Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Valley Senior Living On Columbia during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of sexually inappropriate behaviors engaged in unwanted sexual contact with another resident while both were self-mobilizing in wheelchairs. Despite care plan interventions requiring staff to monitor and intervene, the incident occurred, resulting in a failure to protect residents from abuse as required by facility policy.
A resident with cognitive and mobility impairments, care planned for transfer assistance with a gait belt, was left unsupported when a CNA let go of the gait belt during a transfer. The resident fell, sustained a head injury and a displaced femur fracture, and required surgical intervention.
A resident with bipolar disorder, Tourette's disorder, and autistic disorder was not accurately coded for serious mental illness in Section A1500 of the MDS, as confirmed by an administrative nurse and review of the medical record.
Staff did not adhere to infection control protocols during care for three residents, including improper use of gloves and gowns, failure to perform hand hygiene, and placing clean supplies directly on the floor during wound care. These actions were inconsistent with facility policies for enhanced barrier precautions, hand hygiene, and maintaining clean technique during dressing changes.
A facility failed to provide adequate supervision and assistance devices, resulting in a resident's fall and fracture due to the absence of a gait belt during a transfer. Another resident, requiring one-to-one supervision during meals due to a history of choking, was left unattended with a supplement shake, contrary to their care plan. These incidents highlight the facility's failure to adhere to care plans, increasing the risk of harm to residents.
The facility failed to develop comprehensive care plans for two residents on oxygen therapy, limiting staff communication and continuity of care. One resident with chronic obstructive pulmonary disease, heart disease, and palliative care needs had no documentation of oxygen use in their care plan, despite continuous use. Another resident with similar diagnoses also lacked a care plan identifying oxygen use, despite physician orders and observations confirming its necessity. An administrative nurse acknowledged the expectation to include oxygen use in care plans.
A resident with a stage three pressure ulcer on the right ankle did not receive the prescribed pressure relief interventions. The care plan required the use of bilateral prevalon boots while in bed to prevent further skin breakdown due to immobility. Despite a provider's order, observations showed the resident in bed without the boots, indicating a failure to follow the prescribed care plan.
A resident who required extensive assistance for toileting was found sitting in a wheelchair with urine on the floor beneath it. CNAs later found the resident's clothing, wheelchair, and floor wet with urine, and the resident expressed discomfort. A review of the toileting task report showed 76 instances where staff failed to assist the resident every three hours as required, with gaps of 3.5 to 7 hours between assistance.
A facility failed to include a hospice election form in a resident's medical record, despite the resident electing hospice services. This was confirmed by an administrative nurse during an interview.
The facility failed to follow infection control standards during personal care for two residents and one supplemental resident. A CNA did not perform hand hygiene before and after assisting a resident, while another CNA improperly handled a urinary drainage bag, failing to use a barrier and disinfect the catheter spout. Additionally, a CNA removed a wet brief without gloves and did not sanitize hands afterward. These deficiencies were confirmed by an administrative nurse.
Failure to Prevent Sexual Abuse Between Residents
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment and a history of sexually inappropriate behaviors, including explicit comments and inappropriate touching due to dementia, engaged in unwanted sexual contact with another resident. The incident took place as both residents were self-mobilizing in their wheelchairs after breakfast, when the resident with dementia reached out and cupped the other resident's breast and blew kisses at her. The care plan for the resident with dementia included instructions for staff to be observant of his interactions with others, intervene as necessary to protect the rights and safety of others, and remove him from situations as needed. Despite these care plan interventions, the incident occurred, indicating a failure to ensure adequate supervision and protection for residents from abuse. The resident who experienced the unwanted contact had intact cognition but expressive aphasia, and was able to confirm the inappropriate touching during a social worker interview. She did not express fear or a lack of safety following the incident. The facility's policy clearly stated that every resident has the right to be free from abuse, but this right was not upheld in this instance.
Failure to Maintain Gait Belt Use During Transfer Results in Resident Fall and Fracture
Penalty
Summary
A deficiency occurred when staff failed to properly utilize an assistive device, specifically a gait belt, during a staff-assisted transfer of a resident. The resident, who had a history of right femur fracture, cognitive impairments, gait and balance problems, deconditioning, and parkinsonism affecting balance and mobility, was care planned to require assistance from one staff member with a gait belt for transfers. During a transfer from the bathroom to the sink, the CNA assisting the resident let go of the gait belt to throw away trash, leaving the resident unsupported. At that moment, another staff member observed the resident begin to tip backward and attempted to alert the CNA. The resident subsequently fell backward, struck her head on the sink, and fell to the ground. As a result, the resident complained of pain, was sent to the emergency room, and was diagnosed with a displaced right femur fracture requiring surgical repair. The failure to maintain hold of the gait belt during the transfer directly led to the resident's fall and injury.
Failure to Accurately Code MDS for Serious Mental Illness
Penalty
Summary
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) for one resident. Record review and staff interview revealed that a resident with diagnoses of bipolar disorder, Tourette's disorder, and autistic disorder was not coded for serious mental illness in Section A1500 of the comprehensive MDS, as required by the Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual. An administrative nurse confirmed that staff did not accurately code this section for the resident, resulting in the resident's assessment not reflecting their current status and needs.
Failure to Follow Infection Control Standards During Resident Care
Penalty
Summary
Staff failed to follow established infection prevention and control standards during care for three residents. For one resident with an indwelling urinary catheter, a CNA wore a gown and gloves but left the resident's room without removing them, retrieved supplies, and then returned to continue care. The CNA also drained the urinary catheter bag in a manner that allowed the bag and tip to touch the sides of the graduate, and performed multiple care tasks without changing gloves or performing hand hygiene as required by facility policy. For another resident with a left heel ulcer, a nurse applied Silvadene ointment to the wound using a gloved finger and did not change gloves before continuing with the dressing application. In a separate incident, two nurses performed a dressing change for a resident with a pressure injury and placed clean supplies, including wound cleanser and hand sanitizer, directly on the floor before returning them to the supply basin, failing to use a clean barrier as required. An administrative nurse confirmed that staff are expected to use barriers for clean supplies and adhere to infection control policies.
Inadequate Supervision and Assistance Devices Lead to Resident Incidents
Penalty
Summary
The facility failed to provide adequate supervision and assistance devices to prevent accidents for a resident who experienced a fall. The resident, who had a history of activity intolerance and chronic back pain, was care planned to ambulate with the assistance of one staff member using a gait belt and a front-wheeled walker. However, during a transfer to bed, the resident lost balance and fell, resulting in a fracture. The staff member assisting the resident did not use a gait belt as required by the care plan, which contributed to the fall and subsequent injury. In another incident, the facility failed to provide necessary supervision for a resident who required one-to-one assistance during meals due to a history of coughing and choking. The resident, who had a history of cerebrovascular accident, aphasia, and dysphasia, was care planned to eat meals out of bed in an upright position with one-to-one supervision. However, during an observation, a CNA placed a supplement shake on the resident's bedside table and left the resident unattended, contrary to the care plan requirements. These deficiencies highlight the facility's failure to adhere to established care plans, resulting in inadequate supervision and increased risk of harm to residents. The lack of adherence to care plans in both cases led to preventable incidents, including a fall with injury and potential choking risk, underscoring the importance of following individualized care plans to ensure resident safety.
Failure to Develop Comprehensive Care Plans for Oxygen Therapy
Penalty
Summary
The facility failed to develop a comprehensive care plan for two residents who were on oxygen therapy, which limited the staff's ability to communicate needs and ensure continuity of care. Resident #32, diagnosed with chronic obstructive pulmonary disease, heart disease, and receiving palliative care, had physician's orders for oxygen use as needed and daily monitoring. However, the resident's care plan did not identify the use of oxygen related to their respiratory and cardiac diagnoses or palliative care needs. Observations during the survey showed the resident with oxygen on at all times, indicating a lack of documentation and planning in their care plan. Similarly, Resident #47, also diagnosed with chronic obstructive pulmonary disease, had physician's orders for continuous oxygen use as needed for oxygen saturation below 90 or shortness of breath. Despite these orders and observations of the resident using oxygen, their care plan failed to identify the use of oxygen. An administrative nurse confirmed that staff are expected to include oxygen use in the residents' care plans, highlighting a gap in the facility's adherence to its own policy and the comprehensive care planning process.
Failure to Implement Pressure Relief Interventions
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for a resident with a stage three pressure ulcer on the right ankle. The resident's care plan required the application of bilateral prevalon boots while in bed to prevent further skin breakdown due to immobility. Despite a provider's order dated 11/13/23, which specified the use of prevalon boots for pressure relief, observations on 05/14/24 and 05/15/24 showed the resident in bed without the boots in place. This indicates a failure to implement the prescribed pressure relief interventions as ordered, potentially compromising the resident's skin integrity.
Failure to Provide Timely Toileting Assistance
Penalty
Summary
The facility failed to provide appropriate toileting assistance for a resident who required staff assistance with toileting. The resident, who was frequently incontinent of urine and required extensive assistance from two staff members for toileting, was observed sitting in a wheelchair with urine on the floor beneath it. Later, two CNAs found the resident's clothing, wheelchair, and floor wet with urine, and the resident expressed feeling wet and uncomfortable. A review of the resident's toileting task report revealed that staff failed to assist the resident with toileting every three hours as required, with 76 instances of non-compliance noted between March 1st and May 15th, 2024. The log showed gaps of approximately 3.5 to 7 hours between toileting assistance. An administrative nurse confirmed that staff are expected to provide toileting assistance to all residents.
Missing Hospice Election Form in Resident's Medical Record
Penalty
Summary
The facility failed to ensure that the medical records of a resident receiving hospice services contained the necessary hospice election form. This deficiency was identified during a review of the resident's medical record, which took place over the course of the survey. The resident had elected hospice services on April 29, 2024, but the medical record did not include the hospice election form. This omission was confirmed during an interview with an administrative nurse, who acknowledged the absence of the form in the resident's medical record.
Infection Control Deficiencies in Personal Care
Penalty
Summary
The facility failed to adhere to infection control standards during personal care activities for two sampled residents and one supplemental resident. In one instance, a certified nurse aide (CNA) carried a soiled gown out of a resident's room and placed it on a table outside another resident's room. The CNA then entered the room without performing hand hygiene, assisted the resident with various tasks, and exited the room without sanitizing their hands. This lack of hand hygiene was confirmed by an administrative nurse during an interview. In another observation, a CNA improperly handled a urinary drainage bag by placing a graduated container directly on a resident's bedding without a paper towel barrier and allowing the spout, clamp, and leg bag to touch the urine contents and the sides of the container. The CNA also failed to disinfect the catheter spout after it contacted the inside of the container. Additionally, a CNA transferred a resident from a recliner to a bath chair without wearing gloves, removed a wet brief, and failed to perform hand hygiene afterward. These actions were confirmed by an administrative nurse, highlighting the facility's failure to follow proper infection control procedures.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Grand Forks
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woodside Village | 1.1 mi | ★★★★★ | 4 | 0 |
| North Star Manor | 23.9 mi | ★★★★★ | 0 | 0 |
| Villa St Vincent | 23.9 mi | ★★★★★ | 16 | 1 |
| Good Samaritan Society - Larimore | 25.4 mi | — | 28 | 0 |
| Hatton Prairie Village | 25.8 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.