Federal inspection record · CMS data as of October 1, 2026

Smp Health - Ave Maria

501 19th St Ne, Jamestown, ND · (701) 252-5660

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
100
Residents per day
95
Ownership
Non-Profit
Chain
Smp Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 1978

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Dakota.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among North Dakota homes

Smp Health - Ave Maria carries 38 inspection points. That is fewer than 45% of North Dakota's 71 rated homes.

5★4★3★2★1★+3 homes above 15205102550100inspection points → fewer is better on the leftThis home · 38 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–10 pts
  • 4★ 10–23 pts
  • 3★ 23–42.5 pts
  • 2★ 42.5–76 pts
  • 1★ over 76 pts

Bars show every rated home in North Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

11 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    May 20, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Not yet marked corrected

  2. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 13, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected June 11, 2024

Everything else, by area of care

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 11, 2025 · Standard · F600 · Corrected January 15, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    December 11, 2025 · Standard · F609 · Corrected January 15, 2026

  3. D

    Respond appropriately to all alleged violations.

    December 11, 2025 · Standard · F610 · Corrected January 15, 2026

Quality of Life and Care2D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    December 11, 2025 · Standard · F684 · Corrected February 21, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 12, 2023 · Complaint · F684 · Corrected November 16, 2023

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    September 11, 2024 · Standard · F880 · Corrected October 16, 2024

Resident Rights1D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 11, 2024 · Standard · F550 · Corrected October 16, 2024

Pharmacy Service1D
  1. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    September 11, 2024 · Standard · F761 · Corrected October 16, 2024

Administration1D
  1. 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.

    October 12, 2023 · Complaint · F849 · Corrected November 16, 2023

Inspection history

  1. 2025-12-11

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

  2. 2024-09-11

    3 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2023-10-12

    3 health deficiencies · 0 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 5 h 10 min of nursing staff time a day, 51 min of it from a registered nurse.

This home

5 h 10 min

North Dakota average

4 h 28 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 35% of nursing staff and 23% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$13,978 in federal fines on record over the past three years.

DatePenaltyAmount
2026-05-20Fine$7,190
2024-06-13Fine$6,788

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.11.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse2.61.81.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts better99.1%98.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better100.0%98.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.9 pts better1.2%5.1%3.2%
Percentage of long-stay residents who have depressive symptoms3.6 pts better0.6%4.2%13.5%
Percentage of long-stay residents who lose too much weight4.1 pts better1.7%5.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.3 pts worse18.9%17.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.1 pts better21.7%22.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.2 pts worse17.5%16.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better18.2%19.9%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same1.4%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.3 pts better1.2%2.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse26.1%24.0%18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts better3.5%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better93.8%91.3%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts worse15.4%12.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better1.4%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.9 pts better94.6%85.7%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts worse21.7%19.8%23.4%

·

Who owns and runs it

11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Alton, AaronCorporate Officer · Individual0%5 facilities
Carson, PaulCorporate Director · Individual0%5 facilities
Hansen, BeckyCorporate Director · Individual0%5 facilities
Hansen, BeckyCorporate Officer · Individual0%5 facilities
Houle, SharonCorporate Director · Individual0%5 facilities
Lagodinski, TonieW-2 Managing Employee · Individual0%1 facilities
Lagodinski, TonieOperational/Managerial Control · Individual0%1 facilities
Montecuollo, DavidCorporate Director · Individual0%5 facilities
Redlin, FrankCorporate Director · Individual0%5 facilities
Schmitz, LynetteCorporate Director · Individual0%5 facilities
Sisters Of Mary Of The Presentation Long Term CareOperational/Managerial Control · Organization0%2 facilities

·

Fire safety

1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke1D
  1. D

    Provide properly protected cooking facilities.

    September 11, 2024 · K324 · Corrected September 19, 2024

·

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