Cycle 1
Health 2025-01-08 · Fire 2025-01-08
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Grand Forks, ND
Woodside Village
3-star overall rating with 3-star inspections with $8,278 in total fines with 4 recent health deficiencies
4000 24th Ave S, Grand Forks, ND
(701) 787-7500
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
138
Certified beds
Average residents
130
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-12-01
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
0.60
Registered nurse staffing · state 0.93 · national 0.68
LPN hours / resident day
0.45
Licensed practical nurse staffing · state 0.50 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.99 · national 2.35
Total nurse hours
3.54
All reported nurse hours · state 4.41 · national 3.89
Licensed hours
1.05
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.07
Weekend nurse staffing · state 3.75 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.59 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
458
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
69.46
Composite VBP score used to determine payment impact.
Payment multiplier
1.0221
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
5.06
Baseline 39.45% · Performance 42.99% · Measure score 5.06 · Achievement 5.06 · Improvement 0
Adjusted total nurse staffing
8.83
Baseline 5.26 hours · Performance 5.59 hours · Measure score 8.83 · Achievement 8.83 · Improvement 5.86
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.64% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 2.86% · Lower 95% interval 5.77% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 16.08% |
8.2%
7.9 pts better
|
Numerator 46 · Denominator 286 |
| Staff flu vaccination coverage | 91.01% |
42%
49 pts better
|
Numerator 415 · Denominator 456 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.4
0.5 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.5 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.9
1.4 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · 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 | 97.1% |
98.8%
1.7 pts worse
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
5.1%
1.5 pts better
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.7% · Q3 2.3% · Q4 4.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
4.4%
2.5 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.5% · Q3 1.7% · Q4 2.7% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
5.5%
1 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 8.2% · Q3 8.3% · Q4 4.3% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.1% |
17.4%
3.3 pts better
|
19.6%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 13.6% · Q3 13.8% · Q4 14.3% · 4Q avg 14.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.4% |
23.4%
8 pts better
|
16.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 15.9% · Q3 14.7% · Q4 14.7% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.8% |
0.2%
0.6 pts worse
|
0.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.8% · Q4 0.8% · 4Q avg 0.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.5% |
19.0%
3.5 pts better
|
16.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 20.3% · Q3 12.2% · Q4 9.5% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.6% |
20.1%
3.5 pts better
|
14.9%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 22.5% · Q3 15.6% · Q4 12.0% · 4Q avg 16.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.8%
1.2 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
3.1%
1.6 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.5% · Q3 0.0% · Q4 2.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
25.2%
2.7 pts better
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 23.4% · Q3 19.1% · Q4 18.6% · 4Q avg 22.5% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
5.3%
3.8 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.9% · Q3 1.6% · Q4 1.6% · 4Q avg 1.5% · 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 · 4Q avg 100.0% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-30 · Fire 2023-11-30
4 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-11-03 · Fire 2022-11-03
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-11-03
K132 · Construction Deficiencies
Fire Safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2022-11-28
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-22
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 2025-09-25
D · Potential for more than minimal harm
2025-12-22
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 2025-11-05
G · Actual harm
2025-01-08
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 2024-09-13
D · Potential for more than minimal harm
2025-01-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-23
D · Potential for more than minimal harm
2024-01-23
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-27
D · Potential for more than minimal harm
2023-11-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-04
D · Potential for more than minimal harm
2023-11-30
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 2024-01-04
D · Potential for more than minimal harm
2023-11-30
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 2024-01-04
D · Potential for more than minimal harm
2023-11-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-04
E · Potential for more than minimal harm
2022-11-03
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 2022-12-08
D · Potential for more than minimal harm
2022-11-03
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2022-12-08
D · Potential for more than minimal harm
2022-11-03
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-08
D · Potential for more than minimal harm
2022-11-03
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 2022-12-08
D · Potential for more than minimal harm
2022-11-03
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-12-08
D · Potential for more than minimal harm
2022-11-03
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-12-08
Penalties and ownership
What sits behind the stars
$8,278
2025-01-08
Fine
Fine · fine $8,278
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
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
Henderson, Christopher
Operational/Managerial Control · Individual
Herberg, Rachael
Operational/Managerial Control · Individual
Holte, Shannon
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
Roller, Gina
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
Sand, Brian
Operational/Managerial Control · Individual
Schultz, Jennifer
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
Warner, Lisa
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Valley Senior Living On Columbia
Grand Forks, ND
4-star overall rating with 3-star inspections with $20,112 in total fines with 4 recent health deficiencies
#2
Villa St Vincent
Crookston, MN
1-star overall rating with 2-star inspections with abuse icon flag with $29,234 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Good Samaritan Society - Larimore
Larimore, ND
1-star overall rating with 1-star inspections with Special Focus status with $9,110 in total fines with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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