River Valley Health and Rehabilitation Center LLC

Name: River Valley Health and Rehabilitation Center LLC
Address: 200 SOUTH DEKALB STREET, Redwood Falls, MN, 56283, US
Telephone: 5076375711

200 South Dekalb Street, Redwood Falls, MN 56283 · Redwood County · 43 certified beds · avg 33 residents/day · certified since Apr 14, 1981

Part of chain: MONARCH HEALTHCARE MANAGEMENT (45 facilities, chain avg rating 2.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

$14,310

Fines, last 3 years

4.38

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jan 27, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jan 19, 2025 (Past Non-Compliance)

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 24, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Mar 24, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 24, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 24, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 13, 2025	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint
Feb 5, 2025	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Feb 5, 2025	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jan 27, 2025	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 7, 2024	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Feb 7, 2024	F · Potential for harm, facility-wide	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better.
Feb 7, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Feb 7, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Feb 7, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 7, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Feb 7, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Nov 8, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	0	D
2024	7	0	F
2025	9	1	J ▲
2026	4	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $14,310.

Date	Type	Amount / length
Jan 27, 2025	Fine	$14,310

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Minnesota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.38	4.83	3.95	bottom 32% in Minnesota; top 27% in the U.S.
Registered Nurse hours	1.68	1.22	0.69	top 13% in Minnesota; top 3% in the U.S.
Weekend total nurse staffing	3.86	4.27	3.50	bottom 33% in Minnesota; top 27% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.01	0.69	0.48	top 16% in Minnesota; top 6% in the U.S.
Total nursing staff turnover (%)	83.7	42.2	45.8	bottom 2% in Minnesota; bottom 2% in the U.S.
RN turnover (%)	100.0	38.6	42.9	bottom 2% in Minnesota; bottom 1% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.62, RN 1.39, weekend 3.18. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Halpert, Marc	Individual	5% or Greater Indirect Ownership Interest	—	08/22/2019
Jaffa, Noam	Individual	5% or Greater Indirect Ownership Interest	—	08/22/2019
Legum, Joshua	Individual	5% or Greater Indirect Ownership Interest	—	08/22/2019
Nij LLC	Organization	5% or Greater Direct Ownership Interest	14%	08/22/2019
Spartan Healthcare LLC	Organization	5% or Greater Direct Ownership Interest	32%	08/22/2019
Stern, William	Individual	5% or Greater Indirect Ownership Interest	—	08/22/2019
WBS Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	08/22/2019
Halpert, Marc	Individual	Corporate Officer	NOT APPLICABLE	08/22/2019
Jaffa, Noam	Individual	Corporate Director	NOT APPLICABLE	08/22/2019
Legum, Joshua	Individual	Contracted Managing Employee	NOT APPLICABLE	08/22/2019
Stern, William	Individual	Corporate Officer	NOT APPLICABLE	08/22/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Franklin Restorative Care Center	10.8 mi	Franklin, MN	★☆☆☆☆	1/5	SFF
Wabasso Restorative Care Center	12.0 mi	Wabasso, MN	★☆☆☆☆	1/5	abuseSFF
Gil-Mor Manor	12.5 mi	Morgan, MN	★★☆☆☆	2/5
Olivia Restorative Care Center	17.5 mi	Olivia, MN	★☆☆☆☆	1/5	SFF
Renvilla Health Center	17.8 mi	Renville, MN	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Redwood Falls →

Facility data as of CMS processing date 2026-08-01. CCN 245237.

The Care File

Visit checklist — River Valley Health and Rehabilitation Center LLC

200 South Dekalb Street, Redwood Falls, MN 56283 · 5076375711

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $14,310

Most serious findings on record:

▲ Jan 27, 2025 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 245237 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)