Total staff
405
Employees
387
Contractors
18
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.
Valley Senior Living on 42nd
Nursing Home & Memory Care · Grand Forks, ND
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Valley Senior Living on 42nd
Nursing Home & Memory Care · Grand Forks, ND
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Valley Senior Living on 42nd accepts Medicare and private pay.
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.
Quality ratings
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 10th out of 25 homes in North Dakota. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 10th out of 25 homes in North Dakota. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 21m per day
Rank #10 / 25Nurse hours — State benchmarkedThis home is ranked 10th out of 25 homes in North Dakota. Shows adjusted nurse hours per resident per day benchmarked to the North Dakota average, with a ranking across 25 North Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs North Dakota avg
+4%
Standout metric
Total Nursing (Weekend) is +7% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 36m per day | ▼ 35% State avg: 55m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 27m per day | ▼ 10% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 30m per day | ▼ 17% State avg: 3h 0m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 2m per day | ▲ 7% State avg: 3h 46m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 21m per day | ▼ 40% State avg: 35m per day · National avg: 29m per day |
Types of Care at Valley Senior Living on 42nd
Memory Care
Nursing Home
Capacity and availability
This home is often near full
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Occupancy rate
95%
Rank #12 / 23Occupancy rate — State benchmarkedThis home is ranked 12th out of 23 homes in North Dakota. Shows this facility's occupancy rate versus the North Dakota average, with its Statewide rank out of 23. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
210 days
Occupancy rate
95%
Rank #12 / 23Occupancy rate — State benchmarkedThis home is ranked 12th out of 23 homes in North Dakota. Shows this facility's occupancy rate versus the North Dakota average, with its Statewide rank out of 23. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
210 days
Walk Score: 16 / 100 Rank #23 / 26Walk Score — State benchmarkedThis home is ranked 23rd out of 26 homes in North Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Dakota SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Rehabilitation Services
Basic Care
Transitional Care
Myra Café
Full-Service Hair Salon
Auditorium
Religious Services
Library
Group Activities
Concerts
Game Room
Exercise Room
Outdoor Living Areas
Social Areas
Specific ProgramsIndependent Apartments
Religious ServicesYes
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.23:1
13% better than North Dakota average
Avg staff/day
153
Average shift
7.3 hours
8% worse than North Dakota average
Total staff hours (quarter)
102,388
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
42
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
244
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2.4%
2,443 contractor hours this quarter
Physical Therapy Assistant: 5
Respiratory Therapy Technician: 4
Speech Language Pathologist: 4
Physical Therapy Aide: 2
Qualified Social Worker: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 244 | 0 | 244 | 57,464 | 92 | 100% | 6.8 |
| Registered Nurse | 42 | 0 | 42 | 15,260 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 29 | 0 | 29 | 9,240 | 92 | 100% | 7.8 |
| Clinical Nurse Specialist | 18 | 0 | 18 | 7,467 | 65 | 71% | 7.7 |
| Other Dietary Services Staff | 15 | 0 | 15 | 3,471 | 92 | 100% | 7.6 |
| Mental Health Service Worker | 6 | 0 | 6 | 2,517 | 64 | 70% | 7.7 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,364 | 64 | 70% | 8.2 |
| Nurse Aide in Training | 21 | 0 | 21 | 976 | 56 | 61% | 7.3 |
| Physical Therapy Assistant | 0 | 5 | 5 | 958 | 72 | 78% | 7.6 |
| Dietitian | 2 | 0 | 2 | 648 | 60 | 65% | 7.2 |
| RN Director of Nursing | 2 | 0 | 2 | 506 | 62 | 67% | 7.5 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 494 | 64 | 70% | 6.7 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Speech Language Pathologist | 0 | 4 | 4 | 439 | 63 | 68% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 404 | 52 | 57% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 190 | 42 | 46% | 4.3 |
| Qualified Social Worker | 0 | 1 | 1 | 178 | 38 | 41% | 4.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 165 | 21 | 23% | 7.9 |
| Medical Director | 0 | 1 | 1 | 104 | 61 | 66% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 80 | 9 | 10% | 8.8 |
244 Certified Nursing Assistant
% of Days
100%
42 Registered Nurse
% of Days
100%
29 Licensed Practical Nurse
% of Days
100%
18 Clinical Nurse Specialist
% of Days
71%
15 Other Dietary Services Staff
% of Days
100%
6 Mental Health Service Worker
% of Days
70%
3 Occupational Therapy Aide
% of Days
70%
21 Nurse Aide in Training
% of Days
61%
5 Physical Therapy Assistant
% of Days
78%
2 Dietitian
% of Days
65%
2 RN Director of Nursing
% of Days
67%
4 Respiratory Therapy Technician
% of Days
70%
1 Administrator
% of Days
63%
4 Speech Language Pathologist
% of Days
68%
1 Nurse Practitioner
% of Days
57%
2 Physical Therapy Aide
% of Days
46%
1 Qualified Social Worker
% of Days
41%
3 Medication Aide/Technician
% of Days
23%
1 Medical Director
% of Days
66%
1 Occupational Therapy Assistant
% of Days
10%
Penalties and fines
Includes penalties issued in 2024-2025
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 Rank #18 / 25Federal fines — State benchmarkedThis home is ranked 18th out of 25 homes in North Dakota. Shows this facility's cumulative CMS federal fine dollars versus the North Dakota average among facilities with fines, and where it ranks among 25 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
30% lower than North Dakota averageNorth Dakota average: $39K
Number of fines
2
30% more fines than North Dakota averageNorth Dakota average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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 averageNorth 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.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
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.
Jun 19, 2025
$14K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2024
$13K
Last updated: Jan 2026
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.8
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 averageNorth Dakota average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
17% worse than North Dakota averageNorth Dakota average: 22.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.8%
Percent of long-stay residents whose need for help with daily activities has increased
22.8%
12% worse than North Dakota averageNorth Dakota average: 20.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.3%
Percent of long-stay residents whose ability to move independently worsened
25.3%
23% worse than North Dakota averageNorth Dakota average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.4%
18% worse than North Dakota averageNorth Dakota average: 25.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.9%
Percent of long-stay residents experiencing one or more falls with major injury
7.9%
59% worse than North Dakota averageNorth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
5% better than North Dakota averageNorth Dakota average: 5.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.2%
Percent of long-stay residents with a urinary tract infection
3.2%
5% better than North Dakota averageNorth Dakota average: 3.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.7%
Percent of long-stay residents who lose too much weight
2.7%
53% better than North Dakota averageNorth Dakota average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.6%
Percent of long-stay residents who have depressive symptoms
1.6%
63% better than North Dakota averageNorth Dakota average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.9%
Percent of long-stay residents who received an antipsychotic medication
15.9%
26% better than North Dakota averageNorth Dakota average: 21.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with North Dakota averageNorth Dakota average: 98.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with North Dakota averageNorth Dakota average: 98.8%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.86
Number of hospitalizations per 1,000 long-stay resident days.
0.86
42% better than North Dakota averageNorth Dakota average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.51
73% better than North Dakota averageNorth Dakota average: 1.90
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than North Dakota averageNorth Dakota average: 94.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
20% better than North Dakota averageNorth Dakota average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
13% better than North Dakota averageNorth Dakota average: 88.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
182
Medicare
19
10.4% of residents
Medicaid
120
65.9% of residents
Private pay or other
43
23.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Financial Trends
Historical financial and operational data for Valley Senior Living on 42nd based on CMS SNF Cost Reports.
Occupancy Rate
95.0%
↑ 0.8pp vs 2023
Net Income
$2.0M
↓ ~$5.4M vs 2023
Total Payroll
$20.7M
↑ ~$1.6M vs 2023
Profit Margin
5.7%
↓ 16.1pp vs 2023
Finances and operations
Voluntary non-profit community
Home revenue
$36.1M
Surplus of revenue
$2.0M
Voluntary non-profit community
Home revenue
$36.1M Rank #2 / 22Revenue — State benchmarkedThis home is ranked 2nd out of 22 homes in North Dakota. Shows this facility's annual revenue compared to the North Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$2.0M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #3 / 22Payroll — State benchmarkedThis home is ranked 3rd out of 22 homes in North Dakota. Shows total annual staff payroll benchmarked to the North Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$20.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #3 / 22Payroll — State benchmarkedThis home is ranked 3rd out of 22 homes in North Dakota. Shows total annual staff payroll benchmarked to the North Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$34.1M
What does this home offer?
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Valley Senior Living on 42nd
4.8 miles from city center
Estimated distance in miles from Grand Forks's city center to Valley Senior Living on 42nd's address, calculated via Google Maps.
— 1.06 miles to nearest hospital (ChiroRx Chiropractic and Wellness)
Calculate Travel Distance to Valley Senior Living on 42nd
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Financial Assistance for
Nursing Home in North Dakota
Valley Senior Living on 42nd is located in Grand Forks, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
Frequently Asked Questions about Valley Senior Living on 42nd
Is Valley Senior Living on 42nd in a walkable area?
Valley Senior Living on 42nd has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
Are there photos of Valley Senior Living on 42nd?
Yes — there are 6 photos of Valley Senior Living on 42nd in the photo gallery on this page.
What is the phone number of Valley Senior Living on 42nd?
(701) 787-7621 will put you in contact with the team at Valley Senior Living on 42nd.
Is Valley Senior Living on 42nd Medicare or Medicaid certified?
Yes — Valley Senior Living on 42nd is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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