Home / North Dakota / Valley City
979 Central Ave N, Valley City, ND 58072 · Barnes County · (701) 845-8222
170 certified beds, about 159 residents a day · Non profit - Church related · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355077 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 24, 2025, inspectors cited 2 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 11 health citations since September 2023, 2 were 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 4.71 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.
38.5% 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.
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.
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.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to ensure residents remained free from abuse for 1 of 4 sampled residents (Resident #1) who exhibited and/or were subjected to physical abuse by and/or to other residents. Failure to prevent resident to resident physical abuse resulted in pushing, hitting, and kicking and placed all residents at risk for serious injury, pain, mental anguish, and emotional distress.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to report incidents of abuse to the State Survey Agency (SSA) within the required time frames for 1 of 4 sampled residents (Resident #1) reviewed for resident-to-resident altercations. Failure to ensure potential abuse incidents of abuse are reported immediately to the SA, and no later than 2 hours after the allegation is made, may result in continued abuse, fear, anxiety, and psychosocial harm.
Inspectors wroteBased on observation, review of temperature logs, review of professional reference, and staff interview, the facility failed to store food in accordance with professional standards for food service safety in 1 of 1 main kitchen and 6 of 7 food storage areas (Third Floor Kitchenette, First Floor Kitchenette, First Floor Sub-station, Special Care Unit, Sunshine Kitchenette, and Circle of Life Cottage Kitchenette). Failure to discard expired food, ensure required refrigerator temperatures, ensure functioning of temperature monitoring devices in refrigerator, ensure clean equipment, and ensure protection of dry food storage from leaking pipes has the potential to affect the quality and safety of food served to the residents.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 2 of 7 sampled residents (Resident #16 and #73) observed during cares. Failure to remove gloves and perform hand hygiene during wound care and perineal care has the potential to spread infection throughout the facility.
Inspectors wroteBased on observation, record review, facility policy review, and staff interview, the facility failed to follow standards of infection control for 8 of 25 sampled residents (Resident #9, #28, #70, #79, #92, #96, #260, and #360) observed during cares. Failure to follow infection control practices during resident cares related to hand hygiene, glove use, and enhanced barrier precautions (EBP), has the potential to spread infection throughout the facility.
Inspectors wroteBased on record review and resident and staff interviews, the facility failed to follow the grievance process for 2 of 2 sampled residents (Resident #99 and #133) with concerns regarding treatment from staff during cares. Failure to act upon resident grievances is a violation of resident's rights and may result in resident dissatisfaction.
Inspectors wrote1. Based on observation, review of facility policy, and staff interview, the facility failed to follow professional standards of practice for 2 of 2 residents (Resident #22 and #149) observed for insulin preparation and administrations. Failure to prime insulin pens correctly may result in residents receiving an inaccurate dose.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to ensure safe and secure storage of medications in 1 of 2 medication carts (Union Square) observed. Failure to store all medications securely may result in unauthorized access to medications.
Inspectors wroteBased on information provided by the complainant, record review, review of facility policy, and staff interview, the facility failed to provide the necessary care and services to attain the highest practicable level of well-being and to prevent and/or manage pain for 1 of 1 sampled resident (Resident #1) who experienced a fall with major injury. Failure to identify circumstances when pain could be anticipated and recognize when the resident experienced pain resulted in Resident #1 experiencing uncontrollable pain related to his untreated hip fracture.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control for 4 of 17 sampled residents (Resident #12, #13, #15, and #42) observed during personal cares and/or insulin administration. Failure to practice infection control standards related to hand hygiene, glove use, and insulin administration has the potential to spread infection throughout the facility.
Inspectors wroteBased on observations, review of facility policy, and staff interview the facility failed to maintain a comfortable temperature level for 1 of 6 units (Valley View). Failure to maintain comfortable room temperature levels can result in resident discomfort.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.71 | 4.42 | 3.86 |
| Registered nurses | 0.70 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.20 | 3.80 | 3.42 |
| Nurse aides | 3.41 | ||
| Licensed practical nurses | 0.60 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 48.8% | 45.8% |
| Registered nurse turnover | 34.8% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.00 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.92 on weekdays and 4.20 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 24.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.86 in April to June 2025 to 4.71 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 | 4.71 | 0.70 | 4.92 | 4.20 | 24.2% | 0 of 90 | 159 |
| Oct to Dec 2025 | 4.72 | 0.66 | 4.90 | 4.24 | 23.9% | 0 of 92 | 158 |
| Jul to Sep 2025 | 4.82 | 0.63 | 5.04 | 4.27 | 23.2% | 0 of 92 | 158 |
| Apr to Jun 2025 | 4.86 | 0.70 | 5.10 | 4.27 | 25.0% | 0 of 91 | 160 |
| 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
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.
| 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.
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 | 14.2 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 5.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.8 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 44.6 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.4 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.3 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Smp Health - St. Raphael's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (34.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
34.9% this home
Worse than the national rate
US median of homes 51.5% · North Dakota: 0 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 45 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · North Dakota: 2 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 79 eligible stays.
6.3% this home
No different from the national rate
US median of homes 7.1% · North Dakota: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 36 eligible stays.
62.3% this home
Median of homes: North Dakota50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 53 residents counted.
0.0% this home
Median of homes: North Dakota0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 60 residents counted.
0.0% this home
Median of homes: North Dakota2.9% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 60 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: North Dakota100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
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 |
|---|---|---|---|---|
| Sisters of Mary of the Presentation Health System | 5% or greater direct ownership interest | Organization | 100% | 04/01/2016 |
| Ahrndt, Matthew | W-2 managing employee | Individual | 10/01/2021 | |
| 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 | |
| Ahrndt, Matthew | Operational/managerial control | Individual | 10/01/2021 | |
| 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.
Chosen from this home's own inspection record.
These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.