.2% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 4.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.9% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 44.6% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Sisters Of Mary Of The Presentation Long Term Care. Chain: Smp Health (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sisters of Mary of the Presentation Health System | 5% or greater direct ownership interest | 100% | 04/01/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Smp Health - St Raphael been cited for?
9 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Smp Health - St Raphael been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Smp Health - St Raphael compare?
Reported total nurse staffing is 4.7 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.
Who operates Smp Health - St Raphael?
It is part of the Smp Health chain. Ownership type is non-profit, church related. Organisations in the CMS ownership record include Sisters of Mary of the Presentation Health System. Individual owners and managers are not listed on this site.
When was Smp Health - St Raphael last inspected?
The most recent survey or investigation in the CMS record is dated 24 Sep 2025; the most recent standard health survey was 24 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.