SNF
WOODSIDE VILLAGE
CCN: 355112 · GRAND FORKS, ND 58201 · Grand Forks County
CCRC
Overview
- Address
- 4000 24TH AVE S, GRAND FORKS, ND 58201
- Phone
- 7017877500
- Certified beds
- 138
- Avg daily residents
- 130 (94% of beds filled)
- Ownership
- Non-profit (church-affiliated)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1991-12-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.54 | 3.43 | 3.99 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.60 | 0.60 | 0.67 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.45 | 0.76 | 0.51 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.49 | 2.07 | 2.81 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.05 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.01 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.07
hrs / resident / day
RN (weekend)
0.36
hrs / resident / day
Total nurse (adjusted, weekend)
3.46
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
45.3%
annual
RN turnover
26.7%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.21
higher acuity than avg
Case-Mix Index Ratio
0.88
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-01-08 | 4 | 2 | 4 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2023-11-30 | 5 | 4 | 1 | 20 | 1 | 20 |
Total weighted health score
29.0
lower is better
Deficiencies (15)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
14 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-22 | 2025-09-25 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-12-22 | 2025-11-05 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-01-08 | 2024-09-13 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-01-08 | 2025-01-23 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-01-23 | 2024-02-27 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-11-30 | 2024-01-04 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-11-30 | 2024-01-04 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-11-30 | 2024-01-04 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-11-30 | 2024-01-04 |
| 0637 | Assess the resident when there is a significant change in condition | D | 2022-11-03 | 2022-12-08 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-11-03 | 2022-12-08 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-11-03 | 2022-12-08 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-11-03 | 2022-12-08 |
| 0758 | 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. | D | 2022-11-03 | 2022-12-08 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-11-03 | 2022-12-08 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$8,278
| Date | Type | Fine amount |
|---|---|---|
| 2025-01-08 | Fine | $8,278 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Operating performance
Operating Margin
23.6%
Total Margin
8.8%
Occupancy Rate
98.6%
Revenue & costs
Net Patient Revenue
$25.5M
Total Costs
$124K
Net Income
$2.3M
Balance sheet
Total Assets
$36.7M
Total Liabilities
$25.3M
Fund Balance
$11.4M
Current Ratio
3.25
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| VALLEY SENIOR LIVING | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/22/1997 |
| ALTRU HEALTH SYSTEM | OPERATIONAL/MANAGERIAL CONTROL | since 06/01/1994 |
| VALLEY SENIOR LIVING | OPERATIONAL/MANAGERIAL CONTROL | since 08/22/1997 |
Owner / manager individuals (36)
| Name | Role | Association |
|---|---|---|
| ANDERSON, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | since 03/31/2014 |
| BERGE, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | since 09/25/2023 |
| BOTT, LORILEE | OPERATIONAL/MANAGERIAL CONTROL | since 09/29/2004 |
| BROWN, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | since 09/28/2020 |
| COLENSO, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | since 09/30/2024 |
| EDWARDS, ADAM | OPERATIONAL/MANAGERIAL CONTROL | since 09/05/2021 |
| HENDERSON, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | since 06/25/2018 |
| HERBERG, RACHAEL | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2018 |
| HOLTE, SHANNON | OPERATIONAL/MANAGERIAL CONTROL | since 09/26/2005 |
| LITSEY, JOE | OPERATIONAL/MANAGERIAL CONTROL | since 06/02/2023 |
| MOLMEN, DAVID | OPERATIONAL/MANAGERIAL CONTROL | since 09/23/2019 |
| MOORE, PATRICK | OPERATIONAL/MANAGERIAL CONTROL | since 09/25/2017 |
| REED, MARGARET | OPERATIONAL/MANAGERIAL CONTROL | since 09/25/2017 |
| ROLLER, GINA | OPERATIONAL/MANAGERIAL CONTROL | since 01/06/2021 |
| RYDLAND, GARTH | OPERATIONAL/MANAGERIAL CONTROL | since 02/11/2014 |
| SAFRANSKI, TINA | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2022 |
| SAND, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | since 03/31/1999 |
| SCHULTZ, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | since 04/19/2014 |
| STETHEM, RENITA | OPERATIONAL/MANAGERIAL CONTROL | since 10/13/2013 |
| SVENDSON, CAROL | OPERATIONAL/MANAGERIAL CONTROL | since 09/25/2023 |
| THOMPSON, DWIGHT | OPERATIONAL/MANAGERIAL CONTROL | since 09/26/2022 |
| WARNER, LISA | OPERATIONAL/MANAGERIAL CONTROL | since 02/19/2023 |
| BERGE, SCOTT | CORPORATE DIRECTOR | since 09/25/2023 |
| BROWN, MICHAEL | CORPORATE DIRECTOR | since 09/28/2020 |
| COLENSO, THOMAS | CORPORATE DIRECTOR | since 09/30/2024 |
Showing 25 of 36 individuals. Full list in CSV.
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 111 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Current Ratio | 3.25 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 1.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $2,329,044 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $25,472,679 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 98.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 23.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $36,706,114 | metrics.total_assets |
| Cost Report | Total Costs ($) | $124,302 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $11,371,034 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $25,335,080 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 8.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.50760 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.80854 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.67487 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.99101 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.45519 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 130.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.76107 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.06842 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.59989 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.42938 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.02264 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | GRAND FORKS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 355112 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Grand Forks | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1991-12-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 47.8966 | Latitude |
| Provider Information | Legal Business Name | 4000 VALLEY SQUARE INC | Legal Business Name |
| Provider Information | Location | 4000 24TH AVE S,GRAND FORKS,ND,58201 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -97.086 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 138 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.21488 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.88185 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Church related | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 4000 24TH AVE S | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | WOODSIDE VILLAGE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 170 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 4 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-08 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 4 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-11-30 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 20 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 20 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 5 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.35663 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 26.7 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.05030 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.45086 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.49463 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00890 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.59944 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.54492 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | 24 | Staffing Rating Footnote |
| Provider Information | State | ND | State |
| Provider Information | Telephone Number | 7017877500 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 8278.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.06900 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 45.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 29.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 58201 | ZIP Code |