3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
SMP Health – Ave Maria is a skilled nursing facility in Jamestown, North Dakota. Operated by the Sisters of Mary of the Presentation, a nonprofit Catholic health care ministry, the 58-bed community provides short-term rehabilitation and transitional care, long-term skilled nursing, memory care, spiritual care, and palliative services. Medicare, Medicaid, and private pay are all accepted.
The CMS rated the facility with 5 stars overall. Nurse staffing is one of the facility’s strongest measures. Adjusted total nurse staffing averages 6 hours and 9 minutes per resident per day, about 24% above North Dakota’s average of 4 hours and 58 minutes.
Health Inspection scores are also above the state average. However, Quality Measures perform below the North Dakota average, which is worth noting for long-stay residents with complex clinical needs.
Across four inspections between 2022 and 2024, the facility received an average of 3.3 deficiencies per year, 15% below the state’s average of 3.9. No fines or Immediate Jeopardy findings were recorded. A June 2024 substantiated complaint involved physical abuse by a staff member; the CNA was suspended pending investigation.
The facility’s occupancy rate is 95.7%, above the state’s average of 87.8%, reflecting consistent local demand for a community this size. The facility’s identity is shaped by its Catholic nonprofit background. It also maintains 24-hour nursing coverage.
SMP Health – Ave Maria is best suited for residents seeking skilled nursing or post-acute rehabilitation in a high-staffing, nonprofit setting, especially those looking for spiritual care and palliative services in the care plan.
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 21 homes in North Dakota for nurse hours. 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 |
|---|---|---|
|
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.
| 56m per day | ■ Avg State avg: 56m per day · National avg: 41m per day |
|
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.
| 30m per day | ■ Avg State avg: 30m per day · National avg: 52m per day |
|
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.
| 3h 38m per day | ▲ 22% State avg: 2h 59m per day · National avg: 2h 20m per day |
|
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.
| 4h 15m per day | ▲ 13% State avg: 3h 45m per day · National avg: 3h 26m per day |
|
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.
| 3m per day | ▲ 56% State avg: 2m per day · National avg: 4m per day |
|
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.
| 27m per day | ▼ 22% State avg: 35m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
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, deficiency, 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
| This Facility | ND Average | vs. ND Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 10 | 22 | This facility has 55% fewer total deficiencies than a typical North Dakota nursing home (10 vs. ND avg 22).↓ 55% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average 4.2
Last Health inspection on Sep 2024
State average 16.5
State 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 State averageState average: 0.5
In line with State averageState average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
24% more staff per resident 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.
All 24 RN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
15 total: 14 full-time employees and 1 contractor.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 126 CNA Staff are full-time employees. No contractors work on this role.
126
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
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 averageNorth Dakota average: $39K
35% fewer fines than North Dakota averageNorth 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 averageNorth 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, 2024Last 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 averageNorth 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 averageNorth 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 averageNorth Dakota average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
23.0%
12% worse than North Dakota averageNorth 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 averageNorth Dakota average: 25.0%
Percent of long-stay residents experiencing one or more falls with major injury
7.2%
44% worse than North Dakota averageNorth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
6.9%
24% worse than North Dakota averageNorth Dakota average: 5.6%
Percent of long-stay residents with a urinary tract infection
1.9%
44% better than North Dakota averageNorth Dakota average: 3.4%
Percent of long-stay residents who lose too much weight
1.8%
69% better than North Dakota averageNorth Dakota average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.3%
92% better than North Dakota averageNorth Dakota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
20.8%
In line with North Dakota averageNorth Dakota average: 21.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with North Dakota averageNorth Dakota average: 98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with North Dakota averageNorth Dakota average: 98.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.24
14% better than North Dakota averageNorth Dakota average: 1.45
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.59
35% worse than North Dakota averageNorth 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 averageNorth Dakota average: 94.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
17% worse than North Dakota averageNorth Dakota average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
12% better than North Dakota averageNorth 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 averageNorth Dakota average: 20.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.6%
36% worse than North Dakota averageNorth Dakota average: 10.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
132% worse than North Dakota averageNorth 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 averageNorth Dakota average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.3%
16% worse than North Dakota averageNorth 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
87Residents 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 from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 09/2023.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #7 / 20Payroll — State benchmarkedThis home is ranked 7th out of 20 homes in North Dakota for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #7 / 20Payroll % — State benchmarkedThis home is ranked 7th out of 20 homes in North Dakota for payroll %. Shows payroll as a percentage of revenue versus the North Dakota average. Well-run North Dakota facilities typically land around 67–77% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (65% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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
Info below is compiled from CMS reports & the ND Dept. of Health & Human Services (NDHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Luther Memorial Home | NH ADC AL MC SNF | Se Mayville | 41
Facility
41
ND AVG
75
Rank
#42 / 53 | - | - | 6.18
Facility
6.18
ND AVG
5.16
Rank
#2 / 21 | -29% | +20% | $5.8k
Facility
$5.8k
ND AVG
$38.3k
Rank
#9 / 21 | 8
Facility
8
ND AVG
16.5
Rank
#4 / 21 | 2.0
Facility
2.0
ND AVG
3.9
Rank
#4 / 21 | 1 | 61 | A+ |
55
Facility
55
ND AVG
42
Rank
#26 / 80 | Brett Ulrich | $9.7MFiscal year ending 06/2024
Facility
$9.7MFiscal year ending 06/2024
ND AVG
$11.5M
Rank
#13 / 20 | $7.0MFiscal year ending 06/2024
Facility
$7.0MFiscal year ending 06/2024
ND AVG
$5.6M
Rank
#10 / 20 | 72.1%Fiscal year ending 06/2024
Facility
72.1%Fiscal year ending 06/2024
ND AVG
48.6%
Rank
#3 / 20 | 355040 | ||||
| SMP Health – Ave Maria | NH AL PC SNF | Ne Jamestown (Midway Township) | 58
Facility
58
ND AVG
75
Rank
#30 / 53 | - | - | 6.16
Facility
6.16
ND AVG
5.16
Rank
#2 / 21 | -12% | +19% | $6.8k
Facility
$6.8k
ND AVG
$38.3k
Rank
#11 / 21 | 7
Facility
7
ND AVG
16.5
Rank
#2 / 21 | 1.8
Facility
1.8
ND AVG
3.9
Rank
#3 / 21 | 1 | 96 | - |
63
Facility
63
ND AVG
42
Rank
#19 / 80 | Sisters Of Mary Of The Presentation Long Term Care | $15.1MFiscal year ending 09/2023
Facility
$15.1MFiscal year ending 09/2023
ND AVG
$11.5M
Rank
#8 / 20 | $10.0MFiscal year ending 09/2023
Facility
$10.0MFiscal year ending 09/2023
ND AVG
$5.6M
Rank
#7 / 20 | 66.4%Fiscal year ending 09/2023
Facility
66.4%Fiscal year ending 09/2023
ND AVG
48.6%
Rank
#7 / 20 | 355082 |
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's occupancy is 95.7%.
No, SMP Health – Ave Maria has a no-pet policy.
SMP Health – Ave Maria is registered as a non-profit in ND.
SMP Health – Ave Maria has 58 beds.
Yes — there is 1 photo of SMP Health – Ave Maria in the photo gallery on this page.
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