Valley Senior Living on 42nd

Valley Senior Living on 42nd is a Memory Care Home in North Dakota

Valley Senior Living on… is a Memory Care Home in North Dakota

Valley Senior Living on 42nd

4000 24th Ave S, Grand Forks, ND 58201 View Map

Valley Senior Living on 42nd is a Memory Care Home in North Dakota

Valley Senior Living on… is a Memory Care Home in North Dakota

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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
Home Information VALLEY SENIOR LIVING ON COLUMBIA
  • Occupancy levels track close to the statewide midpoint, indicating balanced availability. The facility operates with a larger bed count than most state competitors, supporting broader intake. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.

  • Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll spending sits in the top tier, showing a strong investment in staffing resources. Total income exceeds the majority of state facilities, highlighting strong profitability.

  • Medicare nights track the statewide midpoint, keeping volumes steady. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights lead the state, showing strong demand from market-rate residents.

Occupancy
Beds
196
Occupancy
94.4%
Total Bed Days Available
71540
Avg. Length of Stay
163 days
Avg. Residents per Day
184
Finance
Home Revenue
$34,138,955.00
Payroll Costs
$15,342,269.00
Profit
$7,453,226.00
Total Home Costs
$32,743,281.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
44.9%
House Specifics:
CCN
355067
Owner Name
ROLLER, GINA
Rural vs. Urban
Urban
County
Grand Forks
Type of Control
Governmental — Facility District
Operations
Total Admissions
423
Total Discharges
414
% Medicare Admissions
53%
% Private Pay Admissions
47%
% Medicare Discharges
50%
% Private Pay Discharges
50%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
4 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
3 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
5 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
3 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
5.36 hrs
Number of Fines
2
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
8635
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
8635
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
58792

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Types of Care at Valley Senior Living on 42nd

Memory Care Nursing Home
Contact Valley Senior Living on 42nd

Comparison Chart

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

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

MC

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

SNF

24/7 care needed

Grand Forks
196
No
16
ROLLER, GINA
94.4%
$34,138,955.00
$15,342,269.00
44.9%
184.20
4/5
5.3553
3/5
5/5
3/5
2
Private Rooms
Valley Eldercare Center
AL

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

MC

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

SNF

24/7 care needed

Grand Forks
196
No
53
ROLLER, GINA
94.4%
$34,138,955.00
$15,342,269.00
44.9%
184.20
4/5
5.3553
3/5
5/5
3/5
2
Private Rooms
Northwood Deaconess Health Center
AL

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

MC

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

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
AL

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

MC

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

Grand Forks
-
No
54
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms
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Places of interest near Valley Senior Living on 42nd

Address 4.8 miles from city center

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

Source: CMS Health Citations (Jun 2023 – Jun 2025)

3
Inspections
12
Total Citations
0
Critical (J-L)
2
Serious (G-I)
4
Citations/Inspection
Jun 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
10
Serious (G-I)
2
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
4
33% of total
Infection Control
2
17% of total
Administration
1
8% of total
Pharmacy Services
1
8% of total
Citation Sources
Standard Inspections 12
Complaint Investigations 10
State Comparison (ND)
Avg Citations (State)
16.5
This Facility: 12
Avg Critical (State)
0.5
This Facility: 0
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Jun 19, 2025 D Infection ControlF0880 Corrected
Jun 19, 2025 G Quality of CareF0689 Corrected
Jun 19, 2025 D Care PlanningF0641 Corrected
May 16, 2024 D AdministrationF0849 Corrected
May 16, 2024 D Infection ControlF0880 Corrected
May 16, 2024 D Quality of CareF0686 Corrected
May 16, 2024 G Quality of CareF0689 Corrected
May 16, 2024 D Quality of CareF0690 Corrected
May 16, 2024 D Care PlanningF0656 Corrected
Jun 08, 2023 D NutritionF0812 Corrected
Jun 08, 2023 D PharmacyF0761 Corrected
Jun 08, 2023 D Care PlanningF0658 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 Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
12.8 Score
12% worse than avg State avg: 11.4

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
25.8 Score
17% worse than avg State avg: 22.0

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
22.8%
Lost Too Much Weight
2.7%
Urinary Tract Infection
3.2%
Depressive Symptoms
1.6%
Falls with Major Injury
7.9%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
15.9%
Walking Ability Worsened
25.3%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
5.3%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
29.4%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
100.0% 6% better than avg State: 94.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
1.7% 20% better than avg State: 2.1%
Influenza Vaccine
100.0% 13% better than avg State: 88.6%

Penalties & 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 $27K State avg: $39K 30% better than avg
Number of Fines 2 State avg: 1.5
Compared to State Average Facility: $27K | State Avg: $39K
Penalty History

Showing all 2 penalties (May 2024 - Jun 2025)

Jun 19, 2025 Civil Money Penalty
$14K
May 16, 2024 Civil Money Penalty
$13K
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Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

Claim What’s Yours: Financial Aid for North Dakota Seniors

Program
State Program Name
Eligibility
Benefits
Aged and Disabled Waiver
ND Medicaid A&D Waiver
  • General: Age 65+ or disabled, North Dakota resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $3,000 (individual, higher than most states).
  • ND Specifics: Higher asset limit; sparse population aids rural access.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
Service Payments for Elderly and Disabled (SPED)
  • General: Age 65+ or disabled, North Dakota resident, at risk of decline.
  • Income Limits: ~$1,732/month (individual, varies).
  • Asset Limits: $50,000 (individual, higher limit).
  • ND Specifics: Higher asset limit; rural focus.
  • Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
Basic Care Assistance Program (BCAP)
North Dakota Basic Care Assistance Program
Official government program page
  • General: Age 65+ (or disabled 18+), ND resident, in licensed basic care facility, low-income.
  • Income Limits (2025): ~$1,255/month (individual, after facility costs); varies by facility rate.
  • Asset Limits: $3,000 (individual).
  • ND Specifics: Supplements SSI; covers ~50 facilities statewide.
  • Services: Cash (~$1,000-$1,500/month) for room/board/care in basic care facilities.
Family Home Care Program
North Dakota Family Home Care Program
  • General: Age 60+, ND resident, need help with 1+ ADL, family caregiver available.
  • Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits: Not assessed; need-based.
  • ND Specifics: Caregiver must be family; payment varies by hours/service.
  • Services: Family caregiver payment (~$10-$15/hour, up to 20 hours/week), respite support.
Medicare Savings Program (MSP)
North Dakota Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, ND resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • ND Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIHEAP)
North Dakota LIHEAP
  • General: Age 60+ prioritized, ND resident, low-income household.
  • Income Limits (2025): ~$3,970/month (individual, 185% FPL).
  • Asset Limits: Not assessed; income-focused.
  • ND Specifics: Covers oil, gas, electric; emergency aid available.
  • Services: Heating/cooling aid ($300-$1,000/season), emergency fuel ($600 max), weatherization.
Family Caregiver Support Program (FCSP)
North Dakota Family Caregiver Support Program
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; ND resident; functional needs (2+ ADLs).
  • Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits: Not assessed; need-based.
  • ND Specifics: 8 regions; rural/low-income priority.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($50/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
North Dakota SCSEP
  • General: Age 55+, unemployed, low-income, ND resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • ND Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
North Dakota VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, ND resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • ND Specifics: High veteran demand in rural areas; ND Veterans Home option.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Property Tax Homestead Credit for Seniors
North Dakota Homestead Property Tax Credit
Official government program page
  • General: Age 65+ (or disabled), ND resident, homeowner, low-income.
  • Income Limits (2025): ~$22,500/year (individual), ~$29,500/year (couple).
  • Asset Limits: Home value < $500,000; other assets not assessed.
  • ND Specifics: Credit up to $500-$1,000; applies to primary residence.
  • Services: Tax reduction (~$500-$1,000/year) on property taxes.
Medicaid Personal Care Option (PCO)
North Dakota Medicaid Personal Care Option
  • General: Age 65+ (or disabled), ND resident, Medicaid-eligible, need help with 1+ ADL.
  • Income Limits (2025): ~$1,255/month (100% FPL, individual); QIT optional for excess income.
  • Asset Limits: $3,000 (individual), $6,000 (couple) (excludes home up to $713,000, car).
  • ND Specifics: Self-directed option (hire family); part of Medicaid State Plan, not a waiver.
  • Services: Personal care (5-20 hours/week), homemaker services, respite (~5 days/year).

Claim What’s Yours Financial Aid for North Dakota Seniors

ND Medicaid A&D Waiver

Aged and Disabled Waiver

Requirements:
  • General:
    Age 65+ or disabled, North Dakota resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $3,000 (individual, higher than most states).
  • ND Specifics:
    Higher asset limit; sparse population aids rural access.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
ND SPED

Service Payments for Elderly and Disabled (SPED)

Requirements:
  • General:
    Age 65+ or disabled, North Dakota resident, at risk of decline.
  • Income Limits:
    ~$1,732/month (individual, varies).
  • Asset Limits:
    $50,000 (individual, higher limit).
  • ND Specifics:
    Higher asset limit; rural focus.
Benefits without Contact:
  • Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
North Dakota Basic Care Assistance Program

Basic Care Assistance Program (BCAP)

Requirements:
  • General:
    Age 65+ (or disabled 18+), ND resident, in licensed basic care facility, low-income.
  • Income Limits (2025):
    ~$1,255/month (individual, after facility costs); varies by facility rate.
  • Asset Limits:
    $3,000 (individual).
  • ND Specifics:
    Supplements SSI; covers ~50 facilities statewide.
Benefits without Contact:
  • Services: Cash (~$1,000-$1,500/month) for room/board/care in basic care facilities.
North Dakota Family Home Care Program

Family Home Care Program

Requirements:
  • General:
    Age 60+, ND resident, need help with 1+ ADL, family caregiver available.
  • Income Limits (2025):
    No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits:
    Not assessed; need-based.
  • ND Specifics:
    Caregiver must be family; payment varies by hours/service.
Benefits without Contact:
  • Services: Family caregiver payment (~$10-$15/hour, up to 20 hours/week), respite support.
North Dakota Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, ND resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • ND Specifics:
    Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
North Dakota LIHEAP

Low-Income Home Energy Assistance Program (LIHEAP)

Requirements:
  • General:
    Age 60+ prioritized, ND resident, low-income household.
  • Income Limits (2025):
    ~$3,970/month (individual, 185% FPL).
  • Asset Limits:
    Not assessed; income-focused.
  • ND Specifics:
    Covers oil, gas, electric; emergency aid available.
Benefits without Contact:
  • Services: Heating/cooling aid ($300-$1,000/season), emergency fuel ($600 max), weatherization.
North Dakota Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; ND resident; functional needs (2+ ADLs).
  • Income Limits (2025):
    Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits:
    Not assessed; need-based.
  • ND Specifics:
    8 regions; rural/low-income priority.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($50/day), training, supplies (~$500/year).
North Dakota SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, ND resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • ND Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
North Dakota VA Aid and Attendance/Housebound

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

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, ND resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • ND Specifics:
    High veteran demand in rural areas; ND Veterans Home option.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
North Dakota Homestead Property Tax Credit

Property Tax Homestead Credit for Seniors

Requirements:
  • General:
    Age 65+ (or disabled), ND resident, homeowner, low-income.
  • Income Limits (2025):
    ~$22,500/year (individual), ~$29,500/year (couple).
  • Asset Limits:
    Home value < $500,000; other assets not assessed.
  • ND Specifics:
    Credit up to $500-$1,000; applies to primary residence.
Benefits without Contact:
  • Services: Tax reduction (~$500-$1,000/year) on property taxes.
North Dakota Medicaid Personal Care Option

Medicaid Personal Care Option (PCO)

Requirements:
  • General:
    Age 65+ (or disabled), ND resident, Medicaid-eligible, need help with 1+ ADL.
  • Income Limits (2025):
    ~$1,255/month (100% FPL, individual); QIT optional for excess income.
  • Asset Limits:
    $3,000 (individual), $6,000 (couple) (excludes home up to $713,000, car).
  • ND Specifics:
    Self-directed option (hire family); part of Medicaid State Plan, not a waiver.
Benefits without Contact:
  • Services: Personal care (5-20 hours/week), homemaker services, respite (~5 days/year).
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