SMP Health - St Raphael: Staffing, Turnover, and Inspection Record
SMP Health - St Raphael is a 170-bed nonprofit nursing home in Valley City, North Dakota, part of SMP Health. In the CMS August 2026 release it reported 3.41 nurse aide hours per resident per day, 15% above the North Dakota average of 2.97, and 38.5% nursing staff turnover (North Dakota average 48.8%).
SMP Health - St Raphael
979 Central Ave NValley City, ND 58072
Barnes County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At SMP Health - St Raphael, nurse aides logged 3.41 hours per resident per day, 15% above the North Dakota average. With about 159 residents a day, that works out to roughly 541 aide hours a day, or about 68 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | North Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.41 | 2.97 | 2.32 |
| Licensed practical nurses | 0.60 | 0.52 | 0.86 |
| Registered nurses | 0.70 | 0.93 | 0.69 |
| All nursing staff | 4.71 | 4.42 | 3.86 |
| All nursing staff, weekends | 4.20 | 3.80 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.5% of nursing staff at SMP Health - St Raphael left over the year CMS measured, against a North Dakota average of 48.8% and a US average of 45.8%. Registered nurse turnover was 34.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 24, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (North Dakota average 5.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. SMP Health - St Raphael holds 5 of 5 overall; the North Dakota average is 3.2.
About SMP Health - St Raphael
- Ownership: Non profit - Church related
- Chain: SMP Health, 5 homes
- Legal name: Sisters of Mary of the Presentation Long Term Care
- Medicare and Medicaid certified since: Oct 1, 1978
- Councils: resident council
- Area: rural
Nursing homes near SMP Health - St Raphael
The closest homes by distance, with the same CMS figures. Select a column to sort.
| SMP Health - Maryhill Enderlin | 28.1 | 42 | 3.13 | 4.11 | 31.1% | 5 | $10,036 |
| Eventide Jamestown Jamestown | 32.5 | 79 | 3.21 | 4.16 | 52.6% | 3 | None |
| SMP Health - Ave Maria Jamestown · abuse citation | 33.0 | 100 | 3.61 | 4.98 | 37.0% | 3 | $6,788 |
| Griggs County Care Center Cooperstown | 35.4 | 40 | 2.93 | 4.39 | 48.7% | 5 | None |
| Parkside Lutheran Home Lisbon · many days without an RN | 36.9 | 40 | 3.14 | 4.44 | — | 1 | None |
| North Dakota Veterans Home Lisbon | 39.4 | 52 | 3.45 | 5.07 | 32.9% | 5 | $9,620 |
| St Rose Care Center Lamoure | 42.2 | 36 | 2.03 | 3.36 | 82.1% | 3 | None |
| Luther Memorial Home Mayville | 50.9 | 62 | 3.70 | 5.25 | 51.4% | 4 | $5,814 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.