Valley Care and Rehab LLC
600 Fifth Street Southeast, Box 129, Barnesville, MN 56514 · Clay County · 35 certified beds · avg 33 residents/day · certified since Jul 1, 1985
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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.
All citations in the current public record (6)
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 |
|---|---|---|
| Apr 23, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 27, 2025 | 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 |
| Jan 27, 2025 | 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 |
| Mar 6, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 6, 2024 | E · Potential for harm, repeated | 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 9, 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 |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | E |
| 2025 | 3 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 5.29 | 4.83 | 3.95 | top 25% in Minnesota; top 9% in the U.S. |
| Registered Nurse hours | 1.19 | 1.22 | 0.69 | top 44% in Minnesota; top 10% in the U.S. |
| Weekend total nurse staffing | 4.51 | 4.27 | 3.50 | top 35% in Minnesota; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.69 | 0.48 | bottom 42% in Minnesota; top 29% in the U.S. |
| Total nursing staff turnover (%) | 44.2 | 42.2 | 45.8 | bottom 39% in Minnesota; top 48% in the U.S. |
| RN turnover (%) | 37.5 | 38.6 | 42.9 | bottom 47% in Minnesota; top 42% 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 4.24, RN 0.95, weekend 3.62. Staffing rating: 5/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rustad, Debra | Individual | 5% or Greater Direct Ownership Interest | 51% | 11/01/2015 |
| Rustad, Mark | Individual | 5% or Greater Direct Ownership Interest | 49% | 11/01/2015 |
| Nielsen, Ryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Ritchie, Holly | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Ruff, Teri | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Rustad, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2015 |
| Rustad, Debra | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2015 |
| Rustad, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2015 |
| Rustad, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2015 |
| Rusty Acres, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2015 |
| Sharp, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Smart, Madison | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Thompson, Owen | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2015 |
| Thompson, Owen | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2025 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Pelican Valley Health Center | 16.5 mi | Pelican Rapids, MN | ★★★★★ | 5/5 |
Compare this facility with the 1 closest →
All facilities in Barnesville →
Facility data as of CMS processing date 2026-08-01. CCN 245281.