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B
Good

SMP HEALTH - ST RAPHAEL

979 CENTRAL AVE N · VALLEY CITY, ND 58072

7018458222 · Non profit - Church related

170 beds158.1 residents221 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
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 - ST RAPHAEL receives an overall staffing grade of B (Good). With 4.8231 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6293 HPRD, below the recommended 0.75. It is 0.93 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 15.39% compared to weekdays. The facility relies heavily on temporary agency staff (23.23% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.6293 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️23.23% 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 (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.8231hrs/resident/day▲ 0.93
CMS benchmark: 3.48
RN HPRD
0.6293hrs/resident/day▼ 0.05
Recommended: 0.75
Weekend Drop-off
15.39%
5.0424 weekday → 4.2663 weekend
Agency Staff
23.23%
6.79% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.1819hrs/resident/day
Direct care aides
LPN HPRD
0.6563hrs/resident/day
Licensed practical nurses
Consistency
0.433std 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. Barnes County Average+0.00 HPRD
4.82
04.82 HPRD
vs. North Dakota State Average+0.40 HPRD
4.43
04.82 HPRD
vs. National Average+0.93 HPRD
3.90
04.82 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 - ST RAPHAEL ★
VALLEY CITY · This facility
—
B
4.82310.6293★★★★★
SMP HEALTH - MARYHILL
ENDERLIN
28 mi
A
4.2170.7799★★★★★
EVENTIDE JAMESTOWN
JAMESTOWN
32.5 mi
B
4.29390.6027★★★☆☆
SMP HEALTH - AVE MARIA
JAMESTOWN
33 mi
A
5.42760.9918★★★★★
GRIGGS COUNTY CARE CENTER
COOPERSTOWN
35.4 mi
B
4.03130.7451★★★★☆
PARKSIDE LUTHERAN HOME
LISBON
36.8 mi
B
4.14710.5568★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
9
Total Deficiencies
$0
Fines Assessed
Sep 24, 2025Health
2 deficiencies cited
▼
Aug 8, 2024Health
4 deficiencies cited
▼
Feb 16, 2024Health
1 deficiency cited· Includes actual harm
▼
Sep 14, 2023Health
2 deficiencies cited
▼
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.