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A
Very Good

SMP HEALTH - MARYHILL

110 HILLCREST DR · ENDERLIN, ND 58027

7014373544 · Non profit - Corporation

42 beds41.7 residents71 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SMP HEALTH - MARYHILL receives an overall staffing grade of A (Very Good). With 4.217 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.32 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.61% compared to weekdays. The facility relies heavily on temporary agency staff (31.11% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️31.11% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.217hrs/resident/day▲ 0.32
CMS benchmark: 3.48
RN HPRD
0.7799hrs/resident/day▲ 0.10
Recommended: 0.75
Weekend Drop-off
20.61%
4.4778 weekday → 3.5549 weekend
⚠ Significant weekend reduction
Agency Staff
31.11%
24.66% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2417hrs/resident/day
Direct care aides
LPN HPRD
0.1782hrs/resident/day
Licensed practical nurses
Consistency
0.4872std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Ransom County Average-0.16 HPRD
4.38
04.22 HPRD
vs. North Dakota State Average-0.21 HPRD
4.43
04.22 HPRD
vs. National Average+0.32 HPRD
3.90
04.22 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SMP HEALTH - MARYHILL ★
ENDERLIN · This facility
—
A
4.2170.7799★★★★★
PARKSIDE LUTHERAN HOME
LISBON
13.4 mi
B
4.14710.5568★★★☆☆
NORTH DAKOTA VETERANS HOME
LISBON
14.9 mi
A
4.77361.0778★★★★☆
SMP HEALTH - ST RAPHAEL
VALLEY CITY
28.1 mi
B
4.82310.6293★★★★★
FOUR SEASONS HEALTH CARE INC
FORMAN
36.3 mi
B
3.8890.7842★☆☆☆☆
SHEYENNE CROSSINGS CARE CENTER/TCU
WEST FARGO
37.2 mi
B
4.57850.6117★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
14
Total Deficiencies
$10,036
Fines Assessed
Nov 21, 2025Health
2 deficiencies cited
▼
Sep 12, 2024Health
1 deficiency cited
▼
Apr 3, 2024Health
1 deficiency cited
▼
Oct 5, 2023Health
10 deficiencies cited· Includes actual harm
▼

Penalty History

Oct 5, 2023Fine
$10,036
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.