SMP Health - Maryhill (Enderlin, ND) has a 5 out of 5 star overall rating, with 5-star health inspection and staffing ratings, but a 2-star quality measures rating. It reported 4.11 nurse staffing hours per resident per day, just above the federal benchmark of 4.1, and had $0 in fines in the last 24 months.
Last inspection: November 21, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1085.
Staffing detail
Registered nurses
0.74
Licensed practical nurses
0.24
Nurse aides
3.13
Weekend nursing
3.37
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 0%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
27.3%33.3%Worsening
Residents with a fall causing major injury
13.9%7.1%Improving
Residents with pressure ulcers (bedsores)
4.9%2.7%Improving
Residents with a urinary tract infection
11.4%0%Improving
Residents who lost too much weight
17.2%3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.4%3.1%Improving
Residents whose ability to walk got worse
10.5%16.5%Worsening
Long-stay residents on antianxiety or sleep medication
33.3%14.7%Improving
Residents with a long-term catheter
5.2%0%Improving
Residents with new or worsening incontinence
21.9%30.7%Worsening
Residents with depressive symptoms
5.7%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure it was properly licensed and following all required laws, rules, and professional standards. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 836 — 42 CFR §483.70(a) — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $10,036 in total fines.
Federal fine
Oct 5, 2023
$10,036
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of SMP HEALTH · 5 homes · 4.2 stars avg
Occupancy
41 residents on an average day (98% of 42 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.