Souris Valley Care Center

    300 S Main St, Velva, ND 58790
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Top-notch care, clean facility, comfortable

    I'm very pleased with this facility - the staff are above reproach and provide excellent care; cleanliness is top-notch and the food is great. The courtyard, TV room and library are lovely, and the regular two-bed hospital room is comfortable and practical.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.00·(6)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      5.0
    • Meals

      5.0
    • Amenities

      4.0
    • Value

      4.0

    Pros

    • clean, well-maintained environment
    • high-quality dining
    • attentive, professional staff
    • on-site common-area amenities (courtyard, TV room, library)
    • standard two-bed hospital rooms

    Cons

    • gaps in clinical oversight and regulatory compliance
    • inconsistent responsiveness to complex medical needs
    • weak incident escalation and family communication processes
    • inconsistent safety and sanitation compliance

    Summary of reviews

    Souris Valley Care Center elicits mixed impressions. Positive comments emphasize a generally clean and well-kept physical environment, on-site amenities such as a courtyard, TV room, and library, and standard two-bed hospital-style rooms. Dining is frequently described favorably, and multiple accounts highlight attentive, professional staff and perceptions of good day-to-day clinical care.

    At the same time, the reviews indicate substantive concerns about the facility’s handling of higher-acuity clinical situations and its compliance posture. Several accounts describe delayed or insufficient responses to complex medical needs; taken together these suggest gaps in clinical oversight and in escalation pathways when a resident’s condition deteriorates. There are also references to external regulatory scrutiny, including alleged violations that prompted calls for enforcement action, which point to episodic weaknesses in safety and compliance systems.

    Management and communication are recurring themes. While direct-care staff are often characterized as caring and competent, the facility appears to have inconsistent processes for communicating critical events to families and for documenting and escalating safety issues. This combination—supportive frontline staff but uneven administrative controls—can create variability in outcomes for residents with more complex needs.

    For prospective residents and families, the facility shows strengths in cleanliness, amenities, and meal quality, along with generally positive staff–resident interactions. At the same time, it would be prudent to ask administrators about clinical oversight protocols, staffing levels for higher-acuity residents, incident-reporting procedures, recent regulatory inspection results, and how the facility handles escalation and family communication during clinical crises. These specific inquiries can help clarify whether the operational gaps noted in reviews have been addressed and whether the level of care matches an individual resident’s needs.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Souris Valley Care Center

    Souris Valley Care Center is located at 300 S Main St, Velva, ND, 58790.

    About Souris Valley Care Center

    Souris Valley Care Center sits at 300 Main Street South in Velva, North Dakota, and goes by Valley View Manor sometimes, and you'll hear folks mention both names. The place runs as a non-profit corporation and has 46 certified nursing facility beds, and they average around 37 residents each day, and it's managed right now by Alvin Finneseth and has been run by The Evangelical Lutheran Good Samaritan Society since 1991. The staff do their best to keep things personal, planning care for every resident to try to help them keep their dignity and independence, and you'll find skilled nursing services for folks who need more help with daily life and medical needs, and then they have memory care for people facing dementia or Alzheimer's. They offer medication management, physical, occupational, and speech therapy, and both inpatient and outpatient rehab for folks who need to recover from illness or surgery, plus palliative and end-of-life care for people needing peace and comfort.

    You'll find diabetes care, high-acuity care, incontinence help, and support for seniors who can't get around on their own. The staff tries to provide healthcare focused on what each person needs, and they offer both long-term stays and short-term respite care if caregivers need a break. There are assisted living apartments connected with Valley View Manor and services that stretch to caregiver support too, though they don't have separate assisted living beds or basic care beds in the main center. Meals, indoor social areas, and devotional activities are all part of the daily routine, and they even organize activities offsite to keep folks busy and connected.

    Of course, it's not perfect, because state inspectors have found issues, like deficiencies with infection control and pharmacy services, and there's been a complaint that led to a fine, and sometimes the nurse turnover gets a bit high, but the staff keeps trying to do their best for the residents and keeps working on improvements. Nurse staffing averages about 4.00 hours per day for each resident. The facility focuses on making everyone feel at home and does its best to shape a place for older adults to thrive, even as they face changes with health and life.

    People often ask...

    Souris Valley Care Center offers independent living, assisted living, memory care, and skilled nursing.

    Yes, Souris Valley Care Center allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 300 S Main St, Velva, ND 58790.

    No, Souris Valley Care Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.

    License numberSNF-souris-valley-care-center-velva
    Facility typeSkilled Nursing Facility

    Inspection Reports

    42

    Reports

    161

    Citations

    0

    Complaints

    17

    Years

    08 Apr 2026Inspection
    Investigated the incident and found a resident was subjected to physical abuse by another resident; the facility failed to ensure residents remained free from abuse.
    • CFR 483.12(a)(1)Free from Abuse and Neglect
    07 Jan 2026Inspection
    Identified deficiencies in notifying a resident's physician after a head injury and in updating care plans to reflect current status.
    • CFR 483.10(g)(14)-(g)(15)Notification of Changes
    • CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    20 Nov 2025Inspection
    Investigated a fall from a bath chair and found failures in incident investigation, post-fall care, and bath chair safety measures that created risk to residents.
    • CFR 483.12(c)(2)-(4)Investigate/Report Alleged Abuse, Neglect, Exploitation, or Mistreatment
    • CFR 483.25Quality of Care
    • CFR 483.25(d)(1)-(2)Accidents
    29 Apr 2025Life Safety
    Found no deficiencies related to emergency preparedness or life-safety during a recertification survey.
    24 Apr 2025Inspection
    Investigations found multiple deficiencies related to resident rights, accurate assessments, safety during transfers, and infection control, with corrective actions implemented.
    • §483.10(a)(1)(2)(b)(1)(2)Resident Rights
    • §483.20(g)Accuracy of Assessments
    • §483.25(d)Accidents
    • §483.80(a)Infection Prevention & Control
    27 Aug 2024Inspection
    Identified a deficiency in preventing significant medication errors related to insulin administration.
    • CFR 483.45(f)(2)Residents are free of significant medication errors
    22 Apr 2024Life Safety
    Determined there were no deficiencies in emergency preparedness or life safety code compliance. Documentation and records supported compliance with relevant requirements.
    17 Apr 2024Inspection
    Investigations found multiple deficiencies across resident care, including dignity in dressing, weight loss notification, assessment coding, medication administration, care planning, safety, infection control, immunizations, and overall quality of care.
    • 483.10(e)(2)Respect, Dignity/Right to have Prsnl Property
    • 483.10(g)(14)-(15)Notify of Changes (Injury/Decline/Room, etc.)
    • 483.20(g)Accuracy of Assessments
    • 483.21(b)(3)Services Provided Meet Professional Standards
    • 483.25Quality of Care
    • 483.25(d)Accidents
    • 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
    • 483.25(k)Pain Management
    • 483.45Free from Unnec Psychotropic Meds/PRN Use
    • 483.80Infection Prevention & Control
    • 483.80(d)Influenza and Pneumococcal Immunizations
    05 Jun 2023Life Safety
    Found no deficiencies in emergency preparedness or life safety code.
    25 May 2023Inspection
    Investigated a complaint and identified multiple deficiencies related to Medicare notices, environment safety, professional standards, psychotropic medications, and infection control.
    • §483.10(g)(17)-(18)Medicaid/Medicare Coverage/Liability Notice
    • §483.10(i)(1)-(7)Safe/Clean/Comfortable/Homelike Environment
    • §483.21(b)(3)Services Provided Meet Professional Standards
    • §483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
    • §483.80(a)-(f)Infection Prevention & Control
    25 Jan 2023Inspection
    Concluded no deficiencies were found.
    15 Jun 2022Inspection
    Investigated the reported incident and found no deficiencies.
    15 Feb 2022Life Safety
    Identified multiple life-safety deficiencies, including issues with fire door inspections, kitchen hood/fire suppression, fire drills, and emergency generator testing.
    • NFPA 101; NFPA 80; 7.2.1.15.2; 8.3.3.1Means of Egress - General
    • NFPA 96; NFPA 96; 9.2.3; 19.3.2.5.1Cooking Facilities
    • NFPA 101; 19.7.1.4-19.7.1.7Fire Drills
    • NFPA 110; NFPA 111; NFPA 70 (700.10)Electrical Systems – Essential Electric System
    10 Feb 2022Inspection
    Identified multiple deficiencies in resident care and facility operations, including missing or incomplete care plans, inadequate medication management, behavioral health referrals, staffing postings, and safety practices.
    • CFR(s): 483.21(b)(1)Comprehensive Care Plans
    • CFR(s): 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • CFR(s): 483.25(i)Respiratory/Tracheostomy Care and Suctioning
    • CFR(s): 483.35(g)(1)-(4)Posted Nurse Staffing Information
    • CFR(s): 483.40Behavioral Health Services
    • CFR(s): 483.45(c)Drug Regimen Review
    • CFR(s): 483.45(d)Drug Regimen is Free from Unnecessary Drugs
    • CFR(s): 483.45(f)Free of Medication Error Rates
    • CFR(s): 483.90(i)Safe/Functional/Sanitary/Comfortable Environment
    30 Sept 2020Inspection
    Found no deficiencies identified during a COVID-19 focused infection control review.
    27 Jul 2020Inspection
    Found compliance with infection control requirements during a COVID-19 focused survey on 2020-07-27, with one positive COVID-19 resident.
    16 Mar 2020Inspection
    Verified compliance with infection control requirements and CDC/CMS practices for COVID-19.
    12 Mar 2020Inspection
    Investigated multiple deficiencies across resident rights, transfer notices, dignity, PASARR, medication management, safety during transfers, nutrition, and infection control.
    • CFR 483.10Resident Rights
    • CFR 483.15(c)Notice before transfer
    • CFR 483.15(d)Bed-hold notice upon transfer
    • CFR 483.20(e)PASARR coordination
    • CFR 483.21(b)(3)Comprehensive Care Plans
    • CFR 483.25(d)Accidents
    • CFR 483.45(e)Psychotropic Medications
    • CFR 483.45(g)Labeling of Drugs and Biologicals
    • CFR 483.45(h)(1)-(2)Storage of Drugs and Biologicals
    • CFR 483.60(i)(1)-(2)Food Procurement,Store/Prepare/Serve-Sanitary
    • CFR 483.80(a)-(f)Infection Control
    24 Feb 2020Life Safety
    Identified multiple deficiencies in fire safety and electrical systems, including hazardous area enclosure, wet chemical system maintenance, sprinkler maintenance, GFCI protection, fire drills, and generator testing.
    • NFPA 101 19.3.2.1, 19.3.5.9Hazardous Areas - Enclosure
    • NFPA 17ACooking Facilities - Wet Chemical Extinguishing System Maintenance
    • NFPA 25Sprinkler System - Maintenance and Testing
    • NFPA 70Utilities - Gas and Electric
    • NFPA 101 Fire Drills 19.7.1.4-19.7.1.7Fire Drills
    • NFPA 99 / NFPA 110Electrical Systems - Essential Electric System
    23 Jul 2019Inspection
    Investigated findings identified failures to notify a physician of a change in condition and insufficient supervision during van transport, resulting in resident injury.
    • CFR 483.10(g)(14)(i)-(iv)(15)Notification of Changes
    • CFR 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    10 Apr 2019Inspection
    Investigated deficiencies across advance directives, PASARR coordination, care planning, insulin administration, wheelchair positioning, and drug regimen review.
    • §483.10(c)(6), §483.10(c)(8), §483.10(g)(12)Advance directives
    • §483.20(e)(1)-(2)Coordination of PASARR
    • §483.21(b)(1)Comprehensive care plan
    • §483.21(b)(3)(i)Services provided meet professional standards
    • §483.25Quality of care
    • §483.45(c)(1)-(5)Drug regimen review
    13 Feb 2019Life Safety
    Identified a smoke detector located within 36 inches of an air return vent, not in compliance with smoke detector spacing requirements.
    • NFPA 72; NFPA 101 19.3.4.5.2; 19.3.4.5.1; 9.6.2.10.1.1; A.17.7.4.1Smoke detection not properly located relative to airflow
    02 Jan 2019Inspection
    Investigated a complaint and found inadequate supervision leading to burns from a baseboard heater for two residents, and identified deficiencies in the QA program and auditing processes.
    • CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • CFR 483.75(a)(2)(h)(i)QAPI Program/Plan, Disclosure/Good Faith Attempt
    09 May 2018Inspection
    Investigated deficiencies identified multiple areas of noncompliance, including resident rights, care planning, assessments, medication handling, infection control, and staff competency.
    • 483.10(e)(3)Reasonable Accommodations Needs/Preferences
    • 483.10(e)(1), 483.12(a)(2)Right to be Free from Physical Restraints
    • 483.20(g)Accuracy of Assessments
    • 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • 483.21(b)(3)Services Provided Meet Professional Standards
    • 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    • 483.25(g)(4)(5)Tube Feeding Management/Restore Eating Skills
    • 483.35(a)(3)-(4)-(c)Competent Nursing Staff
    • 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    • 483.80(a)(1)-(2)-(4)-(e)-(f)Infection Prevention & Control
    07 Mar 2018Life Safety
    Identified multiple life-safety deficiencies across fire protection, emergency lighting, alarms, sprinklers, and electrical systems.
    • NFPA 80; NFPA 101; 7.2.1.15.2Fire Door Inspection and Testing
    • NFPA 101; 7.9.3.1.1Emergency Lighting Testing and Maintenance
    • NFPA 70; NFPA 72Fire Alarm System Testing
    • NFPA 13; NFPA 13 8.3.2; 8.3.2.5(1); Table 8.3.2.5(a)(2)Sprinkler System Installation
    • NFPA 25; 9.7; 9.7.5; 9.7.7; 9.7.8Sprinkler System Maintenance and Testing
    • NFPA 70; NFPA 210.8; 210.8(A)(7)Electrical Ground-Fault Protection
    • NFPA 99; NFPA 110; NFPA 111; NFPA 70Essential Electric System Testing
    16 Mar 2017Inspection
    Investigated widespread deficiencies across resident funds, incident reporting, assessments, care planning, medication management, bowel care, wounds, safety, psychotropic use, and sanitation. The findings showed multiple failures in regulatory compliance across several residents and processes.
    • 483.10(f)(10)(v)Conveyance of personal funds upon death
    • 483.12(a)(3)(4)(c)(1)-(4)Investigate/report allegations/individuals
    • 483.20(b)(2)(ii)Significant Change Assessments
    • 483.20(g)-(j)Assessment accuracy/coordination/certification
    • 483.10(c)(2)Right to participate in planning care - revise care plan
    • 483.21(b)(2)Comprehensive care plans
    • 483.21(b)(3)(i)Services meet professional standards
    • 483.24Quality of life and care – pressure ulcers (general)
    • 483.25(k)(l)Non-pharmacologic interventions before PRN psychotropic meds
    • 483.25(d)(1)-(2)(n)(1)-(3)Free of accident hazards/supervision/devices
    • 483.45(d)Unnecessary drugs – general
    • 483.45(e)(1)-(2)Psychotropic drugs – stepwise reductions/alternatives
    • 483.60(i)(1)-(3)Sanitary practices – food sanitation
    11 Jan 2017Life Safety
    Found multiple fire-safety deficiencies, including inadequate emergency lighting, improper smoke detector placement, missing building systems risk assessment, and insufficient emergency generator testing.
    • NFPA 101 Emergency Lighting 7.9.3; 18.2.9.1; 19.2.9.1Emergency Lighting
    • NFPA 72; NFPA 101 19.3.4.5.1, 19.3.4.5.2Smoke Detection
    • NFPA 99, 4.2Fundamentals - Building System Categories / Building Systems Risk Assessment
    • NFPA 99; NFPA 110; NFPA 111; NFPA 70 700.10Electrical Systems - Essential Electric System Maintenance and Testing
    13 Apr 2016Inspection
    A survey identified extensive deficiencies across resident rights, dignity, social services, assessments, medications, constipation care, urinary testing, safety during transfers, antipsychotic usage oversight, insulin labeling, and infection control.
    • 483.10(b)(5)-(10), 483.10(b)(1)NOTICE OF RIGHTS, RULES, SERVICES, CHARGES
    • 483.15(a)DIGNITY AND RESPECT OF INDIVIDUALITY
    • 483.15(g)(1)PROVISION OF MEDICALLY RELATED SOCIAL SERVICE
    • 483.20(k)(3)(i)ASSESSMENT ACCURACY/COORDINATION/CERTIFIED
    • 483.20(k)(3)(i)SERVICES PROVIDED MEET PROFESSIONAL STANDARDS
    • 483.25(d)PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING
    • 483.25(d)NO CATHETER, PREVENT UTI, RESTORE BLADDER
    • AMBULATION/TRANSFER SAFETY
    • 483.25(l)DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS
    • 483.60(b), (d), (e) DRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALSDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS
    • 483.60(b), (d), (e) DRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALSDRUG RECORDS, LABEL/STORE DRUGS & BIOLOGICALS
    • 483.65INFECTION CONTROL, PREVENT SPREAD, LINENS
    02 Feb 2016Life Safety
    Found multiple life-safety deficiencies, including obstructed exit access, inadequate fire drills, unsupervised sprinkler pumps, and electrical hazards.
    • NFPA 101 Life Safety Code, 7.1.10.1 and 7.3.2Exit access obstructed
    • NFPA 101 Life Safety Code, 18.7.1.2 and 19.7.1.2Fire drills not conducted as required
    • NFPA 20; NFPA 72; NFPA 70; NFPA 70 517.17(b) sprinkler system/pump supervision incomplete
    • NFPA 70; NFPA 99; NEC (1999 Edition) 110.26Electrical wiring and equipment not in accordance with NEC
    18 Mar 2015Inspection
    Identified deficiencies in catheter care and in sanitary practices for the ice machine and storage.
    • Indwelling catheter care and prevention of UTIs
    • Sanitary practices for ice machine and storage
    12 Jan 2015Life Safety
    Identified multiple life-safety deficiencies, including failure to conduct required fire drills, nonfunctional smoke detector devices, and issues with emergency power and dispenser placement.
    • NFPA 101 Life Safety CodeInitial comments – fire drills and smoke detector maintenance
    • NFPA 110Emergency and Standby Power Systems
    • NFPA 101 Life Safety CodeDispenser placement – alcohol-based hand rub
    • NFPA 101 Life Safety CodeSprinkler system gauges
    13 Mar 2014Inspection
    Inspections found multiple deficiencies concerning care planning, resident dignity and privacy, medication management, mobility/transfers, and safety practices. Several residents were observed without proper care or documentation, indicating ongoing quality concerns.
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    11 Feb 2014Life Safety
    Found no deficiencies. The Life Safety Code survey concluded compliance with NFPA 101.
    27 Mar 2013Inspection
    The inspection identified multiple deficiencies related to resident rights, safety, and adequacy of care, including inappropriate use of restraints, inadequate investigations of allegations, and insufficient care planning and daily living support. Numerous lapses in staffing, documentation, and safety practices were noted across several areas.
    • Definitions - Physical Restraints
    • Investigation/Report Allegations/Individuals
    • Care planning and resident preferences
    • ADL care provided for highest well being
    • Resident mobility and personal care
    • Transfer devices and safety procedures
    • Care plans and urinary/medical needs
    05 Nov 2012Life Safety
    Identified several life-safety and electrical deficiencies, including exit signs not continuously illuminated, missing evacuation planning, incomplete fire alarm maintenance, and improper electrical receptacle usage.
    • Section 7.10; NFPA 101 19.2.10.1Exit and directional signs must be continuously illuminated
    • Fire safety plan lacking
    • Fire alarm system not maintained or tested per manufacturer specifications
    • Electrical outlets and power strips near sinks
    • Electrical wiring/equipment not NFPA 70 compliant
    29 Mar 2012Inspection
    Investigated deficiencies identified incomplete assessments and care plans, inadequate restraint practices, and gaps in infection control that affected resident safety and care.
    • 483.13(a)Right to be free from physical restraints
    • 483.20(g)(1)Assessment Accuracy/Coordination/Certified
    • 483.20(g)(1)Assessment Accuracy/Coordination/Certified
    • Dining/Care during meals
    • 483.65Infection Control
    14 Nov 2011Life Safety
    Identified life-safety deficiencies: fire alarm wiring not on a dedicated branch circuit and gas meters/regulators not adequately protected; monthly audits planned to ensure compliance.
    • NFPA 72Fire alarm system connections on a dedicated branch circuit
    • NFPA 54 National Fuel Gas CodeGas meters, regulators and piping not adequately protected
    28 Apr 2011Inspection
    Investigated a complaint about resident rights and daily care. Safety concerns were identified and care planning adequacy questioned regarding residents’ ability to make choices and receive proper daily care.
    • 483.15(b) Self-Determination - Right to Make ChoicesSelf-Determination - Right to Make Choices
    07 Mar 2011Life Safety
    Found a deficiency for not posting precautionary oxygen signs adjacent to resident room doors where oxygen was in use.
    • NFPA 101 Life Safety Code StandardLife Safety Code - Oxygen signage
    11 Mar 2010Life Safety
    Found no deficiencies. The survey indicated compliance with applicable life safety requirements.
    10 Mar 2010Inspection
    Deficiencies were found in resident rights information, care planning and delivery, staff practices, and facility operations, with multiple issues documented across several areas. Evidence indicated ongoing non-compliance with required resident care and facility policies.
    29 Dec 2009Life Safety
    Identified life-safety deficiencies, including insufficient emergency lighting, lack of documentation for the kitchen fire-extinguishing system interconnection and annual testing, and noncompliant electrical wiring.
    • NFPA 101 Life Safety Code StandardEmergency lighting duration
    • NFPA 96Kitchen automatic fire extinguishing system interconnection and testing
    • NFPA 70Electrical wiring and equipment

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