COUNTRY ESTATES
NPI 1275627184
Skilled Nursing Facility in Grand Forks, ND

Active since October 03, 2006
5/5
Overall Rating
4000 24TH AVE S, GRAND FORKS, ND 58201(701) 787-7500(701) 787-7822 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Country Estates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY ESTATES (NPI 1275627184) is a healthcare organization registered as a skilled nursing facility in Grand Forks, North Dakota and active in the NPI registry since October 2006. The organization lists Megan Anderson, Administrative Project Coordinator, as its authorized official.

NPPES Registry Identity

NPI1275627184
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name4000 VALLEY SQUARE INC
Location Address4000 24TH AVE SGrand Forks, ND 58201-8863
Mailing Address4000 24th Ave SGrand Forks, ND 58201-8863 · (701) 787-7500 · Fax (701) 787-7822
Fax(701) 787-7822
Organization SubpartYesParent: Valley Memorial Homes
Authorized OfficialMegan AndersonAdministrative Project Coordinator · (701) 787-7970
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2019
NPI 1275627184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in ND · 1077A
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4000 24TH AVE S, Grand Forks, ND 58201

Other Names 4

Doing Business AsCountry Estates
Doing Business AsValley Senior Living On 42nd
Doing Business AsWoodside Village
Doing Business AsWheatland Terrace

Other Identifiers 1

Medicaid03-0201ND

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Woodside Village (CMS certification number 355112), from CMS Care Compare.

Woodside Village

Nursing home · Grand Forks, ND
5/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number355112
Certified Beds138 beds135 residents per day on average
Medicare & Medicaid Participant SinceDecember 1, 1991
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
22
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.43 · LPN 0.69 · RN 0.87
5 hrs per resident per day
Weekend Nurse Staffing
4.2 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
38.9%
Registered Nurse Turnover
23.1%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 4000 Valley Square Inc's NPI number?

The NPI number for 4000 Valley Square Inc is 1275627184. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Country Estates, Valley Senior Living on 42nd, Woodside Village and Wheatland Terrace.

Where is 4000 Valley Square Inc located?

4000 Valley Square Inc is located at 4000 24th Ave S, Grand Forks, ND 58201. The listed phone number is (701) 787-7500.

What is 4000 Valley Square Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is 4000 Valley Square Inc a Medicare-certified nursing home?

Yes. Woodside Village is a Medicare-certified nursing home with 138 certified beds.

What quality rating does 4000 Valley Square Inc have?

CMS rates Woodside Village 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does 4000 Valley Square Inc accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list 4000 Valley Square Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 4000 Valley Square Inc was last updated on August 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.