Enderlin, North Dakota · CCN 355108 · Phone: 7014373544 · 42 beds · Ownership: Non Profit - Corporation
Smp Health - Maryhill is a Medicare-certified skilled nursing facility (CCN 355108) in Enderlin, North Dakota. It holds a CMS overall Five-Star rating of 5 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 92/100 (Survey-Ready).
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Smp Health - Maryhill is a Medicare- and Medicaid-certified skilled nursing facility in Enderlin, North Dakota, operating under CMS Certification Number (CCN) 355108. 42-bed facility. Non Profit - Corporation. Part of the Smp Health chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Smp Health - Maryhill has held its Medicare/Medicaid certification for approximately 34 years (certification date on file: 1991-09-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Ransom County): Smp Health - Maryhill operates in Ransom County alongside 2 other Medicare-certified SNFs in our North Dakota cohort sample. Multi-facility counties create direct cohort comparison pressure — hospital discharge planners typically run side-by-side Care Compare lookups before placement decisions.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★★☆☆ (3 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Smp Health - Maryhill has none of the four CMS-published red-flag indicators active at the most recent publish: not on the Special Focus Facility list, no Abuse Icon on Care Compare, no overdue inspection flag, and no recent change-of-ownership flag. Absence of these flags does not mean the facility is deficiency-free — see the survey history below.
Recent health deficiencies cited at last standard survey: 2. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Smp Health - Maryhill received 1 CMS fine totaling $10,036. Last documented standard health survey: 2025-11-21. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 10. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Total enforcement penalties assessed in the most recent reporting window: $1. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
Smp Health - Maryhill already meets the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876 (RN 0.746 HPRD vs the 0.55 floor; nurse-aide 3.133 HPRD vs the 2.45 floor). The constraint going forward is sustaining these levels under turnover pressure.
Total nurse staffing: 4.118 hours per resident day (HPRD), which is 0.64 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for rural-facility facilities by May 2029.
Staffing mix: RN 0.746 HPRD, LPN 0.239 HPRD, CNA 3.133 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.43 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Total nurse staff turnover: 32.6% annualized — moderate.
RN-specific turnover: 0% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.
Smp Health - Maryhill is operated as part of Smp Health, a chain operating 5 Medicare-certified facilities (CMS chain identifier 476). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 72 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Smp Health - Maryhill is 92/100 (Survey-Ready). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Smp Health - Maryhill (CCN 355108) holds a CMS overall Five-Star rating of 5 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Smp Health - Maryhill is a Medicare-certified skilled nursing facility (CMS Certification Number 355108) in Enderlin, North Dakota.
FileFlo scores Smp Health - Maryhill's CMS survey-readiness at 92/100 (Survey-Ready). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Smp Health - Maryhill is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Smp Health - Maryhill — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile