Enderlin · 28.1 mi
Smp Health - Maryhill
5 of 5 · Medicare
View facility →Smp Health - St Raphael
⌖ Valley City, ND · Barnes County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds170
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (church related)
About Smp Health - St Raphael
Smp Health - St Raphael is a 170-bed nonprofit nursing home in Valley City, ND. Medicare rates it 3 out of 5 stars overall (average); the average in North Dakota is 3.2.
- Inspections: 4 problems at its last full inspection (Sep 2025), fewer than the North Dakota average of 5.6. 1 recent citation was for residents being harmed or put in immediate danger.
- Staffing: nurses and aides spend about 4 hr 43 min a day with each resident, about the same as the North Dakota average of 4 hr 25 min. About 38% of nursing staff left in the past year.
- Fines: no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameSmp Health - St Raphael
LocationBarnes County, North Dakota
Phone(701) 845-8222
Address979 Central Ave N, Valley City, ND 58072 · Barnes County
Medicare provider number355077
Ownership typeNon-profit (church related)
Operating companySMP Health · 5 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 1, 1978 (47 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection4 (Sep 2025)North Dakota average: 5.6.Strength
- Nursing staff turnover38% a yearNorth Dakota average: 49%Strength
About average
- Nurse staffing per resident4 hr 43 min a dayNorth Dakota average: 4 hr 25 minAbout average
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jul 2026 (within the past year). All 1 were later corrected.Ask about this
- Registered nurse time per resident42 min a dayNorth Dakota average: 56 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the North Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital19.4%State average: 19.9%About average
- Needed an emergency room visit12.2%State average: 11.4%About average
- Newly given antipsychotic drugs0.0%State average: 1.5%Better than average
Physical therapist time: about 1 minute a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 2 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury4.4%State average: 5.1%About average
- Pressure sores (bedsores)4.9%State average: 4.9%About average
- Given antipsychotic drugs44.6%State average: 22.7%Worse than average
- Hospital stays per 1,000 resident days1.4State average: 1.5About average
Source: Medicare (CMS) quality measures, compared with the North Dakota average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In North Dakota, Medicaid pays for 52% of resident days at a typical home.
- 76% Medicaid
- 3% Medicare
- 22% Private pay, insurance and other
Beds in use, on average95%North Dakota typical: 95%
Facility operating cost per resident day$394North Dakota typical: $424
Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, down from 4 stars in January 2019. It has ranged from 1 to 5 stars and changed 16 times.
Overall rating3★
Health inspections2★
Staffing5★
Quality of care3★
Nurse hours per resident per day4.7
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 4 | 4 | 4 | 4.4 |
| Jan 2020 | 3 | 2 | 4 | 3 | 4.4 |
| Jan 2021 | 2 | 1 | 4 | 3 | 4.5 |
| Jan 2022 | 3 | 2 | 4 | 2 | 4.5 |
| Jan 2023 | 3 | 3 | 4 | 2 | 4.2 |
| Jan 2024 | 2 | 2 | 4 | 2 | 4.2 |
| Feb 2025 | 4 | 3 | 5 | 3 | 4.8 |
| Feb 2026 | 5 | 4 | 5 | 3 | 4.8 |
| Sep 2026 | 3 | 2 | 5 | 3 | 4.7 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.