North Dakota Nursing Homes >> Grand Forks Nursing Homes >> Woodside Village

Woodside Village - Grand Forks Nursing Home

General Information

UPDATE
Federal Provider Number
355112
Provider Name
WOODSIDE VILLAGE
Provider Address
4000 24TH AVE S
GRAND FORKS, ND 58201
Provider Phone Number
7017877500
Provider SSA County
170
Provider County Name
Grand Forks
Ownership Type
Non profit - Church related
Number of Certified Beds
118
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
4000 VALLEY SQUARE INC
Date First Approved to Provide Medicare and Medicaid services
1991-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.10216
Reported LPN Staffing Hours per Resident per Day
0.73707
Reported RN Staffing Hours per Resident per Day
0.71552
Reported Licensed Staffing Hours per Resident per Day
1.45259
Reported Total Nurse Staffing Hours per Resident per Day
4.55475
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02198
Expected CNA Staffing Hours per Resident per Day
2.51137
Expected LPN Staffing Hours per Resident per Day
0.56855
Expected RN Staffing Hours per Resident per Day
0.80574
Expected Total Nurse Staffing Hours per Resident per Day
3.88566
Adjusted CNA Staffing Hours per Resident per Day
3.03092
Adjusted LPN Staffing Hours per Resident per Day
1.07601
Adjusted RN Staffing Hours per Resident per Day
0.66354
Adjusted Total Nurse Staffing Hours per Resident per Day
4.72500
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Valley Eldercare Center

2900 14th Ave S | GRAND FORKS ND 58201 | 1 mile away

Good Samaritan Society - Larimore

501 E Front St | LARIMORE ND 58251 | 24.6 miles away

Northwood Deaconess Health Cnt

4 N Park St | NORTHWOOD ND 58267 | 25.3 miles away

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