Home / North Dakota / Jamestown
Smp Health - Ave Maria
501 19th St. Ne, Jamestown, ND 58401 · Stutsman County · (701) 252-5660
100 certified beds, about 97 residents a day · Non profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355082 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 11, 2025, inspectors cited 4 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 11 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $13,978 in the last three years; the largest was $7,190, and the latest is dated May 20, 2026.
Nurses and nurse aides worked 4.98 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.
37.0% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
CMS links it to Smp Health, an affiliated group of 5 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
May 20, 2026Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review, review of facility policy, review of the facility reported incident (FRI), and resident/staff interview, the facility failed to protect 2 of 2 sampled resident's (Resident #6 and #7) right to be free from physical abuse from each other. Failure to ensure residents remained free from physical abuse resulted in a physical altercation involving hair pulling, hitting, and biting which necessitated bloodborne pathogen testing.
December 11, 2025Standard inspection · 4 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review, review of facility policy, and staff interviews, the facility failed to ensure 1 of 1 supplemental resident (Resident #35) was free from resident-to-resident abuse. Failure to assess, care plan, and follow the plan/process may result in physical harm, fear, anxiety, and psychosocial harm to all residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to report incidents of resident-to-resident abuse to the State Survey Agency (SSA) for 1 of 1 supplemental resident (Resident #35) who experienced verbal abuse. Failure to report resident-to-resident abuse allegations places all residents at risk of potential abuse/neglect.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, review of facility policy, and staff interviews, the facility failed to investigate an incident of resident to resident abuse for 1 or 1 supplemental resident (Resident #35) who experienced verbal abuse. Failure to investigate incidents of abuse may result physical harm, fear, anxiety, and psychosocial harm for all residents
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure staff provided necessary care and services for 1 of 1 sampled resident (Resident #4) with diabetes. Failure to follow physician orders for out-of-range blood sugar levels may result in adverse health events.
September 11, 2024Standard inspection · 3 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, facility policy review, and staff interview, the facility failed to follow standards of infection control for 2 of 9 sampled residents (Resident #3 and #25) and 2 supplemental residents (Resident #50 and #70) observed during cares/dressing change and glucose monitoring. Failure to follow infection control practices during resident cares related to hand hygiene, enhanced barrier precautions (EBP), and cleaning of a glucometer has the potential to spread infection throughout the facility.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, review of the North Dakota Long Term Care Ombudsman Program Guide to Resident Rights, and staff interview, the facility failed to provide care in a manner that promoted, maintained, or enhanced the resident's dignity for 1 of 2 sampled residents (Resident #3) with a wound vacuum. Failure to cover a wound vacuum collection container does not preserve the resident's personal dignity and/or enhance their quality of life and has the potential to affect the resident's psychosocial well-being.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to ensure accurate labeling of medications for 1 of 4 residents (Resident #70) observed receiving medication from an injector pen. Failure to obtain a label for an insulin pen may result in a resident receiving the wrong medication or an incorrect dose.
June 13, 2024Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review, review of facility policy, review of the facility's investigation reports, and staff interviews, the facility failed to ensure residents have the right to remain free from mental and/or physical abuse for 1 of 1 sampled resident (Resident #2) who had a rag placed in her mouth by staff to silence her. Failure to provide the services necessary to avoid mental anguish and emotional distress, resulted in an unsafe environment for Resident #2 and may result in fear, anxiety, and/or psychosocial harm. This citation is considered past non-compliance based on review of the corrective actions the facility implemented immediately after hearing the concerns reported by staff.
October 12, 2023Standard inspection, Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to provide treatment in accordance with the resident's plan of care for 1 of 2 sampled residents (Resident #49) with a history of a diabetic heel ulcer. Failure to apply heel protecting boots as ordered may result in the reoccurrence or worsening of heel ulcers.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to ensure residents' records contained the hospice election form and the certification of a terminal illness for 3 of 4 sampled residents (Resident #53, #86, and #88) receiving hospice services. Failure to obtain these documents limits staff's ability to ensure coordination of care between the facility and the hospice.
Fire safety inspections
1 fire safety citation on file: 1 on September 11, 2024.
Every fire safety citation1 citation
- D Provide properly protected cooking facilities.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 20, 2026 | Fine | $7,190 |
| June 13, 2024 | Fine | $6,788 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.98 | 4.42 | 3.86 |
| Registered nurses | 0.84 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.19 | 3.80 | 3.42 |
| Nurse aides | 3.61 | ||
| Licensed practical nurses | 0.53 | ||
| Nursing staff turnover (share who left in a year) | 37.0% | 48.8% | 45.8% |
| Registered nurse turnover | 22.7% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.42 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.30 on weekdays and 4.19 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.54 in April to June 2025 to 4.98 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.98 | 0.84 | 5.30 | 4.19 | 0.0% | 0 of 90 | 97 |
| Oct to Dec 2025 | 5.08 | 0.94 | 5.41 | 4.25 | 0.0% | 0 of 92 | 96 |
| Jul to Sep 2025 | 5.42 | 0.99 | 5.83 | 4.40 | 0.1% | 0 of 92 | 92 |
| Apr to Jun 2025 | 5.54 | 0.92 | 5.90 | 4.65 | 0.1% | 0 of 91 | 89 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Dakota, Jan to Mar 2026 | 4.57 | 0.92 | 4.81 | 3.96 | 11.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.7 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 5.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.4 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.4 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.7 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.9 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.9 | 1.8 |
Owners and operators
Legal business name: SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE. CMS links this home to Smp Health, a group of 5 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lagodinski, Tonie | W-2 managing employee | Individual | 08/01/2019 | |
| Carson, Paul | Corporate director | Individual | 12/01/2020 | |
| Hansen, Becky | Corporate director | Individual | 07/01/2021 | |
| Houle, Sharon | Corporate director | Individual | 02/06/2020 | |
| Montecuollo, David | Corporate director | Individual | 07/01/2017 | |
| Redlin, Frank | Corporate director | Individual | 07/01/2017 | |
| Schmitz, Lynette | Corporate director | Individual | 07/01/2015 | |
| Alton, Aaron | Corporate officer | Individual | 04/01/2002 | |
| Hansen, Becky | Corporate officer | Individual | 10/01/2020 | |
| Sisters of Mary of the Presentation Long Term Care | Operational/managerial control | Organization | 04/01/2002 | |
| Lagodinski, Tonie | Operational/managerial control | Individual | 10/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on May 20, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 11, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 11, 2024: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 11, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Other nursing homes nearby
- Eventide Jamestown Jamestown, 1.4 mi · 3 of 5 stars · 16 citations
North Dakota contacts for a concern about a nursing home
These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: North Dakota Health and Human Services, Health Facilities Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Dakota Long-Term Care Ombudsman Program, (855) 462-5465. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: North Dakota Deficiency Statement Search, where North Dakota publishes its own records on licensed homes.
Common questions
- What is Smp Health - Ave Maria's Medicare star rating?
- CMS rates Smp Health - Ave Maria 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Smp Health - Ave Maria get at its last inspection?
- 4 health deficiencies at the standard inspection on December 11, 2025. The North Dakota average is 5.6.
- Has Smp Health - Ave Maria been fined?
- Yes. CMS lists 2 fines totaling $13,978 in the last three years.
- Does Smp Health - Ave Maria accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Smp Health - Ave Maria?
- CMS lists 11 owners and managers, and links the home to Smp Health. Legal business name: SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.