SMP Health - Maryhill

    110 Hillcrest Dr, Enderlin, ND 58027
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Kind staff and respectful community

    I'm very pleased with this senior living community - the staff are kind and caring, residents are treated with respect, and the place is well-organized and put together; good people all around, and I would recommend it.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    5.00·(2)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      5.0
    • Meals

      5.0
    • Amenities

      5.0
    • Value

      5.0

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of SMP Health - Maryhill

    SMP Health - Maryhill is located at 110 Hillcrest Dr, Enderlin, ND, 58027.

    About SMP Health - Maryhill

    SMP Health - Maryhill sits at 110 Hillcrest Drive in Enderlin, ND, and has helped the community since 1964, holding to the values set by the Sisters of Mary of the Presentation, so people living there can expect a sense of respect, compassion, and dignity in daily routines and that's really what folks remember; it's a non-profit nursing home with 42 certified beds, offering skilled nursing services, long term care, and rehab services, including things like occupational, physical, and speech therapy, dementia programming, wound care, respite care, hospice care, IV therapy, and tube feeding, so people can get the care they need whether they're staying for a short rehab after the hospital or need more help every day because of age or health needs. Residents get support from healthcare workers like Certified Nursing Assistants, Registered Nurses, Licensed Practical Nurses, a Certified Medication Aide, and there's even a DON, Sheila Ripplinger, so plenty of trained staff, though nurse turnover runs at about 40.8% and workers offer close to 4.29 nurse hours per resident each day, which matters when folks want to know who's coming in and out of their room. It's been under the direction of Bailyn Walz since October 2021, with Aaron Alton and the Sisters Of Mary Of The Presentation Long Term Care leading since 2002, and the facility itself is pretty direct about what it offers, covering social, psychological, and spiritual needs, giving meals from their dietary department, with cooks on staff, plus laundry and housekeeping for daily living, and making sure folks of all faiths feel at home, which the mission emphasizes. The facility's got a bit of a history with inspection issues, as it has 20 deficiencies in inspection reports and a few recent ones worth noting, including one for administration (F0836) and one about nutrition and dietary (F0812), both pointing to possible risks for more than minimal harm without actual harm happening, and there's also been an infection-related deficiency noted, though nothing that suggests serious incidents have occurred. Folks can learn more through the resident handbook and there's information about privacy rights, with a pre-admission form ready for new entries, and the emergency preparedness plans are in place if things go wrong. People who want to work here can fill out applications online, by mail, or fax, and benefits include things like health, dental, vision, HSA, Flexible Spending, retirement, and a 401(k), with contributions, short-term disability, employee help programs, and holiday perks. Classes for Certified Nurse Aides are offered, so staff training seems important here. Dietary management, case management, and spiritual care are named as main focuses, and care is intended to feel welcoming, respectful, and like home to each resident, no matter how long they stay.

    People often ask...

    SMP Health - Maryhill offers assisted living, memory care, and skilled nursing.

    There are 4 photos of SMP Health - Maryhill on Mirador.

    The full address for this community is 110 Hillcrest Dr, Enderlin, ND 58027.

    No, SMP Health - Maryhill does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.

    License numberSNF-smp-health-maryhill-manor-enderlin
    Facility typeSkilled Nursing Facility

    Inspection Reports

    40

    Reports

    116

    Citations

    0

    Complaints

    17

    Years

    24 Oct 2024Inspection
    Investigated allegations of resident-to-resident abuse and related governance and dietary practice deficiencies; findings showed failures to prevent, investigate, report, and correct abuse, along with multiple lapses in dietary safety and QAPI.
    • 42 CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • 42 CFR 483.12(c)(1)-(4)Reporting Alleged Violations
    • 42 CFR 483.12(c)(2)-(4)Investigate/Prevent/Correct Alleged Violation
    • 42 CFR 483.60(a)(1)-(2)Qualified Dietary Staff
    • 42 CFR 483.60(i)-(1)-(2)Food Safety—Procurement, Storage, Preparation, and Serving
    • 42 CFR 483.75(c)-(e)-(g)(2)(i)(ii)Quality Assurance and Performance Improvement (QAPI)
    • 42 CFR 483.80(d)(1)-(2)Influenza and Pneumococcal Immunizations
    16 Sept 2024Life Safety
    Found no deficiencies identified during the survey related to emergency preparedness and life safety code adherence.
    12 Sept 2024Inspection
    Found inadequate sanitization in the dining area due to an incorrect quat sanitizer concentration, risking insufficient surface sanitation. Implemented corrective actions including a product change and staff training.
    • CFR 483.60(i)(1)-(2)Food safety requirements
    01 May 2024Inspection
    Found no deficiencies. An unannounced onsite investigation regarding a facility-reported incident and a complaint was completed on May 1, 2024.
    03 Apr 2024Inspection
    Identified that a staff member administered medications without verification of a current North Dakota medication assistant registry.
    • NDAC 33-43-01-20Medication assistant I and II initial registration and renewal
    21 Nov 2023Inspection
    Identified safety and infection control deficiencies: staff did not consistently use gait belts or other assistive devices during transfers and repositioning, and peri-care procedures risked infection.
    • §483.25(d)Accidents
    • §483.80Infection prevention and control
    09 Oct 2023Life Safety
    Found no deficiencies related to emergency preparedness or life safety during the visit.
    05 Oct 2023Inspection
    Investigated multiple deficiencies, including unsafe medication administration, inadequate diabetes care planning, improper infection control, unsafe transfers, and inadequate resident rights protections.
    • 42 CFR 483.10Resident Rights
    • 42 CFR 483.10(g)(14)-(15)Notify of Changes
    • 42 CFR 483.21(b)(2)Care Plan Timing
    • 42 CFR 483.21(b)(3)Care Plan Services/Standards
    • 42 CFR 483.25(d)Accidents/Supervision
    • 42 CFR 483.25(e)Incontinence
    • 42 CFR 483.65Respiratory Care
    • 42 CFR 483.35Nursing Staff Competence
    • 42 CFR 483.35(g)Public Posting of Nurse Staffing
    • 42 CFR 483.80Infection Prevention
    • NDAC 33-43-01-19Medication Interventions That May Not Be Delegated
    • NDAC 33-43-01-16Specific Delegation of Medication Administration
    • NDAC 33-43-01-17Routes or Types of Medication Administration
    • NDAC 33-07-03.2-18Pharmaceutical Services
    19 Sept 2022Life Safety
    Found failure to test and service the kitchen exhaust hood fire-extinguishing system at required intervals, with corrective actions implemented and back in compliance.
    • NFPA 96; 19.3.2.5.1; 9.2.3Cooking facilities - kitchen exhaust hood fire-extinguishing system testing/maintenance
    15 Sept 2022Inspection
    Multiple deficiencies identified across medication self-administration, assessments, care planning, insulin handling, safety, psychotropic use, and food safety/nutrition.
    • CFR 483.10(c)(7)Resident Self-Admin Meds-Clinically Appropriate
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • CFR 483.25(d)(1)(2)Free from Accident Hazards/Supervision/Devices
    • CFR 483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
    • CFR 483.60(c)(1)-(7)Menus Meet Resident Needs/Prep in Advance/Followed
    • CFR 483.60(i)(1)-(2)Food Procurement/Store/Prepare/Serve-Sanitary
    03 Aug 2021Life Safety
    Found no deficiencies. The survey determined compliance with emergency preparedness requirements and related life safety standards.
    22 Jul 2021Inspection
    Identified deficiencies in accurate completion of assessments, timely care planning revisions, safe transfer equipment, and hydration support.
    • 483.20(g)Accuracy of Assessments
    • 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    • 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
    22 Jul 2021Inspection
    Found multiple deficiencies in resident assessments, care planning, transfer safety equipment, and hydration care. The deficiencies involved inaccurate documentation and failure to provide adequate safety measures affecting residents.
    • 483.20(g)Accuracy of Assessments
    • 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    • 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
    08 Dec 2020Inspection
    Found no deficiencies. The focused infection control review showed compliance with infection control regulations.
    19 Nov 2020Inspection
    Identified missing documentation of COVID-19 testing and results for four residents.
    • 42 CFR §483.80(h)COVID-19 Testing-Residents & Staff
    21 Oct 2020Inspection
    Found no deficiencies. The review showed compliance with emergency preparedness and infection control requirements during the 2020-10-21 visit.
    18 Mar 2020Inspection
    Found no deficiencies after a COVID-19 focused infection control survey conducted on 2020-03-16. Noted compliance with CMS and CDC recommended practices.
    09 Oct 2019Inspection
    Found deficiencies in reporting a neglect incident, in developing a comprehensive care plan for a resident with a fracture, and in infection prevention practices.
    • CFR 483.12(c)(1)-(4)Reporting of Alleged Violations
    • CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
    • CFR 483.80Infection Prevention & Control
    13 Aug 2019Life Safety
    Identified deficiencies in fire protection systems, including failure to test and maintain the kitchen's wet chemical extinguishing system and incomplete maintenance/testing of the automatic sprinkler system.
    • NFPA 17AWet chemical extinguishing system – maintenance/testing
    • NFPA 25Sprinkler system – maintenance and testing
    19 Sept 2018Inspection
    Investigated deficiencies found in care plan revisions, medication administration, wound care, infection control, and overall quality of care.
    • CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR 483.21(b)(3)Services Provided Meet Professional Standards
    • CFR 483.25Quality of Care
    • CFR 483.25(b)(1)(ii)Treatment/Services to Prevent/Heal Pressure Ulcers
    • CFR 483.45Pharmacy Services
    • CFR 483.80Infection Prevention & Control
    05 Sept 2018Life Safety
    Cited deficiencies in emergency power testing and NFPA compliance due to monthly generator tests below required load and and lack of annual supplemental exercises.
    • Emergency power system testing and maintenance (NFPA 99/110)
    20 Dec 2017Inspection
    Investigated; identified multiple deficiencies related to physician notification, discharge notices, accurate resident assessments, care planning, and resident safety.
    • §483.10(g)(14)Notification of Changes
    • §483.10(g)(17)-(18)Medicaid/Medicare Coverage/Liability Notice
    • §483.15(c)(3)-(6),(8)Notice before transfer/discharge
    • §483.20(g)Accuracy of Assessments
    • §483.20(h)-(j)Coordination/Certification of Assessment
    • §483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • §483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    06 Nov 2017Life Safety
    Identified multiple life-safety deficiencies related to emergency lighting, smoke detection sensitivity testing, and sprinkler system installation and maintenance.
    • NFPA 101 7.9.3.1.1Emergency Lighting
    • NFPA 72 14.4.5.3; NFPA 72 9.6.2.10.1.1; NFPA 72 14.4.5.3; NFPA 72 19.3.4.5; NFPA 72 19.3.6.1Smoke Detection
    • NFPA 13 8.3.2; NFPA 13 8.3.2.5(10); NFPA 13 19.3.5.1Sprinkler System - Installation
    • NFPA 25Sprinkler System - Maintenance and Testing
    23 Nov 2016Inspection
    Investigated multiple deficiencies across rights notification, activities, care planning, feeding safety, skin protection, supervision, infection control, and equipment safety.
    • 483.10(b)(5)-(10), 483.10(b)(1)NOTICE OF RIGHTS, RULES, SERVICES, CHARGES
    • 483.15(f)(1)ACTIVITIES MEET INTERESTS/NEEDS OF EACH RES
    • 483.15(f)(1)ACTIVITIES MEET INTERESTS/NEEDS OF EACH RES
    • 483.20(d)(3), 483.10(k)(2)RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP
    • 483.25(c)TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES
    • 483.25(c)TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES
    • 483.25(h)FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES
    • 483.25(k)TREATMENT/CARE FOR SPECIAL NEEDS
    • 483.65INFECTION CONTROL, PREVENT SPREAD, LINENS
    20 Sept 2016Life Safety
    Found six smoke detectors located within 3 feet of an air diffuser; they were removed.
    • NFPA 101 Life Safety Code 9.6.1.3; NFPA 72 National Fire Alarm Code 2-3.5.1; NFPA 101 19.3.4.5.1; 9.6.2.10.1Smoke detectors not located at required distance from air diffusers
    02 Dec 2015Inspection
    Identified deficiencies in care planning and infection control, including missing assessments and care plan updates for residents and inadequate handling of pet-related incidents.
    • 483.20(d)(3), 483.10(k)(2)RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP
    • 483.65INFECTION CONTROL, PREVENT SPREAD, LINENS
    21 Sept 2015Life Safety
    Identified two life-safety deficiencies: backflow testing overdue and a heater protruding into a corridor, obstructing means of egress.
    • NFPA 25, 9-6.2Backflow preventer annual testing
    • NFPA 101 Life Safety Code, 7.1.10; 7.1.10.1; 7.3.2Means of egress free of obstructions
    04 Dec 2014Inspection
    Investigated hydration and infection-control practices; observed staff failing to offer fluids to a resident and identified deficiencies in infection prevention/policies.
    • Infection prevention and control program
    16 Oct 2014Inspection
    The provider failed to offer a meaningful, individualized activity program and several other deficiencies related to resident care, safety, and documentation were identified. Several required assessments and care planning elements were not adequately implemented.
    • 483.15(f)(1)Activities meet interests/needs of each resident
    • 483.20(g)-(j)Assessment accuracy/coordination/certification
    • Care planning and resident assessments
    • 483.25(i)Hydration/fluids monitoring and related care
    • Supervision with smoking and related safety
    • Safety and environmental hazards; smoking and resident activities
    25 Aug 2014Life Safety
    Found no deficiencies. The Life Safety Code survey concluded the facility was in compliance with NFPA 101.
    14 Nov 2013Inspection
    Investigations found deficiencies in updating care plans, managing resident behaviors and medications, and ensuring safe medication handling and nutrition monitoring.
    • Care plan not updated to reflect resident needs
    • Behavioral health/psychotropic medication management deficiencies
    • Medication management and nutrition planning deficiencies
    • Nutrition/weight management deficiencies
    • Drug storage/distribution deficiencies
    07 Aug 2013Life Safety
    Identified deficiencies in maintaining the automatic sprinkler system and inspecting the kitchen fire-extinguishing system; gas shut-off testing was not performed as required.
    • NFPA 25Maintenance of water-based fire protection systems
    • NFPA 96; NFPA 25Kitchen hood fire protection; maintenance/testing of automatic extinguishing system; gas shut-off testing
    18 Oct 2012Inspection
    Found the provider failed to complete a Significant Change in Status Assessment for a resident who declined in activities of daily living and weight, affecting care planning.
    • 483.20(b)(2)(ii)COMPREHENSIVE ASSESSMENT
    27 Jun 2012Life Safety
    Identified life safety deficiencies, including smoke barrier doors lacking required 20‑minute fire ratings, glass in a smoke barrier door not fire‑rated, and construction-related safety issues.
    • NFPA 101 Life Safety Code StandardDoor openings in smoke barriers not 20-minute fire-rated
    • NFPA 101 Life Safety Code StandardGlass in smoke barrier door not fire-rated glass
    • NFPA 101 Life Safety Code StandardBuilding construction type and height not shown to meet standard
    09 Nov 2011Inspection
    Identified multiple deficiencies in care and operations, including poor diabetes management, infection control, documentation, and medication handling and storage.
    • Diabetes care documentation and monitoring
    • Inadequate insulin/diabetes management and monitoring
    • Care planning and perineal care/hand hygiene deficiencies
    • Infection control program deficiencies
    • Medication handling and drug distribution practices
    • Garbage and refuse disposal
    19 Jul 2011Life Safety
    Found noncompliance with Life Safety Code due to construction type not being fully sprinkler-protected. The building is Type V (111) construction and lacks an automatic sprinkler system throughout.
    • NFPA 101 Life Safety CodeLife Safety Code requires automatic sprinkler protection for existing health care occupancies
    16 Nov 2010Inspection
    Identified deficiencies in resident activities and care planning, with delays in staff responding to call lights and gaps in ongoing activity programs.
    • Continued failure to address resident activity needs and timely call-light responses
    • Inadequate activity program and psychosocial well-being
    21 Sept 2010Life Safety
    Investigated deficiencies in life-safety features included incomplete automatic sprinkler coverage, maintenance failures of the sprinkler system, and inadequate means of egress illumination.
    • NFPA 101 Life Safety Code; Existing Health Care Occupancies; automatic sprinkler systemConstruction not protected by automatic sprinkler system
    • NFPA 101 Life Safety Code Standard; NFPA 25Automatic sprinkler system not maintained
    • NFPA 25Maintenance of sprinkler system not adequate
    • NFPA 101 Life Safety Code; Means of egress illuminationIllumination of means of egress
    04 Nov 2009Inspection
    Investigation identified deficiencies in care planning and monitoring for residents, including inadequate toileting/transfer assistance and issues with skin/nutrition related to pressure sores.
    • 483.25(c) PRESSURE SORESContinued From page 2 toileting/transfer
    • 483.25(c) PRESSURE SORESContinued From page 4 – Nutritional Needs for Pressure Sores
    • Continued From page 16 – Safety and supervision
    11 Aug 2009Life Safety
    Identified life-safety deficiencies including an unprotected Type V construction without automatic sprinklers and inadequate kitchen fire-suppression inspection, plus administrative gaps in safety oversight.
    • NFPA 101 Life Safety Code StandardLife Safety Code construction type and automatic sprinkler system requirement
    • NFPA 101 Life Safety Code StandardAdministrative oversight of safety inspections and quality assurance

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