Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Smp Health - Maryhill during CMS and state inspections, most recent first.
Failure to use required transfer assistance and gait belts was observed for two residents. One resident with impaired cognition required two staff and a gait belt for pivot transfers, but was assisted with a walker and later pivoted to a wheelchair by one CNA after expressing fear of falling. Another resident with dementia and repeated falls required one staff and a gait belt for transfers, but CNAs transferred the resident by holding the hips/buttocks and stated they did not use a gait belt for him.
Infection control failures were observed during resident care when a CNA used the same soiled gloves for dirty and clean tasks, a nurse handled wound care supplies and dressings without changing gloves or sanitizing items and surfaces, and another CNA continued care after perineal care without removing soiled gloves or performing hand hygiene. These actions occurred during personal care and wound care for multiple residents, including a resident on enhanced barrier precautions for wounds.
A dietary staff member in an LTC facility was observed using a quaternary sanitizing solution with a concentration of 50 ppm, below the manufacturer's recommended 150-400 ppm, to clean dining room surfaces. The facility's policy requires a concentration of 200-400 ppm and specifies that surfaces should remain visibly wet for at least 60 seconds. The dietary supervisor confirmed the expectation for correct solution mixing.
A facility was found non-compliant with the North Dakota Administrative Code due to a staff member administering medications without a verified current registration as a Medication Assistant II. The staff member's file lacked proper documentation of registration, despite being scheduled for medication administration over several months. This oversight in verifying staff qualifications poses a risk to resident care and safety.
Failure to Use Required Transfer Assistance and Gait Belts
Penalty
Summary
The facility failed to provide adequate supervision and assistive devices necessary to ensure safety for 2 residents during transfers and ambulation. Facility policies stated that residents are to be handled and transferred safely and that gait belts are to be used when a resident needs assistance with walking and transferring. Resident #2’s care plan identified the resident as needing two staff with a gait belt and pivot transfers, with impaired cognitive function and severe cognitive impairment noted on the quarterly MDS. During observation, a CNA assisted Resident #2 from the bed to standing with a gait belt and a front wheel walker, while the resident held lightly to the walker, leaned away from the CNA, and verbally expressed fear of falling. The CNA stated the resident was a walk-to-dine but would need to use a wheelchair because the transfer/ambulation did not go well. After toileting, the CNA again used the gait belt and pivoted the resident to the wheelchair. The resident’s ADL care sheet identified two staff assistance with a gait belt and pivot transfers, but did not identify walk-to-dine. Resident #9’s record identified dementia, repeated falls, and a care plan stating the resident required one staff assist and a pivot transfer and was unable to walk due to decreased strength and mobility. The quarterly MDS indicated maximum assistance was required for toilet transfer and chair/bed-to-chair transfer. The ADL care sheet showed one staff assistance and a gait belt for transfers. During observation, CNAs transferred Resident #9 from a wheelchair to the toilet, back to the wheelchair, and into a recliner by placing both hands on the resident’s buttocks/hips to turn the body, and the resident was hunched over during the transfers. Another observation showed a CNA using the same method for toilet transfers and stated the resident was not one they used the gait belt on and that transfers depended on how tired he was. An administrative staff member confirmed staff were expected to follow the ADL care sheet and use a gait belt for Resident #9’s transfers.
Infection Control Failures During Resident Care
Penalty
Summary
Failure to follow infection prevention and control standards was observed during personal care and wound care for three residents. A CNA provided care to one resident by performing hand hygiene, applying gloves, removing the resident’s clothing and soiled brief, completing perineal care, and then using the same gloves to apply a clean brief, wash and dry the resident’s legs and feet, apply clean socks and pants, assist the resident into a wheelchair, remove a shirt, wash the resident’s back, and apply a clean shirt before removing the soiled gloves and performing hand hygiene. The facility policy stated that gloves should be removed and discarded after every procedure involving potential exposure to blood or body fluids and that hand hygiene should be performed immediately after glove removal. A nurse provided wound care to another resident who was on enhanced barrier precautions related to wounds by placing wound supplies on an overbed table that was visibly soiled with dried liquid/food, spraying wound cleanser onto a weeping abdominal wound, drying the wound with gauze, and then opening clean dressing supplies and using scissors to cut a dressing without removing soiled gloves or performing hand hygiene first. The nurse later placed the wound cleanser bottle and scissors back into the wound supply basket without sanitizing them and placed the overbed table beside the resident without sanitizing the surface. In a separate observation, a CNA assisted another resident to the bathroom, removed a soiled brief, performed perineal care, applied a clean brief, pulled up pants, and transferred the resident into a wheelchair, then continued with hair combing, clothing adjustment, and moving the wheelchair while still wearing the soiled gloves before removing them and performing hand hygiene.
Improper Sanitization of Dining Room Surfaces
Penalty
Summary
The facility failed to properly sanitize surfaces in the dining room, as observed during a survey. A dietary staff member was seen using a quaternary sanitizing solution to clean the kitchen serving counter and dining room tables and chairs. Upon testing, the solution was found to have a concentration of 50 ppm, which is below the manufacturer's recommended range of 150 ppm to 400 ppm for effective sanitization. The facility's policy requires a concentration of 200-400 ppm and specifies that surfaces should remain visibly wet for at least 60 seconds before air drying. The dietary supervisor confirmed that staff are expected to mix the solution to the correct concentration.
Non-Compliance with Medication Assistant Registration Requirements
Penalty
Summary
The facility failed to comply with the North Dakota Administrative Code regarding medication assistant registration for staff member #4, who was responsible for administering medications to residents. The employee file of staff member #4 lacked verification of a current North Dakota Medication Assistant registry, despite being scheduled and documented as administering medications to residents from July 2023 to February 2024. This deficiency poses a risk for adverse consequences due to the lack of qualified staff administering medications in accordance with regulatory requirements. The facility's failure to ensure that staff member #4 held a current registration as a Medication Assistant II on the department's nurse aide registry led to non-compliance with state regulations. The deficiency was identified during a review of staff records and schedules, highlighting the facility's oversight in verifying the necessary qualifications for staff responsible for medication administration. The lack of proper documentation and verification of staff credentials raises concerns about the facility's adherence to regulatory standards and the potential impact on resident care and safety.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Enderlin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkside Lutheran Home | 13.4 mi | ★★★★★ | 10 | 0 |
| North Dakota Veterans Home | 14.9 mi | ★★★★★ | 0 | 0 |
| Smp Health - St Raphael | 28.1 mi | ★★★★★ | 2 | 0 |
| Four Seasons Health Care Inc | 36.3 mi | ★★★★★ | 12 | 0 |
| Sheyenne Crossings Care Center/tcu | 37.2 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.