SMP Health – St. Raphael achieved an overall rating of 5 out of 5 for the first quarter of 2026, according to the Centers for Medicare and Medicaid Services (CMS). This exceeds the statewide average rating of 3.3 for nursing homes in North Dakota.
The facility offered a total of 170 beds, which is 101 more than the average for North Dakota nursing centers during the first quarter of 2026. On average, 158.1 residents were assisted at the facility throughout the quarter.
In the first quarter of 2026, SMP Health – St. Raphael also reported no fines or penalties on record.
U.S. Census Bureau estimates report the older adult population across the country is rising as younger cohorts decrease. From 2020 to 2024, Americans age 65 and older increased by 13%, while those younger than 18 decreased by 1.7%. Over the last century, the nation’s older adult population has expanded substantially, from 4.9 million in 1920 to more than 61 million in 2024.
A 2021 study found that nearly half of adults in this age bracket, approximately 28 million, could require long-term services and support. The report also anticipates that more than one-third might ultimately seek nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education organization. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | SMP Health – St. Raphael | 5 |
Information in this article was sourced from the Centers for Medicare and Medicaid Services. The original data is available here.


