Cycle 1
Health 2025-06-19 · Fire 2025-06-19
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Grand Forks, ND
Valley Senior Living On Columbia
4-star overall rating with 3-star inspections with $20,112 in total fines with 4 recent health deficiencies
2900 14th Ave S, Grand Forks, ND
(701) 787-7900
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
196
Certified beds
Average residents
185
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.35
Registered nurse staffing · state 0.93 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.50 · national 0.87
Aide hours / resident day
3.46
Nurse aide staffing · state 2.99 · national 2.35
Total nurse hours
5.40
All reported nurse hours · state 4.41 · national 3.89
Licensed hours
1.94
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
4.24
Weekend nurse staffing · state 3.75 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.59 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.39
CMS adjusted RN staffing hours
Adjusted total hours
5.58
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
186
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
79.09
Composite VBP score used to determine payment impact.
Payment multiplier
1.0256
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.03% · Performance 16.34% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
7.83
Baseline 6.23% · Performance 5.50% · Measure score 7.83 · Achievement 7.83 · Improvement 5.44
Total nurse turnover
5.64
Baseline 37.41% · Performance 40.61% · Measure score 5.64 · Achievement 5.64 · Improvement 0
Adjusted total nurse staffing
8.16
Baseline 4.89 hours · Performance 5.40 hours · Measure score 8.16 · Achievement 8.16 · Improvement 5.25
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.74% |
10.72%
2 pts better
|
Better than the National Rate · Eligible stays 410 · Observed rate 8.05% · Lower 95% interval 7.21% |
| Discharge to community | 44.08% |
50.57%
6.5 pts worse
|
Worse than the National Rate · Eligible stays 336 · Observed rate 37.2% · Lower 95% interval 39% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.78% |
95.27%
3.5 pts better
|
Numerator 243 · Denominator 246 |
| Falls with major injury | 0.81% |
0.77%
About the same
|
Numerator 2 · Denominator 246 |
| Discharge self-care score | 38.76% |
53.69%
14.9 pts worse
|
Numerator 69 · Denominator 178 |
| Discharge mobility score | 36.52% |
50.94%
14.4 pts worse
|
Numerator 65 · Denominator 178 |
| Pressure ulcers or injuries, new or worsened | 2.03% |
2.29%
0.3 pts better
|
Numerator 5 · Denominator 246 · Adjusted rate 2.12% |
| Healthcare-associated infections requiring hospitalization | 5.5% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 221 · Observed rate 4.52% · Lower 95% interval 3.68% |
| Staff COVID-19 vaccination coverage | 20.73% |
8.2%
12.5 pts better
|
Numerator 108 · Denominator 521 |
| Staff flu vaccination coverage | 89.79% |
42%
47.8 pts better
|
Numerator 633 · Denominator 705 |
| Discharge function score | 48.88% |
56.45%
7.6 pts worse
|
Numerator 87 · Denominator 178 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 53 · Denominator 53 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 56 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 62.39% |
25.2%
37.2 pts better
|
Numerator 73 · Denominator 117 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.4
0.4 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.9
0.8 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.3%
1.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.8%
1.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.0% |
5.1%
2.9 pts worse
|
3.3%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 8.8% · Q3 7.4% · Q4 8.2% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.3% |
4.4%
3.1 pts better
|
11.4%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 3.1% · Q4 0.7% · 4Q avg 1.3% |
| Percentage of long-stay residents who lose too much weight | 1.9% |
5.5%
3.6 pts better
|
5.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 3.6% · Q3 1.4% · Q4 2.1% · 4Q avg 1.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.0% |
17.4%
1.4 pts better
|
19.6%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 15.5% · Q3 14.1% · Q4 16.2% · 4Q avg 16.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.9% |
23.4%
2.5 pts better
|
16.7%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 23.4% · Q3 19.8% · Q4 19.5% · 4Q avg 20.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.9% |
0.2%
0.7 pts worse
|
0.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.6% · Q3 1.1% · Q4 0.6% · 4Q avg 0.9% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.7% |
19.0%
2.7 pts worse
|
16.3%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 29.0% · Q3 22.6% · Q4 14.6% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.1% |
20.1%
1 pts worse
|
14.9%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 27.9% · Q3 15.0% · Q4 14.4% · 4Q avg 21.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.0% |
1.8%
0.2 pts worse
|
1.0%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.2% · Q3 2.2% · Q4 1.9% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
3.1%
0.3 pts better
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.1% · Q3 1.8% · Q4 2.5% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.9% |
25.2%
3.7 pts worse
|
19.8%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 33.6% · Q3 32.0% · Q4 24.5% · 4Q avg 28.9% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
5.3%
1 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.2% · Q3 2.9% · Q4 4.0% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.6%
6.4 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.3% |
10.7%
7.4 pts better
|
12.0%
8.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.3% · Observed 3.3% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.9%
0.2 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.4% · Q4 2.5% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
88.3%
11.7 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.0% |
20.5%
2.5 pts better
|
23.9%
5.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 18.9% · Expected 25.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-16 · Fire 2024-05-16
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-08 · Fire 2023-06-08
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-26
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-19
G · Actual harm
2025-06-19
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-03
D · Potential for more than minimal harm
2025-06-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-18
D · Potential for more than minimal harm
2025-06-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-18
G · Actual harm
2024-05-16
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-14
D · Potential for more than minimal harm
2024-05-16
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-14
D · Potential for more than minimal harm
2024-05-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-14
D · Potential for more than minimal harm
2024-05-16
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-14
D · Potential for more than minimal harm
2024-05-16
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-06-14
D · Potential for more than minimal harm
2024-05-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-14
D · Potential for more than minimal harm
2023-06-08
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-13
D · Potential for more than minimal harm
2023-06-08
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-07-13
D · Potential for more than minimal harm
2023-06-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-13
Penalties and ownership
What sits behind the stars
$7,008
2025-06-19
Fine
Fine · fine $7,008
Fine
$13,104
2024-05-16
Fine
Fine · fine $13,104
Fine
Ownership
Valley Senior Living
5% Or Greater Direct Ownership Interest · Organization
Altru Health System
Operational/Managerial Control · Organization
Anderson, Megan
Operational/Managerial Control · Individual
Baumgarten, Jessica
Operational/Managerial Control · Individual
Berge, Scott
Operational/Managerial Control · Individual
Berge, Scott
Corporate Director · Individual
Bott, Lorilee
Operational/Managerial Control · Individual
Brown, Michael
Operational/Managerial Control · Individual
Brown, Michael
Corporate Director · Individual
Colenso, Thomas
Operational/Managerial Control · Individual
Colenso, Thomas
Corporate Director · Individual
Edwards, Adam
Operational/Managerial Control · Individual
Hathaway, Sonja
Operational/Managerial Control · Individual
Henderson, Christopher
Operational/Managerial Control · Individual
Hoeger, Nannette
Operational/Managerial Control · Individual
Lien, Michael
Operational/Managerial Control · Individual
Litsey, Joe
Operational/Managerial Control · Individual
Molmen, David
Operational/Managerial Control · Individual
Molmen, David
Corporate Director · Individual
Molmen, David
Corporate Officer · Individual
Moore, Patrick
Operational/Managerial Control · Individual
Moore, Patrick
Corporate Director · Individual
Reed, Margaret
Operational/Managerial Control · Individual
Reed, Margaret
Corporate Director · Individual
Reed, Margaret
Corporate Officer · Individual
Rerick, Lee
Operational/Managerial Control · Individual
Rydland, Garth
Operational/Managerial Control · Individual
Rydland, Garth
Corporate Director · Individual
Rydland, Garth
Corporate Officer · Individual
Safranski, Tina
Operational/Managerial Control · Individual
Stethem, Renita
Operational/Managerial Control · Individual
Svendson, Carol
Operational/Managerial Control · Individual
Svendson, Carol
Corporate Director · Individual
Svendson, Carol
Corporate Officer · Individual
Thompson, Dwight
Operational/Managerial Control · Individual
Thompson, Dwight
Corporate Director · Individual
Thompson, Dwight
Corporate Officer · Individual
Valley Senior Living
Operational/Managerial Control · Organization
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#2
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3-star overall rating with 4-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Villa St Vincent
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