Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
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 Raphael during CMS and state inspections, most recent first.
The facility failed to follow infection control practices, including hand hygiene and enhanced barrier precautions (EBP), for several residents. Staff did not perform hand hygiene after glove removal and failed to wear appropriate PPE during wound care and medication administration for residents requiring EBP. These deficiencies were observed during care activities, potentially increasing the risk of infection spread.
The facility did not follow its grievance process for two residents who reported inappropriate treatment by CNAs during care. One resident experienced disrespectful behavior from a CNA on the night of admission, while another reported a similar incident three weeks earlier. Although the incidents were discussed in management meetings, the facility failed to follow up with the residents to resolve their grievances.
The facility failed to follow professional standards for insulin administration and order transcription. Nurses did not remove the needle cover before priming insulin pens for two residents, contrary to facility policy. Additionally, a medication aide replaced an Interdry dressing for a resident without a documented order in the medical record, as required by policy.
A medication cart was left unlocked and unattended for 55 minutes by a nurse, contrary to facility policy requiring carts to be locked when not in sight. The cart was out of view at the nurses' station with staff and residents present, leading to a deficiency in medication security.
Infection Control Deficiencies in Hand Hygiene and Barrier Precautions
Penalty
Summary
The facility failed to adhere to infection prevention and control standards, specifically in hand hygiene, glove use, and enhanced barrier precautions (EBP) for eight residents. Observations revealed that staff did not perform hand hygiene after removing gloves and gowns, as seen with a CNA who assisted a resident on EBP and failed to sanitize hands after removing protective gear. Similarly, two CNAs did not perform hand hygiene after providing incontinent care to a resident. In wound care, nurses were observed not performing hand hygiene between glove changes, compromising the sterile environment needed for wound dressing changes. Additionally, the facility did not consistently implement EBP for residents with chronic wounds or indwelling medical devices. Nurses were observed not wearing the required gowns during wound care for residents with surgical wounds and pressure ulcers, despite care plans indicating the need for EBP. A nurse also failed to wear appropriate PPE while administering medications through a feeding tube to a resident under EBP. These lapses in infection control practices have the potential to spread infections within the facility.
Failure to Address Resident Grievances
Penalty
Summary
The facility failed to adhere to its grievance process for two residents who reported concerns about staff treatment during care. Resident #133 reported that on the night of admission, after repeatedly using the call light, a CNA responded inappropriately by yelling an explicit comment from the doorway. This incident occurred twice on the same night, leading the resident to avoid further interaction with the CNA by independently using the bathroom. Resident #99 also reported a similar incident three weeks prior, where an unknown CNA yelled disrespectfully from the doorway during the night shift. Both residents confirmed they reported these incidents to the staff. Administrative staff acknowledged that all resident incidents are discussed during management meetings and that these specific incidents were assigned to the unit manager for further review. However, the facility failed to follow up with the residents to resolve their grievances and keep them informed of any progress, resulting in a violation of the residents' rights.
Failure to Follow Insulin Administration and Order Transcription Protocols
Penalty
Summary
The facility failed to adhere to professional standards of practice in the preparation and administration of insulin for two residents. Observations revealed that nurses did not remove the needle cover before priming the insulin pens for both residents, which is a necessary step to ensure accurate dosing. The facility's policy, revised in July 2023, clearly states that insulin pens must be primed by removing the needle cover and ensuring a drop of insulin appears at the needle tip. An administrative staff member confirmed the expectation that staff should remove the needle cover during priming. Additionally, the facility did not accurately transcribe a treatment order for a resident during a dressing change. A medication aide was observed replacing an Interdry antimicrobial dressing without a corresponding order documented in the resident's medical record. The facility's policy requires that standing orders be entered into the Medication Administration Record (MAR) and Treatment Administration Record (TAR) for implementation. An administrative staff member confirmed the absence of the required order and instructions in the resident's record.
Medication Cart Security Lapse
Penalty
Summary
The facility failed to ensure the safe and secure storage of medications in one of the two medication carts observed, specifically the Union Square cart. This deficiency was identified during an observation where a staff nurse left the medication cart unlocked and unattended for 55 minutes. The cart was positioned by the nurses' station, out of the nurse's view, with both staff members and residents present. The facility's policy, revised in 2023, mandates that medication carts must be locked when not within the complete sight of the nurse or medication aide. An administrative nurse confirmed the expectation that staff should lock the medication cart when it is out of eyesight.
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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 Valley City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Smp Health - Maryhill | 28.1 mi | — | 3 | 0 |
| Eventide Jamestown | 32.5 mi | — | 0 | 0 |
| Smp Health - Ave Maria | 33 mi | — | 4 | 0 |
| Griggs County Care Center | 35.4 mi | — | 0 | 0 |
| Parkside Lutheran Home | 36.9 mi | — | 10 | 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.