Home / North Dakota / Harvey
Smp Health - St. Aloisius
325 E Brewster St., Harvey, ND 58341 · Wells County · (701) 324-4651
65 certified beds, about 63 residents a day · Non profit - Church related · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355037 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 29, 2026, inspectors cited 0 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 6 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.61 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.
31.7% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
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 6 health citations on file.
April 29, 2026Standard inspection · 0 citations
March 5, 2025Standard inspection · 1 citation
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, review of facility policy, and resident and staff interviews, the facility failed to maintain acceptable hot water temperatures for 1 of 2 units (Unit A) observed for water temperature. Failure to ensure acceptable hot water temperatures has the potential for burn injuries to residents, visitors, and staff.
January 18, 2024Standard inspection · 5 citations
- G Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, record review, and resident interviews, the facility failed to provide appropriate dementia care and services for 1 of 1 sampled resident (Resident #65) with a diagnosis of dementia and wandering behaviors. Failure to adequately assess for necessary care and services, and monitor behaviors and implement effective behavior management interventions resulted in a decreased level of psychosocial well-being for Resident #65 as well as other residents affected by the behaviors.
- F 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 safe and secure storage of controlled medications for 4 of 4 medication carts (Cart #1 and #2 on Unit A and Cart #1 and #2 on Unit B) and failed to lock 1 of 4 medication carts (Cart #2 on Unit B) observed during medication administration. Failure to store medications securely may result in unauthorized access to medications and/or medication errors.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, review of professional reference, policy review and staff interview, the facility failed to follow standards of infection control for 1 of 12 sampled residents (Resident #28) and 1 supplemental resident (Resident #39) observed during perineal cares and 1 of 1 sampled resident (Resident #65) on transmission-based precautions (TBP). Failure to follow infection control standards during perineal cares and with TBP has the potential to transmit infections to residents, staff, and visitors.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to provide the necessary treatment/services to prevent and/or promote healing or worsening of a pressure injury for 1 of 3 sampled residents (Resident #63) observed with a pressure injury. Failure to identify/report a skin issue may result in the development/worsening of a pressure injury and delayed treatment of Resident #63's pressure injury.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to ensure a medication error rate of less than five percent for 2 of 10 residents (Resident #55 and #60) observed during medication administration. Three medication errors occurred during staff administration of 29 medications, resulting in an 10.14% error rate. Failure to properly prepare and administer medications may result in residents receiving an ineffective dose and experiencing adverse reactions.
Fire safety inspections
1 fire safety citation on file: 1 on January 18, 2024.
Every fire safety citation1 citation
- F Have approved installation, maintenance and testing program for fire alarm systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.61 | 4.42 | 3.86 |
| Registered nurses | 0.93 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.00 | 3.80 | 3.42 |
| Nurse aides | 3.10 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 31.7% | 48.8% | 45.8% |
| Registered nurse turnover | 15.4% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.19 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 4.86 on weekdays and 4.00 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.80 in April to June 2025 to 4.61 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 | 4.61 | 0.93 | 4.86 | 4.00 | 0.4% | 0 of 90 | 63 |
| Oct to Dec 2025 | 4.61 | 0.85 | 4.84 | 4.03 | 1.4% | 0 of 92 | 64 |
| Jul to Sep 2025 | 4.59 | 0.91 | 4.82 | 4.03 | 2.1% | 0 of 92 | 64 |
| Apr to Jun 2025 | 4.80 | 1.07 | 5.05 | 4.19 | 1.3% | 0 of 91 | 62 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for North Dakota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Dakota, all employers | |||
| CNAs (nursing assistants) | $22.03 | $17.51 to $23.06 | 6,840 |
| LPNs and LVNs | $29.95 | $28.03 to $31.26 | 1,920 |
| Registered nurses | $38.81 | $33.47 to $44.75 | 11,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 26.6 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 5.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.6 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.4 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.6 | 22.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.9 | 1.8 |
Owners and operators
Legal business name: ST ALOISIUS HOSPITAL, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kennelly, James | Direct ownership interest | Individual | 10/01/1974 | |
| Heil, Doug | Managing control - governing body | Individual | 07/01/2025 | |
| Berry, Debra | Corporate director | Individual | 09/01/2019 | |
| Hager, Mary | Corporate director | Individual | 07/01/2024 | |
| Heil, Doug | Corporate director | Individual | 07/01/2025 | |
| Kourajian, Steven | Corporate director | Individual | 07/01/2024 | |
| Muscha, Kathy | Corporate director | Individual | 07/01/2024 | |
| Picard, Anne | Corporate director | Individual | 07/01/2024 | |
| Schmidt, Gordon | Corporate director | Individual | 07/01/2017 | |
| Anderson, Nicole | Corporate officer | Individual | 06/01/2024 | |
| Mickelsen, Ryan | Corporate officer | Individual | 01/30/2023 | |
| Sisters of Mary of the Presentation Health System | Operational/managerial control | Organization | 01/31/2023 | |
| Anderson, Nicole | Operational/managerial control | Individual | 05/25/2024 | |
| Kennelly, James | Operational/managerial control | Individual | 01/01/2024 | |
| Mickelsen, Ryan | Operational/managerial control | Individual | 01/30/2023 | |
| Nyhus, Charles | Operational/managerial control | Individual | 09/01/2020 | |
| Sisters of Mary of the Presentation Health System | Adp of the SNF | Organization | 06/24/2025 | |
| Anderson, Nicole | Adp of the SNF | Individual | 05/25/2024 | |
| Kennelly, James | Adp of the SNF | Individual | 10/01/1974 | |
| Mickelsen, Ryan | Adp of the SNF | Individual | 01/30/2023 | |
| Nyhus, Charles | Adp of the SNF | Individual | 09/01/2020 |
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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 5, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 18, 2024: "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."
- 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 January 18, 2024: "Provide and implement an infection prevention and control program."
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 - St. Aloisius's Medicare star rating?
- CMS rates Smp Health - St. Aloisius 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Smp Health - St. Aloisius get at its last inspection?
- 0 health deficiencies at the standard inspection on April 29, 2026. The North Dakota average is 5.6.
- Has Smp Health - St. Aloisius been fined?
- CMS lists no fines in the last three years.
- Does Smp Health - St. Aloisius 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 - St. Aloisius?
- CMS lists 21 owners and managers. Legal business name: ST ALOISIUS HOSPITAL, INC..
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.