Home / North Dakota / Fargo
Smp Health - St. Catherine North
1351 N Broadway, Fargo, ND 58102 · Cass County · (701) 277-7999
125 certified beds, about 120 residents a day · Non profit - Church related · Medicare and Medicaid since 1978
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355047 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 11, 2026, inspectors cited 4 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 12 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $6,168 in the last three years; the largest was $6,168, and the latest is dated May 21, 2024.
Nurses and nurse aides worked 5.03 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
31.3% 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.
409/23
105/24
310/24
402/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
8D
3E
0F
Potential for minimal harm
0A
0B
0C
February 11, 2026Standard inspection · 4 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, review of professional reference, and staff interview, the facility failed to ensure physician's orders were followed for 3 of 24 sampled residents (Resident #71, #107, and #124). Failure to follow physician orders for medication administration, and application of compression socks and ace wraps, may result in adverse health effects for the residents.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 3 of 17 sampled residents (Resident #11, #57, and #107) and 1 supplemental resident (Resident #81) observed during cares. Failure to practice infection control standards related to disinfecting shared equipment, glove changes, and hand hygiene has the potential to spread infection throughout the facility.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to ensure a medication regimen free from unnecessary medications for 2 of 5 sampled residents (Resident #6 and #11) selected for medication review. Failure to attempt a gradual dose reduction (GDR) or identify contraindications for a GDR may result in residents receiving unnecessary medications and experiencing adverse consequences related to their use.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review, review of the North Dakota Provider Manual Preadmissions Screening and Resident Review (PASARR), Level of Care Screening Procedures for Long Term Care Services, and staff interview, the facility failed to complete a status change assessment for 1 of 3 sampled residents (Resident #13) reviewed for PASARR. Failure to complete a change in status assessment with a newly diagnosed mental illness and new medication may result in the delivery of care and services inconsistent with residents' needs.
October 17, 2024Standard inspection, Complaint inspection · 3 citations
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, review of facility policy, review of professional reference, and staff interview, the facility failed to ensure a medication error rate of less than five percent for 2 of 7 residents (Resident #97 and #110) observed during medication administration. Two medication errors occurred during staff administration of 28 medications, resulting in a seven percent error rate. Failure of staff to properly prepare and administer medications may inhibit the effectiveness of the medication, cause subtherapeutic levels, and may have a negative impact on the resident's overall health.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, record review, review of facility policy, review of professional reference, and staff interview, the facility failed to ensure residents remained free of significant medication errors for 1 or 1 sampled resident (Resident #110) with a significant medication error. Failure of staff to administer medications per manufacturer recommendations may inhibit the effectiveness of the medication, cause subtherapeutic levels, and may have a negative impact on the resident's overall health.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, review of facility policy/procedure, review of manufactures' label, and staff interview, the facility failed to date time sensitive thickened beverages with an opened date and to store food in a sanitary manner in 2 of 8 unit kitchenettes (3 South and 3 North). Failure to label beverages with an open date may compromise the safety and quality of the item and failure to store food in a sanitary manner can affect safety.
May 21, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, review of facility investigation, review of the facility policy, and staff interview, the facility failed to ensure adequate supervision and assistance for 1 of 1 closed records (Resident #1) reviewed for an accident with subsequent injury. Failure to provide adequate assistance with a full-body mechanical lift transfer resulted in Resident #1's injury and placed all residents requiring full-body mechanical lifts at risk for injury. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following the incident.
September 21, 2023Standard inspection · 4 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.17.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 3 of 24 sampled residents (Resident #9, #19 and #24). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan and the care provided to the residents.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.16), the facility failed to ensure timely electronic data submission of required Minimum Data Sets (MDS) discharge assessments for 3 of 3 supplemental residents (Resident #18, #56, and #98). Failure to follow the MDS data submission specifications does not meet the intended regulatory requirements.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to provide appropriate supervision for 1 of 5 sampled residents (Resident #97) observed during a gait belt transfer. Failure to provide adequate assistance during a transfer places the resident at risk for accidents, falls, or injuries.
- 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 and staff interview, the facility failed to ensure residents' records contained the hospice plan of care and certification of a terminal illness for 1 of 3 sampled residents (Resident #106) 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
3 fire safety citations on file: 3 on October 17, 2024.
Every fire safety citation3 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Provide properly protected cooking facilities.
- E Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 21, 2024 | Fine | $6,168 |
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) | 5.03 | 4.42 | 3.86 |
| Registered nurses | 0.66 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.47 | 3.80 | 3.42 |
| Nurse aides | 3.29 | ||
| Licensed practical nurses | 1.08 | ||
| Nursing staff turnover (share who left in a year) | 31.3% | 48.8% | 45.8% |
| Registered nurse turnover | 27.3% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.33 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 5.26 on weekdays and 4.47 on weekends, 15% 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 4.95 in April to June 2025 to 5.03 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 | 5.03 | 0.66 | 5.26 | 4.47 | 0.0% | 0 of 90 | 120 |
| Oct to Dec 2025 | 4.93 | 0.63 | 5.13 | 4.43 | 0.0% | 0 of 92 | 120 |
| Jul to Sep 2025 | 4.86 | 0.57 | 5.06 | 4.34 | 0.0% | 0 of 92 | 120 |
| Apr to Jun 2025 | 4.95 | 0.63 | 5.22 | 4.29 | 0.0% | 0 of 91 | 121 |
| 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 | 22.4 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.8 | 5.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.9 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.0 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.3 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 9.7 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.6 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 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 |
|---|---|---|---|---|
| Keelin, Anthony | W-2 managing employee | Individual | 05/07/2012 | |
| Alton, Aaron | Corporate director | Individual | 04/01/2002 | |
| 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 Health System | Operational/managerial control | Organization | 04/01/2002 | |
| Alton, Aaron | Operational/managerial control | Individual | 04/01/2002 |
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 February 11, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on February 11, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on October 17, 2024: "Ensure medication error rates are not 5 percent or greater."
- 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 February 11, 2026: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Bethany on 42nd Fargo, 1.5 mi · 5 of 5 stars · 3 citations
- Bethany on University Fargo, 1.6 mi · 5 of 5 stars · 10 citations
- The Meadows on University Fargo, 2.4 mi · 1 of 5 stars · 31 citations
- Eventide Lutheran Home Moorhead, 2.6 mi · 4 of 5 stars · 17 citations
- Smp Health - St. Catherine South Fargo, 3 mi · 4 of 5 stars · 10 citations
- Eventide Fargo Fargo, 4.8 mi · 3 of 5 stars · 11 citations
- Fargo Elim Health Care Center Fargo, 4.8 mi · 3 of 5 stars · 14 citations
- Sheyenne Crossings Care Center/Tcu West Fargo, 5.8 mi · 5 of 5 stars · 8 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 - St. Catherine North's Medicare star rating?
- CMS rates Smp Health - St. Catherine North 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Smp Health - St. Catherine North get at its last inspection?
- 4 health deficiencies at the standard inspection on February 11, 2026. The North Dakota average is 5.6.
- Has Smp Health - St. Catherine North been fined?
- Yes. CMS lists 1 fine totaling $6,168 in the last three years.
- Does Smp Health - St. Catherine North 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. Catherine North?
- CMS lists 12 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.