SMP Health - Ave Maria

    501 19th St NE, Jamestown, ND 58401
    • Skilled Nursing

    Safe staff, activities, delicious meals

    I feel safe and well cared for - the staff are loving and trustworthy. Plenty of activities, delicious meals, and beautiful, cozy grounds make this a warm community I'm happy to call home.

    Current/former resident
    Jul 2026

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    Reviews

    3.67·(6)

    Overall rating

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

      3.7
    • Staff

      3.0
    • Meals

      3.0
    • Amenities

      5.0
    • Value

      1.0

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    Medicare Ratings

    3·/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • 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 - Ave Maria

    SMP Health - Ave Maria is located at 501 19th St NE, Jamestown, ND, 58401.

    People often ask...

    SMP Health - Ave Maria offers skilled nursing.

    The full address for this community is 501 19th St NE, Jamestown, ND 58401.

    No, SMP Health - Ave Maria 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-ave-maria-fka-ave-maria-village-jamestown
    Facility typeSkilled Nursing Facility

    Inspection Reports

    38

    Reports

    3

    Type A Citations

    0

    Type B Citations

    0

    Complaints

    17

    Years

    17 Sept 2024Life Safety
    Found noncompliance with testing and servicing the kitchen exhaust hood fire-extinguishing system; last service occurred 01/03/2023, exceeding the six-month interval.
    • NFPA 96Cooking Facilities
    11 Sept 2024Inspection
    Found deficiencies in resident rights dignity, medication labeling, and infection control practices during care and monitoring.
    • §483.10Resident Rights
    • §483.45Labeling of Drugs and Biologicals
    • §483.80Infection prevention and control
    17 Oct 2023Life Safety
    Found no deficiencies. The survey determined compliance with emergency preparedness and life safety requirements.
    12 Oct 2023Inspection
    Found deficiencies in care related to heel-protecting boots not being used as ordered for a resident, and missing hospice election forms and terminal illness certifications for several residents on hospice.
    • CFR 483.25Quality of care
    • CFR 483.70(o)(1)-(4)Hospice services
    13 Jun 2023Inspection
    Investigated allegations of abuse and found that a staff member placed a rag in a resident's mouth to silence her, representing abuse and a deficient practice.
    • 42 CFR 483.12Freedom from Abuse, Neglect, and Exploitation
    25 Jan 2023Inspection
    Found no deficiencies during the COVID-19 focused infection control survey and the emergency preparedness review.
    11 Oct 2022Life Safety
    Found that smoke detectors were not tested for sensitivity in accordance with NFPA 72, and the last sensitivity test occurred in 2018.
    • NFPA 72, National Fire Alarm and Signaling Code (2012 edition)Smoke detector sensitivity testing not performed as required
    29 Sept 2022Inspection
    Identified failures in infection prevention and control, including not disinfecting shared equipment between residents and not following precautions during aerosol-generating procedures.
    • CFR 483.80Infection Prevention & Control
    05 Aug 2021Inspection
    Identified deficiencies in supervision to prevent accidents, in providing hydration, and in infection prevention practices, including glucose meter disinfection and hand hygiene.
    • CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
    • CFR 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
    • CFR 483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
    04 Aug 2021Life Safety
    Found a deficiency in cooking facilities where the kitchen hood’s wet chemical extinguishing system and its activation device did not meet NFPA 96 requirements. The manual activation device was mounted above the allowed height and the pull height was incorrect.
    • NFPA 96; NFPA 101Cooking facilities - compliance with NFPA 96
    30 Mar 2021Inspection
    Investigated a complaint; found failures to assess, plan, and monitor individualized approaches for residents with dementia who exhibited behaviors.
    • 483.40(d)Provision of Medically Related Social Service
    02 Dec 2020Inspection
    Verified no deficiencies were cited for infection control or emergency preparedness during the COVID-19 focused review. It noted compliance with applicable regulations and CMS/CDC practices.
    10 Nov 2020Inspection
    Found no deficiencies cited regarding infection control during the focused survey conducted in November 2020.
    21 Oct 2020Inspection
    Found failures to post isolation signage outside resident rooms and to consistently implement PPE signage, indicating lapses in infection prevention and control for several residents on isolation or MRSA precautions.
    • 42 CFR §483.80Infection Prevention & Control
    16 Mar 2020Inspection
    Found no deficiencies and confirmed compliance with infection control practices during a COVID-19 focused review.
    14 Nov 2019Inspection
    Found multiple deficiencies, including unresolved grievances about lift batteries, inconsistent code status documentation, outdated care plans, inadequate ADL/oral care, improper disposal/storage of medications, and lapses in infection control.
    • 42 CFR 483.10(f)(5)-(7)Resident rights: group participation and grievance response
    • 42 CFR 483.10(c)(6)-(8); 483.10(g)(12)Advance directives/code status not consistently documented
    • 42 CFR 483.21(b)(2)(iii)Care Plan Timing and Revision
    • 42 CFR 483.24(a)(2)ADL care provided for dependent residents
    • 42 CFR 483.45(g)-(h)Labeling/Storage of drugs and biologicals; MedSafe
    • 42 CFR 483.80Infection control program
    24 Sept 2019Life Safety
    Determined no deficiencies in life safety and health care standards.
    20 Sept 2018Inspection
    Identified multiple deficiencies affecting resident rights, care planning, medication administration, and service coordination, including call-light accessibility, ombudsman notification, PASARR updates, and proper medication handling.
    • 483.10(e)(3)Reasonable Accommodations
    • 483.15(c)(3)-(6)(8)Notice before Transfer/Discharge
    • 483.20(e)(1)-(2)Coordination of PASARR
    • 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • 483.24(a)(1)-(b)(1)-(5)(i)-(iii)Activities Daily Living (ADLs)/Maintenance of Abilities
    • 483.45Pharmacy Services
    22 Aug 2018Life Safety
    Found deficiencies in fire alarm system testing and documentation; the contractor's report did not provide an itemized device list and test results.
    • 9.6.1.3, 9.6.1.5, NFPA 70, NFPA 72Fire Alarm System - Testing and Maintenance
    22 Nov 2017Inspection
    Identified multiple deficiencies in resident care, including inaccurate medication data in assessments, improper use of assistive devices, inadequate weight management, failure to apply ordered braces, and unclear oxygen orders.
    • CFR 483.20(g)-(j)Assessment accuracy/coordination/certification
    • CFR 483.24, 483.25(k)(l)Quality of life/Quality of care; Pain management and dialysis
    • CFR 483.25(d)(1)(2)(n)(1)-(3)Free of accident hazards/supervision/devices
    • CFR 483.25(g)(1)(3)Maintain nutrition status
    • CFR 483.25(b)(2)(f)(g)(5)(h)(i)(j)Treatment/Care for special needs
    05 Sept 2017Life Safety
    Found multiple life-safety deficiencies related to means of egress, smoke detection, sprinkler system maintenance, portable extinguishers, and fire drills.
    • NFPA 101, Means of Egress - General: 7.2.1.4.3.1; 7.1.10.1; 18.2.1, 19.2.1; 7.1.10.1; 7.3.2.2Means of Egress - General
    • NFPA 72; NFPA 101 19.3.4.5.2; 19.3.4.5.1; 17.7.4.1Smoke Detection
    • NFPA 25; 19.7.6; 4.6.12; NFPA 25, 13.2.7.1; 13.3.2.1.1Sprinkler System - Maintenance and Testing
    • NFPA 101; NFPA 10 9.7.4.1; 6.1.3.8.3Portable Fire Extinguishers
    • NFPA 101 18.7.1.4 through 18.7.1.7; 19.7.1.4 through 19.7.1.7Fire Drills
    14 Jun 2017Inspection
    Identified failures to complete required significant change assessments, widespread MDS data-entry inaccuracies, and an incorrect End of Therapy submission to CMS.
    • Type A483.20(b)(2)(ii)COMPREHENSIVE ASSESSMENT AFTER SIGNIFICANT CHANGE
    • Type A483.20(g)-(j)ASSESSMENT ACCURACY/COORDINATION/CERTIFIED (g)-(j)
    • Type A483.20(f)ENCODING/TRANSMITTING RESIDENT ASSESSMENT
    20 Oct 2016Inspection
    Investigated multiple deficiencies across dignity, care planning, nutrition, infection control, and safety, with several residents experiencing weight loss, improper care, and infection risks due to lapses in practice.
    • 483.10(b)(11)NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)
    • 483.15(a)DIGNITY AND RESPECT OF INDIVIDUALITY
    • 483.20(b)(2)SIGNIFICANT CHANGE IN STATUS AND MDS TIMELY COMPLETION
    • 483.20(d); 483.10(k)(2)DEVELOP COMPREHENSIVE CARE PLANS
    • 483.20(d)(3)RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP
    • 483.25SERVICES PROVIDED MEET PROFESSIONAL STANDARDS
    • 483.25PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING
    • 483.25(c)TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES
    • 483.25(h)FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES
    • 483.25(i)MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE
    • 483.60(b)FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY
    • 483.65INFECTION CONTROL, PREVENT SPREAD, LINENS
    22 Sept 2016Life Safety
    Identified several life-safety deficiencies, including emergency lighting failure, incomplete fire alarm testing, improperly located smoke detectors, and sprinkler system maintenance issues.
    • NFPA 101 19.2.9.1Emergency lighting duration not met
    • NFPA 72; NFPA 70; NFPA 72 9.6.1.4Fire alarm system testing/maintenance not in compliance
    • NFPA 72 A-2-3.5.1Smoke detectors not installed per NFPA 72
    • NFPA 25; NFPA 101 18.3.5.1; NFPA 25 9-6.2Automatic sprinkler system not maintained in reliable condition
    22 Oct 2015Inspection
    Identified multiple deficiencies across care planning, medication management, infection control, and resident safety during a standard survey.
    • 483.20(b)(2)(ii)Comprehensive assessment after significant change
    • 483.20(g)-(j)Assessment accuracy/coordination/certified
    • 483.20(k)(3)(i)Services meet professional standards
    • 483.25Provide care/services for highest well being
    • 483.25(h)Free of accident hazards/supervision/devices
    • 483.25(l)Drug regimen free from unnecessary drugs
    • 483.40(b)Physician visits - review care/not es/orders
    • 483.60(c)Drug regimen review, irregular, act on
    • 483.65Infection control, prevent spread, linens
    31 Aug 2015Life Safety
    Confirmed compliance with NFPA 101 Life Safety Code; no deficiencies were cited.
    02 Oct 2014Inspection
    An investigation found multiple deficiencies related to residents’ dignity and individuality, assessment and care planning, infection management, and safety.
    • Dignity and Respect of Individuality
    • Assessment / Coordination / Certified
    • Urinary Tract Infections
    • No Catheter, Prevent UTI, Restore Bladder Function
    • Elopement
    26 Aug 2014Life Safety
    Found no deficiencies related to Life Safety Code compliance. The survey concluded overall compliance with NFPA 101 and related provisions.
    06 Nov 2013Inspection
    Investigated identified deficiencies related to resident safety and privacy, including several falls and inadequate supervision during transfers and personal care.
    • DIGNITY AND RESPECT OF INDIVIDUALS DURING CARE
    • CONTINUED FALLS/TRANSFER PROCEDURES (NOT LIFTING PROPERLY)
    • TRANSFER/FOOT-BASED MOBILITY AND FALL PREVENTION
    29 Oct 2013Life Safety
    Determined compliance with NFPA 101 Life Safety Code; no deficiencies cited.
    31 Oct 2012Inspection
    Investigated and found deficiencies related to inaccurate resident assessments, improper toileting monitoring, unsafe transfer practices, and sanitation issues with food service and dishware.
    • Inaccurate resident assessment documentation
    • Inadequate monitoring of bladder and bowel patterns; toileting plan not developed
    • Inadequate transfers/ambulation and related care planning
    • Sanitation/food service deficiencies
    17 Jul 2012Life Safety
    Found that a door within a smoke barrier did not self-close, compromising smoke containment; one of eight doors failed to close.
    • NFPA 101 Life Safety Code StandardSmoke barrier doors not self-closing
    08 Dec 2011Inspection
    Investigative findings showed multiple deficiencies related to resident rights and information, assessment and care planning, diet and meal service, and basic quality assurance practices.
    • §1919(e)(6) of the ActNotice to residents about rights, services, charges, and changes
    • 483.20(b)(2)(ii)Significant Change in Status assessment
    • 483.20(g)(i)Comprehensive Assessment (MDS/RAI) timing/accuracy
    • Dietary/meal service compliance
    • 483.35(i)Food procurement, storage, and sanitary handling
    27 Sept 2011Life Safety
    Concluded no deficiencies were cited and the operation complied with NFPA 101 Life Safety Code.
    17 Mar 2011Inspection
    Concluded no deficiencies were found during the standard Medicare/Medicaid recertification survey conducted from 01/03/11 to 01/06/11.
    06 Jan 2011Inspection
    Investigated restraint use and related care planning; found improper restraint practices and gaps in social/medical services for residents.
    • Right to be free from physical restraints
    • Provision of medically related social services
    13 Jan 2010Inspection
    Investigated sanitation practices and found improper sanitizer concentration and testing in the kitchen; identified as a repeat deficiency from a prior survey.
    • 483.35(i)SANITARY CONDITIONS
    30 Nov 2009Life Safety
    Found no deficiencies; concluded compliance with applicable safety standards.

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