Woodside Village
Woodside Village Information
| Facility Name | Woodside Village |
| Location | 4000 24th Ave S, Grand Forks, ND 58201 |
| County (SSA Code) | Grand Forks (170) |
| Phone Number | 701-787-7500 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 138 |
| Average Number of Residents | 131.6 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | 4000 VALLEY SQUARE INC |
| Ownership Type | Non profit - Church related |
| Date First Approved | 1991-12-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.61422 |
| Reported LPN Staffing Hours per Resident per Day | 0.74517 |
| Reported RN Staffing - Hours per Resident per Day | 0.73602 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.48119 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.0954 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.1791 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64765 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.26924 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.09599 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.24714 |
| Total Weighted Health Survey Score for three cycles | 11.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-06 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 16 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-07 |
| Rating cycle 2 - Health Deficiency Score | 16 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-04-27 |
| Rating cycle 3 - Health Deficiency Score | 24 |
| Rating cycle 3 - Total Health Inspection Score | 24 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |