CCN 355108 · Ransom County, North Dakota
Smp Health - Maryhill
110 Hillcrest Dr, Enderlin, ND 58027
Smp Health - Maryhill is a 42-bed nonprofit nursing home in Enderlin, North Dakota, first certified for Medicare or Medicaid in 1991. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 41.0 residents a day, about 98% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 42
- Average residents per day
- 41.0 (97.6% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Sisters of Mary of the Presentation Long Term Care
- Certified since
- Sep 1, 1991
- Chain or affiliated group
- Smp Health (5 facilities, chain average 3.8 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | North Dakota median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 14 at 1, 10 at 2, 15 at 3, 15 at 4, 17 at 5 | |
| Health inspections | 5 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 4.11 | 4.37 | 3.68 |
| RN hours per resident per day | 0.74 | 0.90 | 0.58 |
| Weekend nurse hours per resident per day | 3.37 | ||
| Nursing staff turnover | 31.1% | 50.0% | 44.9% |
| Occupancy (residents / beds) | 97.6% | 94.5% | 85.7% |
| Fines reported by CMS | 1 totaling $10,036 | ||
| Health deficiencies, latest standard survey | 2 (Nov 21, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Smp Health - Maryhill meets that part today: 5 stars overall, 5 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Sisters of Mary of the Presentation Long Term CareOrganization | Operational / Managerial Control | n/a | 04/01/2002 |
| Alton, AaronIndividual | Operational / Managerial Control | n/a | 04/01/2002 |
| Walz, BailynIndividual | Operational / Managerial Control | n/a | 10/01/2021 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.