Nursing home · Top rated by CMS
Smp Health - St Raphael
979 Central Ave N, Valley City, ND 58072 · Map
Non profit - Church related · Part of Smp Health (5 facilities) · 170 certified beds
Smp Health - St Raphael is a Medicare-certified nursing home in Valley City, North Dakota. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.82 hours per resident per day, above the North Dakota average of 4.41. Its most recent inspection on Sep 24, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Smp Health - St Raphael compares
This facility vs. the North Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.82 | 4.41 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.63 | 0.93 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.54 | 2.99 | 2.34 | above avg |
| Nursing staff turnover | 31.9% | 49.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 5.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Smp Health - St Raphael
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 24, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 24, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 8, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Aug 8, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Aug 8, 2024 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · Aug 8, 2024 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Feb 16, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 14, 2023 - Potential for harm
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.
Resident Rights Deficiencies · Sep 14, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 979 Central Ave N
Valley City, ND 58072 - CMS certification #
- 355077
- Ownership
- Non profit - Church related
- Certified beds
- 170
- Avg residents/day
- 158.1
- Provider type
- Medicare and Medicaid
- First certified
- 1978-10-01
- Chain
- Smp Health (5 facilities)
- Setting
- Rural
Part of Smp Health
Smp Health operates 5 nursing facilities across the United States. View all Smp Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Smp Health - St Raphael using Google Maps.
Other public records
Full public records, with dates and sources
Care and services
From the community’s website
What Smp Health - St Raphael says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: cottage or villa.
The Circle of Life Cottage is a 18 bed unit created to provide quality care in a home-like environment to those with dementia or Alzheimers.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Chi Mercy Health, Valley City. 0.5 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- SMP Health - Maryhill, Enderlin. 28.1 miles away, straight line.
- Nearest home health agency office
- City County Health District, Valley City. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Thrifty White. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 58072 as small town (small town core).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 58072.
Chi Health At Home - Hospice, office in Valley City, 0.6 miles away, straight line - Nearest geriatric medicine practice
- Chess Medicine PLLC, Fargo. 53.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Smp Health - St Raphael a good nursing home?
CMS gives Smp Health - St Raphael an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Smp Health - St Raphael staffed?
Smp Health - St Raphael reports 4.82 total nurse hours per resident per day, compared with the North Dakota average of 4.41.
Has Smp Health - St Raphael had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Smp Health - St Raphael have?
Smp Health - St Raphael is certified for 170 beds.