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Nursing HomeMedicaid Top Rated

Valley Care and Rehab LLC

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

600 Fifth Street Southeast, Box 129, Barnesville, MN 5651435 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing

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What this means for your family

Choosing Valley Care and Rehab LLC means your loved one is in a facility that ranks well on Medicare quality measures. High RN hours correlate directly with lower rates of hospital readmission and better specialized care coordination. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.87hrs
OK
Registered nurses for medical care
Total Nursing
4.09hrs
100%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
12.1%
MN
4.3%
Clay
11.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility87.5%
Worse than Avg
Here
87.5%
US
95.5%
MN
96.1%
Clay
96.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.1%
Better than Avg
Here
11.1%
US
15.5%
MN
17.0%
Clay
18.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.6%
Mixed vs Avgs
Here
13.6%
US
19.5%
MN
12.5%
Clay
20.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.4%
Mixed vs Avgs
Here
20.4%
US
15.3%
MN
21.4%
Clay
14.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
19.4%
MN
24.5%
Clay
18.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility44.2%
Worse than Avg
Here
44.2%
US
81.8%
MN
88.3%
Clay
86.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MN
1.8%
Clay
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
1penalties
Well below state avg (8.0)
3 complaint-triggered
$7,446 in fines

Valley Care And Rehab shows concerning patterns with families filing complaints about abuse and neglect reporting failures, occurring twice in recent years. The facility has recurring issues with resident rights protections, infection control, and food safety across multiple surveys. While all deficiencies show correction dates, the repeated problems with protecting residents from abuse and properly reporting incidents should prompt careful evaluation during any visit.

Apr 23, 2025Routine
3
0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Jan 27, 2025Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Mar 6, 2024Routine
2
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 9, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jul 26, 2023Routine
7
0578Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Federal Penalties

Fine

Jul 26, 2023

$7,446

Ownership & Operations

Who Operates This Facility

Owner / Operator

Valley Care and Rehab LLC

Organization Type

for profit

Ownership & Management

Owners

Rustad, Debra

Owner

51%

Rustad, Mark

Owner

49%

Key personnel

Nielsen, RyanManagerRitchie, HollyManagerRuff, TeriManagerRustad, DebraManagerRustad, MarkManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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