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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 2nd out of 25 homes in North Dakota. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
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Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
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59m per day | ▲ 5% State avg: 56m per day · National avg: 41m per day |
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LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
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28m per day | ▼ 7% State avg: 30m per day · National avg: 52m per day |
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Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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3h 58m per day | ▲ 33% State avg: 2h 59m per day · National avg: 2h 20m per day |
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Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
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4h 39m per day | ▲ 24% State avg: 3h 45m per day · National avg: 3h 26m per day |
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Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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4m per day | ▲ 100% State avg: 2m per day · National avg: 4m per day |
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Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
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29m per day | ▼ 17% State avg: 35m per day · National avg: 28m per day |
Occupancy higher than 95% suggests steady demand, but availability may be limited.
In North Dakota, the Department of Health and Human Services, Health Facilities Division is the agency authorized to perform unannounced inspections and issue official health quality reports.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
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This Facility | ND Average | vs. ND Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
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10 | 22 | This facility has 55% fewer total deficiencies than a typical North Dakota nursing home (10 vs. ND avg 22).↓ 55% better |
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Deficiencies per year
Average deficiencies per year since 2022.
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2.5 | 5.5 | This facility has 55% fewer deficiencies per year than a typical North Dakota nursing home (2.5 vs. ND avg 5.5).↓ 55% better |
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Deficiencies per inspection
Average deficiencies per inspection.
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2.5 | 3.1 | This facility has 19% fewer deficiencies per inspection than a typical North Dakota nursing home (2.5 vs. ND avg 3.1).↓ 19% better |
Inspections
|
This Facility | ND Average | vs. ND Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
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4 | 7 | This facility has 43% fewer total inspections than a typical North Dakota nursing home (4 vs. ND avg 7).↓ 43% better |
North Dakota average 4.2
Last Health inspection on Sep 2024
North Dakota average 16.5
North Dakota average 3.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 7 citations resulted from standard inspections; 1 of 7 resulted from complaint investigations; and 2 of 7 came from combined inspections (standard and complaint).
100% better than North Dakota average
North Dakota average: 0.5
In line with North Dakota average
North Dakota average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
24% better than North Dakota average
5% worse than North Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,542 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 126 | 0 | 126 | 29,695 | 92 | 100% | 7.3 |
| Registered Nurse | 24 | 0 | 24 | 7,398 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 14 | 1 | 15 | 4,449 | 92 | 100% | 8.2 |
| Medication Aide/Technician | 18 | 0 | 18 | 2,466 | 92 | 100% | 7.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,768 | 92 | 100% | 6.8 |
| Dental Services Staff | 3 | 0 | 3 | 985 | 61 | 66% | 7.6 |
| Dietitian | 1 | 0 | 1 | 471 | 59 | 64% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 463 | 58 | 63% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 463 | 58 | 63% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 458 | 57 | 62% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 58 | 63% | 7.9 |
| Administrator | 0 | 1 | 1 | 449 | 58 | 63% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 415 | 52 | 57% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 330 | 65 | 71% | 5.1 |
| Qualified Social Worker | 0 | 1 | 1 | 126 | 51 | 55% | 2.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 102 | 34 | 37% | 2.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 39 | 6 | 7% | 6.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 13 | 3 | 3% | 4.3 |
| Qualified Activities Professional | 0 | 1 | 1 | 3 | 4 | 4% | 0.8 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
83% lower than North Dakota average
North Dakota average: $39K
35% fewer fines than North Dakota average
North Dakota average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than North Dakota average
North Dakota average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 13, 2024 · $7K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 13, 2024
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
In line with North Dakota average
North Dakota average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.7
12% worse than North Dakota average
North Dakota average: 22.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
20.3%
In line with North Dakota average
North Dakota average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
23.0%
12% worse than North Dakota average
North Dakota average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.9%
23% worse than North Dakota average
North Dakota average: 25.0%
Percent of long-stay residents experiencing one or more falls with major injury
7.2%
44% worse than North Dakota average
North Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
6.9%
24% worse than North Dakota average
North Dakota average: 5.6%
Percent of long-stay residents with a urinary tract infection
1.9%
44% better than North Dakota average
North Dakota average: 3.4%
Percent of long-stay residents who lose too much weight
1.8%
69% better than North Dakota average
North Dakota average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.3%
92% better than North Dakota average
North Dakota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
20.8%
In line with North Dakota average
North Dakota average: 21.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with North Dakota average
North Dakota average: 98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with North Dakota average
North Dakota average: 98.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.24
14% better than North Dakota average
North Dakota average: 1.45
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.59
35% worse than North Dakota average
North Dakota average: 1.92
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
In line with North Dakota average
North Dakota average: 94.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
17% worse than North Dakota average
North Dakota average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
12% better than North Dakota average
North Dakota average: 88.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.8%
40% worse than North Dakota average
North Dakota average: 20.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.6%
36% worse than North Dakota average
North Dakota average: 10.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
132% worse than North Dakota average
North Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.2%
In line with North Dakota average
North Dakota average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.3%
16% worse than North Dakota average
North Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
65% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
87
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for SMP Health – Ave Maria based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 22Payroll — State benchmarkedThis home is ranked 8th out of 22 homes in North Dakota. Shows total annual staff payroll benchmarked to the North Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Jamestown's city center to SMP Health – Ave Maria's address, calculated via Google Maps.
Add your location
SMP Health – Ave Maria is located in Jamestown, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
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| SMP Health – Ave Maria |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Jamestown (Midway Township) | 58 | 95.7% | +9% | 6.16 | -12% | +19% | $6.8k | 7 | 1.8 | 1 | 89 | 63 | Sisters Of Mary Of The Presentation Long Term Care | $16.7M | $11.5M | 69.1% | 355082 | ||||
| Edgewood Grand Forks |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Grand Forks | 122 | - | - | 4.44 | +98% | -14% | $54.9k | 12 | 3.0 | 3 | 32 | 21 | Edgewood Group, LLC | - | - | - | 355087 |
SMP Health – Ave Maria is in the Midway Township neighborhood of Jamestown.
SMP Health – Ave Maria has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
SMP Health – Ave Maria has 58 beds.
Yes — there are 2 photos of SMP Health – Ave Maria in the photo gallery on this page.
SMP Health – Ave Maria is located at 421 18th Street NE.
(701) 252-6404 will put you in contact with the team at SMP Health – Ave Maria.
Yes — SMP Health – Ave Maria is a CMS-certified provider of Medicare and Medicaid.
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