Home / Minnesota / Barnesville
Valley Care and Rehab LLC
600 Fifth Street Southeast, Box 129, Barnesville, MN 56514 · Clay County · (218) 354-2254
35 certified beds, about 33 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245281 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 15, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 6 health citations since February 2024 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 4.24 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.
44.2% 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.
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 6 health citations on file.
June 15, 2026Standard inspection · 0 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
April 23, 2025Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and document review, food items were not served in a sanitary and clean manner to residents observed during meals served from the steamer table in the kitchen. This deficient practice had the potential to affect all 10 residents who were served bread during their meal.
January 27, 2025Complaint inspection · 2 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and document review, the facility failed to protect the resident's right to be free from mental abuse for 1 of 1 resident (R1) reviewed for abuse when staff, while providing cares, took a photo of R1 who was covered in feces and posted the photo to social media.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review, the facility failed to immediately report no later than two hours, an allegation of abuse to the State Agency (SA) for 1 of 1 residents (R1) reviewed for abuse.
March 6, 2024Standard inspection · 2 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure food was served at a palatable and appetizing temperature for 8 of 8 residents (R2, R3, R5, R6, R8, R13, R24, R28) reviewed for dining services.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure personal laundry was transported in a manner that prevented risk of contamination for 2 of 2 hallways observed for linen transportation.
February 9, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review, the facility failed to report to the State Agency (SA) immediately for an injury of unknown origin for 1 of 1 residents (R1) who fell, resulting in a fractured right leg.
Fire safety inspections
5 fire safety citations on file: 3 on June 15, 2026, 2 on April 23, 2025.
Every fire safety citation5 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure proper usage of power strips and extension cords.
- F Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
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.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.24 | 4.19 | 3.86 |
| Registered nurses | 0.95 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.62 | 3.71 | 3.42 |
| Nurse aides | 2.57 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 44.2% | 42.2% | 45.8% |
| Registered nurse turnover | 37.5% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.07 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 4.49 on weekdays and 3.62 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.79 in April to June 2025 to 4.24 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.24 | 0.95 | 4.49 | 3.62 | 1.1% | 0 of 90 | 33 |
| Oct to Dec 2025 | 4.09 | 0.87 | 4.37 | 3.38 | 0.1% | 0 of 92 | 34 |
| Jul to Sep 2025 | 4.51 | 1.06 | 4.81 | 3.72 | 1.4% | 0 of 92 | 33 |
| Apr to Jun 2025 | 4.79 | 1.04 | 5.15 | 3.87 | 0.6% | 0 of 91 | 30 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 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.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.7 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.9 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.4 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.9 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.8 | 17.1 | 15.4 |
Owners and operators
Legal business name: VALLEY CARE AND REHAB LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rustad, Debra | 5% or greater direct ownership interest | Individual | 51% | 11/01/2015 |
| Rustad, Mark | 5% or greater direct ownership interest | Individual | 49% | 11/01/2015 |
| Nielsen, Ryan | Operational/managerial control | Individual | 12/30/2024 | |
| Ritchie, Holly | Operational/managerial control | Individual | 12/30/2024 | |
| Ruff, Teri | Operational/managerial control | Individual | 12/30/2024 | |
| Rustad, Debra | Operational/managerial control | Individual | 11/01/2015 | |
| Rustad, Mark | Operational/managerial control | Individual | 11/01/2015 | |
| Sharp, Karen | Operational/managerial control | Individual | 12/30/2024 | |
| Smart, Madison | Operational/managerial control | Individual | 12/30/2024 | |
| Thompson, Owen | Operational/managerial control | Individual | 11/01/2015 | |
| Rusty Acres, LLC | Adp of the SNF | Organization | 11/01/2015 | |
| Rustad, Debra | Adp of the SNF | Individual | 11/01/2015 | |
| Rustad, Mark | Adp of the SNF | Individual | 11/01/2015 | |
| Thompson, Owen | Adp of the SNF | Individual | 02/12/2025 |
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.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on January 27, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 23, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 6, 2024: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.62 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Pelican Valley Health Center Pelican Rapids, 16.5 mi · 5 of 5 stars · 7 citations
- Sunnyside Care Center Lake Park, 21.6 mi · 5 of 5 stars · 12 citations
- Eventide Lutheran Home Moorhead, 22.2 mi · 4 of 5 stars · 17 citations
- Fargo Elim Health Care Center Fargo, 22.2 mi · 3 of 5 stars · 14 citations
- Smp Health - St. Catherine South Fargo, 23 mi · 4 of 5 stars · 10 citations
- The Meadows on University Fargo, 23.3 mi · 1 of 5 stars · 31 citations
- Bethany on University Fargo, 23.8 mi · 5 of 5 stars · 10 citations
- Smp Health - St. Catherine North Fargo, 24.4 mi · 4 of 5 stars · 12 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Valley Care and Rehab LLC's Medicare star rating?
- CMS rates Valley Care and Rehab LLC 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Valley Care and Rehab LLC get at its last inspection?
- 0 health deficiencies at the standard inspection on June 15, 2026. The Minnesota average is 7.1.
- Has Valley Care and Rehab LLC been fined?
- CMS lists no fines in the last three years.
- Does Valley Care and Rehab LLC 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 Valley Care and Rehab LLC?
- CMS lists 14 owners and managers. Legal business name: VALLEY CARE AND REHAB LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.