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Skilled nursing facility · CMS certified · CCN 355077

Smp Health - St Raphael

979 Central Ave N, Valley City, ND 58072 · Barnes County · one of 72 skilled nursing facilities in North Dakota
Its Medicare cost report, line by line ↓
170
certified beds
3 / 5
overall CMS rating
Nonprofit
ownership type
93.3%
occupancy, Oct 2026: 159 residents a day · North Dakota 91.8%
1.11
case mix, 0.79x the national average
4.71
nurse hours per resident day · North Dakota 4.42
What if · this building’s own numbers
Medicare cost report, FY2025, and the state rate file

Every slider starts where this building’s FY2025 Medicare cost report left it. Drag occupancy, the Medicaid rate or the costs, and see what the change does to revenue, cost and operating income.

00.0%
00%
$000
$000
$000
0.00
From this change, a year
+$000,000
profit from patient care, before rent, loan interest and depreciation
Where that leaves the building, a year
Patient revenue
$00,000,000
Cost to run it
$00,000,000
Profit from patient care (EBITDAR)
$0,000,000 to $0,000,000

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How Smp Health - St Raphael compares

Barnes County has 0 other certified buildings, too few to compare, so this is against North Dakota. 72 buildings.

Better than most of North Dakota on 2 of 8 lines.

Occupancy, Oct 202693.3%Behind mostHigher than 28 of the 70 other buildings in North Dakota

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 94.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.71Better than mostHigher than 45 of the 69 other buildings in North Dakota

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 4.34. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Mid-packHigher than 25 of the 70 other buildings in North Dakota, level with 11

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 12 of the 70 other buildings in North Dakota, level with 21

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Mid-packHigher than 31 of the 70 other buildings in North Dakota, level with 39

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 5 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Better than mostHigher than 50 of the 70 other buildings in North Dakota, level with 14

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.77Behind mostHigher than 20 of the 71 other buildings in North Dakota

Registered nurse hours for each resident, each day. The middle of the set: 0.88. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited9Behind mostFewer than 24 of the 71 other buildings in North Dakota, the same as 7

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against North Dakota
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Smp Health - St Raphael
Google Street View · opens in Maps
Street View
979 Central Ave N, Valley City, ND
Map around Smp Health - St Raphael
Map · Barnes County
Barnes County, North Dakota
1 skilled nursing facility; average overall rating 3.0, North Dakota 3.3.
See how Barnes County compares ›
Cost report, against North Dakota
Each line is what this building filed with Medicare for its latest full year, beside the middle building in North Dakota. The rank counts from the top: 1st is the highest figure among North Dakota's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2025 (the year ending 2025-09-30), against the middle North Dakota building.

Line
This building
Rank in state
North Dakota median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
94.3%
50
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
5.3%
51
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
54.7%
49
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$432
51
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$440
51
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$13
51
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
2.6%
51

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating3 / 5 · state 3.3
Health inspection2 / 5 · state 2.8
Staffing5 / 5 · state 4.3
RN hours per resident per day0.77 · state 0.93
Overall rating, last 8 quarters
053Q3’244Q4’244Q1’254Q2’254Q3’254Q4’255Q1’265Q2’26latest
up 2 stars over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingNorth Dakotanationrecent quarters
Needed more help with daily activities14.2%better than state19.9%13.5%2025Q2: 16.4%2025Q3: 12.4%2025Q4: 12.9%2026Q1: 15.0%2026Q2: 16.4%
16.4% → 16.4%
Q2’25 to Q2’26
Catheter inserted and left in0.0%better than state1.4%0.7%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection1.8%better than state2.5%1.5%2025Q2: 6.0%2025Q3: 2.6%2025Q4: 1.4%2026Q1: 1.3%2026Q2: 2.0%
6.0% → 2.0%
Q2’25 to Q2’26
Fall with major injury4.2%better than state5.1%3.2%2025Q2: 5.2%2025Q3: 6.4%2025Q4: 4.0%2026Q1: 2.0%2026Q2: 4.5%
5.2% → 4.5%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)1.2%better than state1.7%1.5%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 3.7%
0.0% → 3.7%
Q4’25 to Q2’26
Ability to walk independently worsened10.2%better than state16.3%12.7%2025Q2: 11.9%2025Q3: 10.0%2025Q4: 8.3%2026Q1: 13.0%2026Q2: 9.4%
11.9% → 9.4%
Q2’25 to Q2’26
Pressure ulcers3.9%better than state4.7%4.5%2025Q2: 7.4%2025Q3: 4.8%2025Q4: 1.8%2026Q1: 5.6%2026Q2: 3.3%
7.4% → 3.3%
Q2’25 to Q2’26
Given an antipsychotic44.9%worse than state22.8%15.4%2025Q2: 41.7%2025Q3: 42.3%2025Q4: 46.9%2026Q1: 47.5%2026Q2: 43.3%
41.7% → 43.3%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Sep 2025
last standard survey
9
deficiencies cited · North Dakota avg 9.3
$0
fines, last 3 years
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in North Dakota
state rate files
$401
median daily rate across the North Dakota buildings in our rate book, Jan 2026 file
North Dakota rates and what changed ›
Barnes County
buildingbedsoverallSmp Health - St Raphael1703 / 5
All North Dakota buildings in Barnes County ›
North Dakota at a glance
72
buildings
4,909
licensed beds
93%
occupancy
6%
for-profit
North Dakota market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancySmp Health - MaryhillEnderlin · 28.1 mi425 / 5over 85%Eventide JamestownJamestown · 32.5 mi792 / 5over 85%Smp Health - Ave MariaJamestown · 33.0 mi1003 / 5over 85%Griggs County Care CenterCooperstown · 35.4 mi405 / 5over 85%Parkside Lutheran HomeLisbon · 36.9 mi402 / 570-85%North Dakota Veterans HomeLisbon · 39.4 mi525 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Smp Health - St Raphael?
Smp Health - St Raphael in Valley City, ND carries an overall CMS rating of 3 out of 5 stars in the Oct 2026 CMS file.
How many beds does Smp Health - St Raphael have?
Smp Health - St Raphael is certified for 170 beds in the Oct 2026 CMS file.
How full is Smp Health - St Raphael?
CMS's reported average residents put Smp Health - St Raphael's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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