Smp Health – St Raphael is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1978-10-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (701) 845-8222 or your local Medicaid office to verify current eligibility.

Smp Health – St Raphael holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (5★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 80.4/100, placing it #3505 of 14703 facilities nationally and #12 of 72 in North Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Smp Health – St Raphael receives a reported average of 4 hours 49 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 38 minutes; Licensed Practical Nurse (LPN) — 39 minutes; Nurse Aide — 3 hours 32 minutes. On weekends, total nurse staffing is 4 hours 16 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 31.9%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 4 fine(s) over the 5-year period, totaling $82,650. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 19.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Smp Health – St Raphael ranks 3505th out of 14,703 facilities (composite score: 80.4/100), placing it in the top 25% nationwide. Within ND, it ranks 12th out of 72 nursing homes. For 2026 staffing: total nurse hours rank #1,544 nationally and RN hours rank #6,123 nationally (#62 in ND). Our composite quality score of 80.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Valley City, visit: https://nursinghomesnearme.org/north_dakota/valley-city/