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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 Beds138
Average Number of Residents131.6
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Prodvider Business Name4000 VALLEY SQUARE INC
Ownership TypeNon profit - Church related
Date First Approved1991-12-01

Reported Nurse Aide Staffing Hours per Resident per Day3.61422
Reported LPN Staffing Hours per Resident per Day0.74517
Reported RN Staffing - Hours per Resident per Day0.73602
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 Day2.1791
Case-Mix LPN Staffing - Hours per Resident per Day0.64765
Case-Mix RN Staffing - Hours per Resident per Day0.26924
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 cycles11.333
Rating cycle 1 Standard Survey Health Date2019-06-06
Rating cycle 1 - Health Deficiency Score1
Rating cycle 1 - Total Health Inspection Score16
Date of Rating cycle 2 Standard Health Survey Date2018-06-07
Rating cycle 2 - Health Deficiency Score16
Date of Rating cycle 3 Standard Health Survey Date2017-04-27
Rating cycle 3 - Health Deficiency Score24
Rating cycle 3 - Total Health Inspection Score24

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28