The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
SMP HEALTH - ST RAPHAEL
VALLEY CITY, ND · Medicare-certified · 170 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall
SMP HEALTH - ST RAPHAEL has an overall 5-star rating, with strong staffing (5 stars) and reported nurse staffing above the federal benchmark (4.71 vs. 4.1 hours per resident per day). Its health inspection rating is 4 stars, quality measures are 3 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.7106 hrs/resident/day
Quality measures
Last inspection: September 24, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7106.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 0.60
- Nurse aides
- 3.41
- Weekend nursing
- 4.20
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 35%
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).
Long-stay residents on antipsychotic medication
41.7%47.5%Worsening
Residents with a fall causing major injury
5.2%2%Improving
Residents with pressure ulcers (bedsores)
7.4%5.6%Improving
Residents with a urinary tract infection
6%1.3%Improving
Residents who lost too much weight
5.6%4.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.4%15%Improving
Residents whose ability to walk got worse
11.9%13%Worsening
Long-stay residents on antianxiety or sleep medication
27.1%23.9%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.1%25.4%Worsening
Residents with depressive symptoms
1.4%1.4%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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 seasonal flu vaccine
—92.1%—
Short-stay residents given the pneumonia vaccine
98%100%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
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 August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — 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 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Chain
- Part of SMP HEALTH · 5 homes · 4.2 stars avg
- Occupancy
- 158.6 residents on an average day (93% of 170 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.