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Nursing HomeMedicaid Top Rated

Smp Health - St Raphael

Strong Medicare quality ratings; families often praise compassionate end-of-life care. Still worth an in-person visit.

979 Central Ave N, Valley City, ND 58072170 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 34 Google reviews

5
4
3
2
1
Smp Health - St Raphael Nursing Home in Valley City, ND — Street View
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What this means for your family

While some families report excellent end-of-life care and a welcoming atmosphere, recent reports of hygiene issues and staffing shortages are concerning. We strongly recommend scheduling a tour to specifically inspect the cleanliness of the rooms and asking management directly about their current staffing ratios and pest control protocols.

Google Reviews

Google Reviews

34 reviews analyzed
SMP Health - St. Raphael receives polarized feedback, with some families praising the compassionate end-of-life care and friendly staff, while others report serious concerns regarding facility maintenance and management responsiveness. While some visitors describe the environment as clean and welcoming, recent negative reports regarding hygiene issues and staffing challenges suggest a decline in consistency. Families should carefully weigh the positive experiences of long-term care against the specific complaints regarding administrative inflexibility and facility cleanliness.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean4.0Activities8.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate end-of-life care
  • Friendly and helpful nursing staff
  • Clean and attractive facility environment
  • Welcoming admission process

Concerns

  • Understaffing leading to long wait times (mentioned by 2 reviewers)
  • Management/Administrator inflexibility (mentioned by 2 reviewers)
  • Hygiene and pest control issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(6)'19(12)'21(1)'23(1)'25(1)

Distribution

5
16
4
10
3
2
2
2
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's size of 170 residents, how do you ensure that staff members remain responsive to individual call lights during peak hours?
  • 2Could you walk us through your current protocols for facility-wide cleanliness and pest management to ensure a comfortable living environment for residents?
  • 3With the recent focus on improving communication, what is the best way for family members to stay updated on their loved one's daily care and any changes in their health status?
  • 4How does the administrative team approach requests for flexibility in care plans or scheduling to ensure they meet the unique needs of each family?
  • 5Can you describe the variety of social activities available for residents, and how you encourage participation for those who might be more reserved?
  • 6In the event of a sudden medical change, what is your process for notifying family members and coordinating with the resident's primary physician?

Personalized based on this facility's data


Key Review Excerpts

Mom was treated so much better than the assisted living place She suffered in in Moorhead . Admission person was awesome nice and very welcoming. The head nurse on her floor , third was awesome.

Long-term resident's family · 2025★★★★

Thanks for taking great care of Edna in her final days.

Long-term resident's family · 2019★★★★★

The lack of staff members (cna's, nurses, etc) make for sometimes long wait times when the call light is put on or residents sitting at the dining tables for an ext

Family member · 2017★★☆☆☆
Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
84%
Registered nurses for medical care
Total Nursing
4.82hrs
OK
All nurses + aides combined
Staff Turnover
32%
Lower is better (< 30% = good)
RN Turnover
19%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility43.8%
Worse than Avg
Here
43.8%
US
15.4%
ND
22.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
12.1%
ND
4.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility26.2%
Worse than Avg
Here
26.2%
US
19.5%
ND
17.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
15.3%
ND
18.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
ND
98.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
14.4%
ND
20.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
81.8%
ND
93.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.1%
Better than Avg
Here
92.1%
US
79.7%
ND
88.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
ND
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (5.4)
7 complaint-triggered

Families have filed multiple complaints triggering most deficiencies at this facility, with infection control being the most persistent problem across three separate surveys. Other recurring issues include resident rights violations, pain management failures, medication labeling problems, and food safety concerns. While all deficiencies show correction dates, the pattern of repeated infection control violations and high volume of complaint-driven citations suggests ongoing quality concerns that families should carefully consider.

Sep 24, 2025Complaint
2
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 8, 2024Complaint
4
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0585MinorCorrected

Resident Rights Deficiencies

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.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

Feb 16, 2024Complaint
1
0697ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Sep 14, 2023Routine
2
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0584MinorCorrected

Resident Rights Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Smp Health - St Raphael

Organization Type

nonprofit

Chain Affiliation

Chain Name

Smp Health

Chain Size

5 facilities nationwide

Chain avg rating: 4.8/5 · Rank 1 of 5 (Best)

Ownership & Management

Owners

Sisters of Mary of the Presentation Health System

Owner · Organization

100%

Key personnel

Ahrndt, MatthewW-2 Managing EmployeeCarson, PaulOfficer / DirectorHansen, BeckyOfficer / DirectorHoule, SharonOfficer / DirectorMontecuollo, DavidOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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