Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 - St Catherine South during CMS and state inspections, most recent first.
Staff did not consistently follow infection control protocols, including hand hygiene and use of PPE, during personal care for multiple residents. In several cases, staff changed gloves without sanitizing hands and entered a room requiring Enhanced Barrier Precautions without performing hand hygiene or donning PPE, even when assisting a resident with a PICC line and active infections.
The facility did not post actual hours worked by nursing staff in a location visible to residents and families on two survey days. Staffing forms were placed inside the unit manager's office and only included day shift data, omitting p.m. shift information, which was confirmed by an administrative nurse.
The facility failed to accurately code the MDS for two residents, impacting the reflection of their current status and needs. One resident's MDS was incorrectly coded regarding the first assessment since reentry and a fall history, while another resident's MDS failed to document the administration of an anticoagulant. These errors were confirmed through record reviews and staff interviews.
A resident dependent on staff for oral care did not receive the necessary services to maintain oral hygiene, as required by facility policy. Observations showed that CNAs and a nurse failed to provide oral care during morning care sessions, despite the resident's medical record indicating a need for complete help with mouth care. The resident was observed with a dry and wet white substance on the lips and inside the mouth, indicating a lack of oral care.
A nurse failed to administer the correct dose of insulin to a resident with type-2 diabetes. The nurse primed the insulin pen but did not dial up the ordered 46 units before administration. Upon realization, the nurse corrected the error and administered the correct dose.
The facility failed to follow infection control standards for two residents and one supplemental resident. A nurse did not use appropriate PPE during G-tube and tracheostomy care for a resident on enhanced barrier precautions. Additionally, CNAs did not provide or perform hand hygiene after colostomy and incontinence care for two residents. These actions were contrary to the facility's policies on PPE and hand hygiene.
Failure to Follow Infection Control and Enhanced Barrier Precautions During Resident Care
Penalty
Summary
Staff failed to adhere to infection prevention and control standards during personal care for three residents. In one instance, two CNAs provided perineal care to a resident soiled with bowel movement. After removing soiled gloves, one CNA applied new gloves without performing hand hygiene, then continued with resident care tasks before eventually performing hand hygiene. In another case, a CNA removed a resident's soiled brief, performed perineal care, and repeatedly changed gloves without performing hand hygiene between glove changes, only sanitizing hands at the end of the care process. For a resident with a history of osteomyelitis and staphylococcus infection, and who had a PICC line requiring Enhanced Barrier Precautions (EBP), both a CNA and a nurse entered the resident's room without performing hand hygiene or donning PPE. The staff assisted the resident with transfers and toileting, touching the resident, equipment, and room surfaces without following EBP protocols. The nurse later acknowledged the failure to perform hand hygiene and use PPE as required.
Failure to Post Accurate and Visible Nurse Staffing Information
Penalty
Summary
The facility failed to post the actual hours worked by nursing staff responsible for resident care on two out of four days during the survey period. Observations revealed that staffing forms were placed on the unit manager's open door, making them accessible only inside the office and not visible to residents or their families. Additionally, the posted forms included staffing data for the day shift but omitted information for the p.m. shift. An administrative nurse confirmed the specific hours for both the day and p.m. shifts, verifying that the required information was not fully posted or accessible as mandated.
Inaccurate MDS Coding for Two Residents
Penalty
Summary
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) for two residents, which is crucial for reflecting their current status and needs. For one resident, the facility incorrectly coded the MDS by marking A0310E as 0, indicating it was not the first assessment since reentry, despite it being the first assessment after the resident's return to the facility. Additionally, the facility failed to document a fall that occurred in the month prior to the resident's reentry, as required by J1700A coding instructions. This oversight was identified during a review of the resident's medical record, which showed a fall on a specific date prior to reentry. Another resident's MDS was inaccurately coded regarding medication administration. The facility did not identify that the resident received an anticoagulant, Eliquis, during the 7-day look-back period, as required by N0415E1 coding instructions. This error was confirmed during an interview with an administrative staff member, who acknowledged the failure to code the MDS for the anticoagulant. These inaccuracies in MDS coding could potentially impact the development of comprehensive care plans and the care provided to the residents.
Failure to Provide Oral Care to Dependent Resident
Penalty
Summary
The facility failed to ensure that a resident, who was dependent on staff for oral care, received the necessary services to maintain oral hygiene. The facility's policy required oral care to be provided in the morning and at bedtime. However, observations revealed that certified nurse aides and a nurse did not provide oral care to the resident during morning care sessions. The resident's medical record indicated an ADL deficit related to an inability to communicate needs and impaired mobility, requiring complete help with mouth care. Despite this, the resident was observed with a dry white substance on the lips and a wet white substance inside the mouth, indicating a lack of oral care. An administrative staff member confirmed the expectation for staff to provide oral care twice a day and as needed.
Insulin Administration Error
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors during the administration of insulin. A nurse was observed preparing to administer insulin to a resident diagnosed with type-2 diabetes mellitus with hyperglycemia. The physician's order required the administration of 46 units of aspart insulin at noon. However, the nurse primed the insulin pen but did not dial up the ordered dose before administering it. Upon questioning by the surveyor, the nurse acknowledged the error and subsequently administered the correct dose after re-preparing the insulin pen.
Infection Control Deficiencies in PPE and Hand Hygiene
Penalty
Summary
The facility failed to adhere to infection prevention and control standards for two residents and one supplemental resident. For Resident #28, who was on enhanced barrier precautions due to a tracheostomy, G-tube, and a history of a multidrug-resistant organism (MDRO), a nurse did not initially don a gown while performing a G-tube dressing change. Additionally, during tracheostomy care, the nurse did not use face protection, even when the resident expelled mucus, which could potentially spread infection. The facility's policy required the use of appropriate personal protective equipment (PPE) during high-contact care activities, which was not followed in these instances. For Resident #79, who required assistance with colostomy care, a certified nurse aide (CNA) did not offer or provide hand hygiene to the resident after completing the care, despite the resident's involvement in the process. Similarly, for Resident #43, a CNA failed to perform hand hygiene after removing gloves following incontinence care. The facility's policy and professional references emphasized the importance of hand hygiene after contact with body substances, which was not adhered to in these cases. An administrative staff member confirmed the expectation for staff to follow these infection control practices.
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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 Fargo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Meadows On University | 0.6 mi | ★★★★★ | 2 | 0 |
| Bethany On University | 1.4 mi | ★★★★★ | 3 | 0 |
| Eventide Lutheran Home | 1.5 mi | ★★★★★ | 1 | 0 |
| Fargo Elim Health Care Center | 1.9 mi | ★★★★★ | 8 | 0 |
| Smp Health - St Catherine North | 3 mi | ★★★★★ | 4 | 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.