Total health inspections
3
North Dakota average 4.2
Last Health inspection on Jun 2025
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
Memory Care in Grand Forks
CMS overall rating
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.
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.
Valley Senior Living on 42nd
Memory Care in Grand Forks
CMS overall rating
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.
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.
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 7th out of 19 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 7th out of 19 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
vs North Dakota avg
+4%
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.
Occupancy rate
95%
Avg. Length of Stay
210 days
Occupancy rate
95%
Avg. Length of Stay
210 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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 community
Home revenue
$36.1M
Surplus of revenue
$2.0M
Voluntary non-profit community
Home revenue
$36.1M
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.
$16.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$17.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$34.1M
Walk Score: 16 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Rehabilitation Services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
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, Basic Care, Transitional Care
Religious ServicesYes
What does this home offer?
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Valley Senior Living on 42nd
Memory Care
Nursing Home
Health Inspection History
Inspections
Total health citations
12
North Dakota average 16.5
Citations per inspection
4
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than North Dakota averageNorth Dakota average: 0.5
Serious Health citations
2
2
100% worse than North Dakota averageNorth Dakota average: 1
0 critical citations
2 serious citations
10 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 19, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 19, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 19, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 19, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 16, 2024
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.
Compare Memory Care around Grand Forks The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
Filter by care type
| Valley Senior Living on 42nd |
AL 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.
MC 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.
NH 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). | Grand Forks | 196 | No | 16 | Private Rooms | - | - | - |
| Valley Eldercare Center |
AL 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.
MC 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.
NH 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). | Grand Forks | 196 | No | 53 | Private Rooms | 37 | - | - |
| Northwood Deaconess Health Center |
AL 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.
MC 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. | Northwood | 6 | No | 28 | Private Rooms | - | - | Chris Kjorven |
| Maple View Memory Care in Grand Forks |
MC 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. | Grand Forks | - | No | 30 | Private Rooms | - | - | - |
| St. Anne‘s Guest Home |
NH 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).
AL 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.
MC 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. | Grand Forks | - | No | 54 | Private Rooms | - | - | Gary Simeone |
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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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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
368
Employees
353
Contractors
15
Staff to resident ratio
2.02:1
0% compared with North Dakota averageNorth Dakota average ratio: 1.97:1
Avg staff/day
146
Average shift
7.5 hours
5% worse than North Dakota averageNorth Dakota average: 7.9 hours
Total staff hours (quarter)
99,001
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
44
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
32
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
210
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.2%
2,218 contractor hours this quarter
Speech Language Pathologist: 4
Physical Therapy Assistant: 4
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| 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 |
210 Certified Nursing Assistant
% of Days
100%
44 Registered Nurse
% of Days
100%
32 Licensed Practical Nurse
% of Days
100%
19 Clinical Nurse Specialist
% of Days
75%
14 Other Dietary Services Staff
% of Days
100%
6 Mental Health Service Worker
% of Days
70%
3 Occupational Therapy Aide
% of Days
70%
19 Nurse Aide in Training
% of Days
58%
4 Physical Therapy Assistant
% of Days
78%
2 RN Director of Nursing
% of Days
69%
2 Dietitian
% of Days
69%
4 Speech Language Pathologist
% of Days
68%
3 Respiratory Therapy Technician
% of Days
70%
1 Administrator
% of Days
57%
1 Nurse Practitioner
% of Days
56%
2 Physical Therapy Aide
% of Days
32%
1 Medical Director
% of Days
69%
1 Occupational Therapy Assistant
% of Days
10%
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.
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
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%
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.
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 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.
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
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
Loading trend charts...
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