Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Smp Health - St Catherine North during CMS and state inspections, most recent first.
Two residents experienced medication administration errors, resulting in a seven percent error rate. A medication aide dispensed an incorrect dose of Meclizine, and a nurse improperly crushed Depakote Sprinkle capsules, contrary to manufacturer instructions.
A resident experienced a significant medication error when a nurse crushed Depakote Sprinkle Capsules, contrary to manufacturer instructions. The capsules were meant to be opened and mixed with soft food, not crushed. This error was confirmed by an administrative staff member, highlighting a failure to follow the facility's medication administration policy.
The facility failed to properly label and store food items in two unit kitchenettes. An undated opened container of thickened juice was found in the Three South kitchenette, contrary to the manufacturer's instructions to use within 10 days of opening. Additionally, ice packs were not stored separately from food items in both the Three South and Three North kitchenettes. Staff acknowledged the expectation for proper storage and labeling practices.
A resident fell out of a Hoyer sling during a transfer due to inadequate supervision and assistance, resulting in injuries and an ER visit. The facility's investigation found that a CNA did not follow proper procedures, such as ensuring the sling was securely hooked and maintaining hands-on support. The resident exhibited signs of injury, including bruising and a hematoma, and experienced a seizure, necessitating further medical evaluation.
Medication Administration Errors
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent during medication administration for two of seven residents observed. Specifically, a medication aide incorrectly administered a dose of Meclizine to a resident with vertigo. The aide dispensed only one 12.5 mg tablet instead of the prescribed 25 mg dose, failing to provide the correct dosage as per the physician's order. This error was identified when the aide was asked to confirm the dosage and realized the mistake upon reviewing the medication administration record and the pill bottle. Another error involved a nurse improperly administering Depakote Sprinkle capsules to a resident. The nurse crushed the delayed-release capsules and mixed them with applesauce, contrary to the manufacturer's instructions, which specify that the capsules should not be crushed. This error was confirmed during an interview with an administrative staff member, who acknowledged that the Depakote Sprinkles should not have been crushed. These errors contributed to a medication error rate of seven percent, exceeding the acceptable threshold.
Significant Medication Error: Improper Administration of Depakote
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically involving the administration of Depakote Sprinkle Capsules. According to the physician's order, the resident was to receive Depakote Sprinkle Capsules, which could be opened and mixed with soft food but should not be crushed. However, during an observation, a staff nurse was seen crushing the Depakote Sprinkle Capsules along with other medications and administering them to the resident mixed in applesauce. This action was contrary to the manufacturer's prescribing instructions, which explicitly state that the capsules should not be crushed. The deficiency was confirmed during an interview with an administrative staff member, who acknowledged that the Depakote Sprinkles should not be crushed. The facility's policy on medication administration, which aligns with professional standards and manufacturer specifications, was not followed in this instance. This failure to adhere to the prescribed method of administration could potentially affect the medication's effectiveness and the resident's overall health.
Improper Food Storage and Labeling in Kitchenettes
Penalty
Summary
The facility failed to adhere to proper food storage and labeling protocols in two of its unit kitchenettes, specifically 3 South and 3 North. During an observation, it was noted that the refrigerator in the Three South kitchenette contained an opened container of thickened juice that was not dated, despite the manufacturer's label indicating it should be used within 10 days of opening. Additionally, the freezer compartment in the same kitchenette had an ice pack that was not separated from food items. Similarly, the Three North kitchenette freezer contained two ice packs that were not stored separately from food items. An administrative staff member acknowledged the expectation for ice packs to be stored in a plastic bag, and another staff member confirmed the undated juice should have been labeled with the date it was opened. These oversights in labeling and storage practices could potentially compromise the safety and quality of food items.
Inadequate Supervision During Mechanical Lift Transfer
Penalty
Summary
The facility failed to ensure adequate supervision and assistance during a transfer using a full-body mechanical lift, resulting in an accident involving a resident. The resident, who required assistance from two staff members for transfers, fell out of the Hoyer sling during a transfer. This incident led to the resident sustaining injuries, including bruising and a hematoma on the back of the head, and necessitated an emergency room visit for further evaluation. The facility's investigation revealed that a certified nurse aide did not follow proper procedures for a safe transfer, such as ensuring the sling was securely hooked to the lift and maintaining hands-on guidance and support for the resident. The resident's medical records indicated that following the fall, the resident exhibited signs of discomfort and injury, including guarding the right hip, grimacing, and a large area of bruising on the head and neck. The resident also experienced a seizure and was sent back to the emergency room for further assessment. The facility's investigation confirmed that the staff member involved did not adhere to the established safe handling and transfer practices, which contributed to the resident's fall and subsequent injuries.
Removal Plan
- Completing an investigation with interviews of staff that determined the cause of the incident.
- Providing immediate staff education to staff via e-mail regarding proper transferring with Hoyer lifts.
- Completing competency validations of safe transfers for all nursing staff.
- Implemented weekly Hoyer transfer audits to ensure staff on all units are performing safe and appropriate transfers using mechanical lifts.
- Implemented weekly care plan audits to ensure Hoyer sling sizes are on each resident care plan.
- All mechanical lifts were inspected to ensure they were working properly.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fargo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bethany On 42nd | 1.5 mi | — | 0 | 0 |
| Bethany On University | 1.6 mi | — | 3 | 0 |
| The Meadows On University | 2.4 mi | — | 2 | 0 |
| Eventide Lutheran Home | 2.6 mi | — | 1 | 0 |
| Smp Health - St Catherine South | 3 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.