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
5 of 5 overall
SMP Health - St Raphael has a 5 out of 5 star overall rating, with strong staffing (5 stars) and nurse staffing above the federal benchmark (4.72 vs. 4.1 hours per resident per day). It had no fines in the last 24 months, though its quality measures were 3 stars and recent inspection citations included pain management, food safety, and infection prevention and control.
Facility ratings
Health inspections
Staffing
4.7168 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 4.7168.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.62
- Nurse aides
- 3.43
- Weekend nursing
- 4.24
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 31%
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
44.3%46.9%Worsening
Residents with a fall causing major injury
4.8%4%Improving
Residents with pressure ulcers (bedsores)
6.3%1.8%Improving
Residents with a urinary tract infection
6.4%1.4%Improving
Residents who lost too much weight
3.8%6.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.8%12.9%Improving
Residents whose ability to walk got worse
10.3%8.3%Improving
Long-stay residents on antianxiety or sleep medication
27.9%25.5%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
25.9%18.7%Improving
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
98.4%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 · 4.4 stars avg
- Occupancy
- 158.1 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.