Home » North Dakota » Woodside Village

Woodside Village

Summary: Woodside Village is located in Grand Forks, North Dakota. It was first approved by Medicare and Medicaid to provide nursing home services on 1991-12-01. It currently has 118 certified beds and 118 residents in the certified beds. Woodside Village earned a 4-star overall rating in the lasted Medicare and Medicaid Health Inspections (2015-08-01) [1]. See following table for more details.

Information of Woodside Village

Nursing Home Profile
Address 4000 24TH AVE S, Grand Forks, ND 58201
Phone 701-787-7500
Number Certified Beds / Residents in Certified Beds 118 / 118
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★★ (4)  
Health Inspection Rating ★★★★ (4)
Quality Rating ★★★★ (4)
Staffing Rating ★★★★ (4)
RN Staffing Rating ★★★★ (4)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 3.26017
Reported LPN Staffing Hours per Resident per Day 0.76780
Reported RN Staffing Hours per Resident per Day 0.69831
Reported Licensed Staffing Hours per Resident per Day 1.46610
Reported Total Nurse Staffing Hours per Resident per Day 4.72628
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00381
Expected CNA Staffing Hours per Resident per Day 2.50105
Expected LPN Staffing Hours per Resident per Day 0.58260
Expected RN Staffing Hours per Resident per Day 0.81481
Expected Total Nurse Staffing Hours per Resident per Day 3.89846
Adjusted CNA Staffing Hours per Resident per Day 3.19845
Adjusted LPN Staffing Hours per Resident per Day 1.09385
Adjusted RN Staffing Hours per Resident per Day 0.64037
Adjusted Total Nurse Staffing Hours per Resident per Day 4.88684
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 2015-05-06
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Survey Health Date 2014-04-23
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Survey Health Date 2013-05-21
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 12
Total Weighted Health Survey Score 11.333
Complaints, Fines & Penalties
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
Facility Information
Ownership Non profit - Church related
Date First Approved to Provide Medicare and Medicaid 1991-12-01
Provider Resides in Hospital NO
Continuing Care Retirement Community N
Special Focus Facility N
Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Processing Date 2015-08-01

Ownership Information

Owner NameOwner RoleOwner Type%
Halstenson, JohnDirectorIndividualn/a
Hanson, GregDirectorIndividualn/a
Johnson, CharlesDirectorIndividualn/a
Newhouse, BruceDirectorIndividualn/a
Stadstad, MurielDirectorIndividualn/a
Beito, KevinOfficerIndividualn/a
Botsford, DawnOfficerIndividualn/a
Porter, MichaelOfficerIndividualn/a
Weisenberger, MikeOfficerIndividualn/a
Bott, LorileeManaging EmployeeIndividualn/a
Carlson, JodiManaging EmployeeIndividualn/a
Hanson, GregManaging EmployeeIndividualn/a
Rydland, GarthManaging EmployeeIndividualn/a