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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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Offers a balance of services and community atmosphere.
That suggests steady demand, but availability may be limited.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
45% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
North Dakota average 4.2
Last Health inspection on Jun 2025
North Dakota average 16.5
North Dakota average 3.93
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).
0
100% better than North Dakota average
North Dakota average: 0.5
2
100% worse than North Dakota average
North Dakota average: 1
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 19, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 19, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 16, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
4.8 miles from city center — 1.06 miles to nearest hospital (ChiroRx Chiropractic and Wellness)
4000 24th Ave S, Grand Forks, ND 58201
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with North Dakota average
North Dakota average ratio: 1.97:1
5% worse than North Dakota average
North Dakota average: 7.9 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
No contractors work on this role.
Total hours from contractors
2,218 contractor hours this quarter
| Certified Nursing Assistant | 210 | 0 | 210 | 54,549 | 91 | 100% | 7 |
| Registered Nurse | 44 | 0 | 44 | 14,564 | 91 | 100% | 9.2 |
| Licensed Practical Nurse | 32 | 0 | 32 | 9,260 | 91 | 100% | 7.8 |
| Clinical Nurse Specialist | 19 | 0 | 19 | 7,543 | 68 | 75% | 7.6 |
| Other Dietary Services Staff | 14 | 0 | 14 | 3,456 | 91 | 100% | 7.7 |
| Mental Health Service Worker | 6 | 0 | 6 | 2,674 | 64 | 70% | 7.7 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,282 | 64 | 70% | 8 |
| Nurse Aide in Training | 19 | 0 | 19 | 1,231 | 53 | 58% | 6.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 966 | 71 | 78% | 8.1 |
| RN Director of Nursing | 2 | 0 | 2 | 744 | 63 | 69% | 7.8 |
| Dietitian | 2 | 0 | 2 | 674 | 63 | 69% | 7.2 |
| Speech Language Pathologist | 0 | 4 | 4 | 472 | 62 | 68% | 6.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 455 | 64 | 70% | 7 |
| Administrator | 1 | 0 | 1 | 412 | 52 | 57% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 396 | 51 | 56% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 135 | 29 | 32% | 4.3 |
| Medical Director | 0 | 1 | 1 | 108 | 63 | 69% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 83 | 9 | 10% | 9.2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
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%
Percent of long-stay residents whose ability to move independently worsened
25.3%
23% worse than North Dakota average
North Dakota average: 20.6%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
5.3%
5% better than North Dakota average
North Dakota average: 5.6%
Percent of long-stay residents with a urinary tract infection
3.2%
5% better than North Dakota average
North Dakota average: 3.4%
Percent of long-stay residents who lose too much weight
2.7%
53% better than North Dakota average
North Dakota average: 5.7%
Percent of long-stay residents who have depressive symptoms
1.6%
63% better than North Dakota average
North Dakota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
15.9%
26% better than North Dakota average
North Dakota average: 21.4%
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%
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%
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%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
20% better than North Dakota average
North Dakota average: 2.1%
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%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
30% lower than North Dakota average
North Dakota average: $39K
30% more fines than North Dakota average
North Dakota average: 1.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 19, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2024
Last updated: Jan 2026
Historical financial and operational data for Valley Senior Living on 42nd based on CMS SNF Cost Reports.
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