Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
St. Catherine North is church-run and nonprofit, which tends to show up in how it treats staff, and it does here. Nurse staffing runs about 5.03 hours per resident day, roughly 30% above the national average, and turnover sits at 31.3% against a national 45.8%. Both numbers say people tend to stay. Weekends dip about 11% below the home's own weekday level, so ask how that plays out on a Sunday.
The inspection record is more mixed: 12 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $6,168. The last inspection was in February 2026, so the picture is current. Strong staffing, decent but not spotless oversight.
St Catherine South runs on a nonprofit model in Fargo with 98 certified beds, and the staffing numbers stand out: 5.36 nurse hours per resident day, roughly 39% above the national average, with a 5-star staffing rating to match. Weekend coverage dips about 11% below weekday levels, which is common but worth knowing if you're visiting on a Saturday. Turnover sits at 35.5%, better than the 45.8% national figure. Inspections look clean, 10 deficiencies on record, none at harm or jeopardy level, none abuse-related, and the most recent visit was June 2025. The tension is in quality measures, which come in at 1 star, meaning clinical outcomes tracked by CMS don't match the strong staffing picture.
Maryhill in Enderlin runs a tight ship on the things you'd notice day to day: nurse staffing sits at 4.11 hours per resident, noticeably above the national figure, and only about a third of its caregivers leave each year compared to nearly half elsewhere. The tradeoff shows up in the clinical numbers, a two-out-of-five quality measure rating and fourteen deficiencies on the current record, one serious enough to involve harm or jeopardy. Inspectors were last in the building in November 2025 and logged a single fine just over $10,000. Weekend coverage drops roughly 18% from weekday levels, so ask how that plays out on a Saturday.
Smp Health - St Raphael runs a church-affiliated nonprofit home with 170 certified beds in Valley City, and its nurse staffing sits at 4.71 hours per resident day, roughly 22% above the national average of 3.86. That staffing cushion shows up in its five-star CMS staffing rating, and turnover runs lower than average too, at 38.5% against 45.8% nationally, though weekend coverage dips about 11% below its own weekday level. The inspection record is solid but not spotless: nine deficiencies, one serious enough to reach harm or jeopardy level, and none tied to abuse. A recent September 2025 inspection and a four-star health inspection rating back that up, while quality measures land at three stars.
Ave Maria sits in Jamestown with 100 certified beds and a nonprofit owner, and its staffing is the standout: 4.98 nurse hours per resident day, roughly 29% above the national average, with turnover at 37% versus 45.8% nationally. Weekend coverage dips about 16% below its own weekday level, so the weekday-to-Saturday drop is worth asking about. The inspection record is where the concern lives, 11 deficiencies, 2 at harm or jeopardy level, 5 tied to abuse, and a $6,788 fine, with a 2/5 health inspection rating and 2/5 quality measures. The most recent inspection was December 11, 2025, so the record is current. Ask directly how those abuse-related deficiencies were resolved and what weekend staffing looks like now.