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Chosen Valley Care Center

1102 Liberty Street Southeast, Chatfield, MN 55923 · Fillmore County · (507) 867-4220

78 certified beds, about 73 residents a day · Non profit - Other · Medicare and Medicaid since 1987

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245423 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 13, 2025, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 9 health citations since August 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.00 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.97 of those hours.

40.4% of nursing staff left within the year CMS measured (Minnesota average 42.2%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
0F
Potential for minimal harm
0A
0B
0C
August 13, 2025Standard inspection · 0 citations
July 12, 2024Standard inspection · 4 citations
  1. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to resume restorative services for 1 of 2 residents (R4) reviewed for limited range of motion .
  2. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to monitor orthostatic blood pressures during the use of an antipsychotic medication for 3 of 4 residents (R6, R28, and R56) reviewed for psychotropic medications.
  3. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2024
    Inspectors wroteBased on interview and document review, the facility failed to arrange dental services after a non-urgent/routine dental referral was placed for 1 of 1 residents (R36) reviewed for dental concerns.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement enhanced barrier precautions (EBP) for 1 of 1 (R53) resident reviewed for infection prevention related to presence of peripherally inserted central catheter (PICC) line (a tube inserted in the arm that ends in a blood vessel in the chest).
November 6, 2023Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on interview, and document review, the facility failed to ensure medications were administered in accordance with physician orders to reduce the risk of adverse disease-associated complications for 1 of 1 resident (R1) reviewed for medication errors.
August 24, 2023Standard inspection · 4 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure proper hand hygiene and glove use was utilized in the dining area and during cares for 1 of 2 residents (R17) reviewed for dining. In addition, the facility failed to ensure staff labeled and dated tube feeding solution for 1 of 1 residents R44 reviewed for tube feeding.
  2. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on interview, and document review, the facility failed to ensure the resident's current wishes for resuscitation status were accurately documented in all areas of the medical record for 1 of 1 resident (R44) reviewed for advanced directives.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview and document review, the facility failed to follow care plan interventions to prevent falls for 1 of 4 residents (R42) reviewed for accident hazards.
  4. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure menus and individual resident food plans met the nutritional needs and preferences for 1 of 1 resident (R3) reviewed for food and nutritional adequacy.

Fire safety inspections

13 fire safety citations on file: 1 on August 13, 2025, 8 on July 12, 2024, 4 on August 24, 2023.

Every fire safety citation13 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 13, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 12, 2024 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 12, 2024 · Corrected (the home has a date of correction)
  4. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 12, 2024 · Corrected (the home has a date of correction)
  5. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 12, 2024 · Corrected (the home has a date of correction)
  6. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · July 12, 2024 · Corrected (the home has a date of correction)
  7. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 12, 2024 · Corrected (the home has a date of correction)
  8. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 12, 2024 · Corrected (the home has a date of correction)
  9. F
    Have proper medical gas storage and administration areas.
    K 923 · July 12, 2024 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 24, 2023 · Corrected (the home has a date of correction)
  11. F
    Have proper medical gas storage and administration areas.
    K 923 · August 24, 2023 · Corrected (the home has a date of correction)
  12. E
    Ensure proper usage of power strips and extension cords.
    K 920 · August 24, 2023 · Corrected (the home has a date of correction)
  13. C
    Implement emergency and standby power systems.
    E 41 · August 24, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)4.004.193.86
Registered nurses0.971.060.69
All nursing staff on weekends3.513.713.42
Nurse aides2.81
Licensed practical nurses0.22
Nursing staff turnover (share who left in a year)40.4%42.2%45.8%
Registered nurse turnover12.5%38.6%42.9%
Administrators who left0

CMS expects 3.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.20 on weekdays and 3.51 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.03 in April to June 2025 to 4.00 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.000.974.203.51 0.0%0 of 9073
Oct to Dec 20254.050.964.273.49 0.0%0 of 9272
Jul to Sep 20254.230.914.523.51 0.0%0 of 9272
Apr to Jun 20254.030.954.353.22 0.0%0 of 9173
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%0.8% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.618.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.11.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.22.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.24.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.61.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.720.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.45.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.017.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
30.323.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.914.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.91.8

Owners and operators

Legal business name: CHOSEN VALLEY CARE CENTER, INC.

NameRoleTypeShareSince
Allen, MaryCorporate directorIndividual11/01/2018
Bennett, SherylCorporate directorIndividual01/11/2019
Mullen, MichaelCorporate directorIndividual12/08/2017
Patten, MaryCorporate directorIndividual06/23/1998
Ruskell, MaureenCorporate directorIndividual01/03/2022
Thieke, MichaelCorporate directorIndividual01/11/2019
Ruskell, MaureenCorporate officerIndividual01/03/2022
Chosen Valley Care Center, IncOperational/managerial controlOrganization11/25/2024
Kelly, JohnOperational/managerial controlIndividual02/24/2022
Ponton, LiliaOperational/managerial controlIndividual01/01/2022
Chosen Valley Care Center, IncAdp of the SNFOrganization01/06/2025
Kelly, JohnAdp of the SNFIndividual06/21/1977
Ponton, LiliaAdp of the SNFIndividual01/01/2022
Thieke, MichaelAdp of the SNFIndividual01/06/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 12, 2024: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 12, 2024: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 12, 2024: "Provide and implement an infection prevention and control program."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 24, 2023: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.51 hours per resident per day, below the Minnesota average of 3.71.

Other nursing homes nearby

Minnesota contacts for a concern about a nursing home

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Common questions

What is Chosen Valley Care Center's Medicare star rating?
CMS rates Chosen Valley Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Chosen Valley Care Center get at its last inspection?
0 health deficiencies at the standard inspection on August 13, 2025. The Minnesota average is 7.1.
Has Chosen Valley Care Center been fined?
CMS lists no fines in the last three years.
Does Chosen Valley Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Chosen Valley Care Center?
CMS lists 14 owners and managers. Legal business name: CHOSEN VALLEY CARE CENTER, INC.

Sources

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