Valley Senior Living on 42nd

Memory Care Home
Overview of Valley Senior Living on 42Nd

Situated in Grand Forks, North Dakota, Valley Senior Living on 42Nd is a retirement community that offers a perfect balance of independence and care. Ideal for couples, siblings, and friends, this community provides multiple services tailored to individual needs, allowing loved ones to stay close to each other while receiving personalized attention.

Discover the freedom of apartment living and the convenience of being near healthcare specialists at Valley Senior Living on 42Nd. Immerse yourself in a friendly and social atmosphere, fostering new friendships and connections with neighbors. Embrace a vibrant retirement lifestyle in the heart of Grand Forks at Valley Senior Living on 42Nd.

(701) 787-7621

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
North Dakota average: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
North Dakota average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
North Dakota average: 4.3/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5
North Dakota average: 2.7/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
5h 21m per day

This home provides 4% more nursing time per resident than the state average.

North Dakota average: 5h 10m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 196

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in North Dakota
Occupancy rate 95%
Residents per day (avg) 184
Occupancy rate
95%
Residents per day (avg)
184

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

45% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

55% of new residents, often for short stays.

Typical stay 11 - 12 months

Finances and operations

Voluntary non-profit home
Other
Home revenue
$36.1M
Surplus of revenue
$2.0M
Voluntary non-profit home Other
Home revenue
$36,060,215.00
Surplus of revenue
$2,006,548.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$16.5M
45.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$17.5M
Total costs $34.1M

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Valley Senior Living on 42nd

Memory Care Nursing Home
Contact Valley Senior Living on 42nd

Compare Memory Care around Grand Forks

The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
Valley Senior Living on 42nd
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Grand Forks
196
No
16
ROLLER, GINA
95.0%
$34,961,000.00
$16,529,845.00
47.3%
184.20
4/5
5.3553
3/5
5/5
3/5
2
12
2
-7%
+4%
+8%
Private Rooms
Valley Eldercare Center
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Grand Forks
196
No
53
ROLLER, GINA
95.0%
$34,961,000.00
$16,529,845.00
47.3%
184.20
4/5
5.3553
3/5
5/5
3/5
2
12
2
-7%
+4%
+8%
Private Rooms
Northwood Deaconess Health Center
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Northwood
6
No
28
ATTN: CHRIS K.
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms
Maple View Memory Care in Grand Forks
MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Grand Forks
-
No
30
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms
St. Anne‘s Guest Home
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Grand Forks
-
No
54
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms

Places of interest near Valley Senior Living on 42nd

Address 4.8 miles from city center — 1.06 miles to nearest hospital (ChiroRx Chiropractic and Wellness)

Address 4000 24th Ave S, Grand Forks, ND 58201

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

368
Total Staff
353
Employees
15
Contractors
99,001
Total Hours (Quarter)
146
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse449.2 No
Licensed Practical Nurse327.8 No
Certified Nursing Assistant2107 No
Staff by Category
Administration
2 staff
4.5hs shift avg
Nursing Staff
307 staff
7.5hs shift avg
Physicians & Practitioners
20 staff
7.7hs shift avg
Therapy Services
17 staff
7.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
0 staff
0hs shift avg
Dietary Services
16 staff
7.6hs shift avg
Other Services
6 staff
7.7hs shift avg
Contractor Analysis
2.2%
of total hours from contractors
2,218 contractor hours this quarter
Respiratory Therapy Technician: 3 Speech Language Pathologist: 4 Physical Therapy Assistant: 4 Occupational Therapy Assistant: 1 Medical Director: 1 Physical Therapy Aide: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant210021054,54991100%7
Registered Nurse4404414,56491100%9.2
Licensed Practical Nurse320329,26091100%7.8
Clinical Nurse Specialist190197,5436875%7.6
Other Dietary Services Staff140143,45691100%7.7
Mental Health Service Worker6062,6746470%7.7
Occupational Therapy Aide3031,2826470%8
Nurse Aide in Training190191,2315358%6.9
Physical Therapy Assistant0449667178%8.1
RN Director of Nursing2027446369%7.8
Dietitian2026746369%7.2
Speech Language Pathologist0444726268%6.9
Respiratory Therapy Technician0334556470%7
Administrator1014125257%7.9
Nurse Practitioner1013965156%7.8
Physical Therapy Aide0221352932%4.3
Medical Director0111086369%1.7
Occupational Therapy Assistant01183910%9.2

Health Inspection History

Inspections
Total health inspections 3

North Dakota average 4.2


Last Health inspection on Jun 2025

Total health citations 12
Citations per inspection
4

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

2 of 12 citations resulted from standard inspections; and 10 of 12 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than North Dakota average

North Dakota average: 0.5


Serious Health citations More info 2
100% worse than North Dakota average

North Dakota average: 1

0 critical citations More info North Dakota average: 0.5

2 serious citations More info North Dakota average: 1

10 moderate citations More info North Dakota average: 14.8

0 minor citations More info North Dakota average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Jun 19, 2025
Corrected

Quality of Care serious citation Jun 19, 2025
Corrected

Care Planning moderate citation Jun 19, 2025
Corrected

Administration moderate citation May 16, 2024
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: Non-Profit (Church)
Part of: Valley Senior Living
Resident Census by Payment Source
182 Total Residents
Medicare 19 (10.4%)
Medicaid 120 (65.9%)
Private Pay/Other 43 (23.6%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.8
12% worse than North Dakota average

North Dakota average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.8
17% worse than North Dakota average

North Dakota average: 22.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.8%
12% worse than North Dakota average

North Dakota average: 20.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.3%
23% worse than North Dakota average

North Dakota average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.4%
18% worse than North Dakota average

North Dakota average: 25.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 7.9%
59% worse than North Dakota average

North Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.3%
5% better than North Dakota average

North Dakota average: 5.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.2%
5% better than North Dakota average

North Dakota average: 3.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.7%
53% better than North Dakota average

North Dakota average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.6%
63% better than North Dakota average

North Dakota average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.9%
26% better than North Dakota average

North Dakota average: 21.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with North Dakota average

North Dakota average: 98.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with North Dakota average

North Dakota average: 98.8%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than North Dakota average

North Dakota average: 94.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
20% better than North Dakota average

North Dakota average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
13% better than North Dakota average

North Dakota average: 88.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $27K
30% lower than North Dakota average

North Dakota average: $39K

Number of fines 2
30% more fines than North Dakota average

North Dakota average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than North Dakota average

North Dakota average: 0.0

Fines amount comparison
Fines amount comparison
This facility $27K
North Dakota average $39K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 19, 2025
$14K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 16, 2024
$13K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for North Dakota Seniors

Get financial aid guidance

Aged and Disabled Waiver

ND Medicaid A&D Waiver

Age 65+ or disabled, North Dakota resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$3,000 (individual, higher than most states).

Higher asset limit; sparse population aids rural access.

Service Payments for Elderly and Disabled (SPED)

ND SPED

Age 65+ or disabled, North Dakota resident, at risk of decline.

~$1,732/month (individual, varies).

$50,000 (individual, higher limit).

Higher asset limit; rural focus.

Basic Care Assistance Program (BCAP)

North Dakota Basic Care Assistance Program

Age 65+ (or disabled 18+), ND resident, in licensed basic care facility, low-income.

~$1,255/month (individual, after facility costs); varies by facility rate.

$3,000 (individual).

Supplements SSI; covers ~50 facilities statewide.

Family Home Care Program

North Dakota Family Home Care Program

Age 60+, ND resident, need help with 1+ ADL, family caregiver available.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Caregiver must be family; payment varies by hours/service.

Medicare Savings Program (MSP)

North Dakota Medicare Savings Program

Age 65+ or disabled, ND resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Low-Income Home Energy Assistance Program (LIHEAP)

North Dakota LIHEAP

Age 60+ prioritized, ND resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers oil, gas, electric; emergency aid available.

Family Caregiver Support Program (FCSP)

North Dakota Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; ND resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

8 regions; rural/low-income priority.

Senior Community Service Employment Program (SCSEP)

North Dakota SCSEP

Age 55+, unemployed, low-income, ND resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

North Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, ND resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas; ND Veterans Home option.

Property Tax Homestead Credit for Seniors

North Dakota Homestead Property Tax Credit

Age 65+ (or disabled), ND resident, homeowner, low-income.

~$22,500/year (individual), ~$29,500/year (couple).

Home value < $500,000; other assets not assessed.

Credit up to $500-$1,000; applies to primary residence.

Medicaid Personal Care Option (PCO)

North Dakota Medicaid Personal Care Option

Age 65+ (or disabled), ND resident, Medicaid-eligible, need help with 1+ ADL.

~$1,255/month (100% FPL, individual); QIT optional for excess income.

$3,000 (individual), $6,000 (couple) (excludes home up to $713,000, car).

Self-directed option (hire family); part of Medicaid State Plan, not a waiver.

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