{"schema_version":"1.0.0","facility":{"id":"cms-245281","ccn":"245281","name":"Valley Care and Rehab LLC","source_name":"VALLEY CARE AND REHAB LLC","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"MN","address":{"line1":"600 Fifth Street Southeast, Box 129","city":"Barnesville","state":"MN","zip":"56514","county_name":"Clay County","county_fips":"27027","county_method":"name_match","ssa_county_code":"130","urban":true},"location":{"lat":46.67,"lon":-96.392,"method":"cms_published_coordinates","footnote":"22"},"phone":"2183542254","certification":{"authority":"CMS","ccn":"245281","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1985-07-01","certified_beds":35,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/245281"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":35,"avg_residents_per_day":33},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"VALLEY CARE AND REHAB LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":true,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":5},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"footnote":"2"},"staffing":{"value":5},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.49658,"lpn_hprd":0.70733,"rn_hprd":1.0035,"licensed_hprd":1.71083,"total_nurse_hprd":4.20742,"weekend_total_nurse_hprd":3.50206,"weekend_rn_hprd":0.59195,"pt_hprd":0.03358,"nursing_turnover_pct":47.7,"rn_turnover_pct":37.5,"administrators_left":0,"case_mix_index":1.15354,"case_mix_index_ratio":0.81797,"case_mix_total_nurse_hprd":3.19078,"adjusted_total_nurse_hprd":5.10336,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-06-15","cycle1_deficiencies":0,"cycle1_score":0,"cycle2_date":"2025-04-23","cycle23_deficiencies":4,"cycle23_score":20,"total_weighted_score":5},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"operator_id":"op-valley-care-and-rehab-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/245281","provenance":[{"source_id":"cms_provider_info","source_record_id":"245281","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245281&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"245281","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245281&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":8,"health_count":5,"fire_count":3,"complaint_count":2,"latest_date":"2026-06-15","latest_standard_health":"2026-06-15","earliest_date":"2024-02-09","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":11,"health_count":6,"fire_count":5,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":3,"by_severity":{"potential":11},"by_scope_severity":{"F":3,"D":5,"E":3},"by_concept":{"environment_life_safety":5,"food_nutrition":2,"resident_rights":3,"infection_prevention":1},"type_ids":["cms-k0345","cms-k0353","cms-k0920","cms-k0363","cms-k0712","cms-f0812","cms-f0600","cms-f0609","cms-f0804","cms-f0880"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":14,"organizations":1,"individuals":13,"not_available":false}},"row":{"id":"cms-245281","ccn":"245281","name":"Valley Care and Rehab LLC","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MN","city":"Barnesville","zip":"56514","county_fips":"27027","county_name":"Clay County","address":"600 Fifth Street Southeast, Box 129","beds":35,"residents":33,"ownership":"for_profit","operator_id":"op-valley-care-and-rehab-llc","operator_name":"Valley Care and Rehab LLC","lat":46.67,"lon":-96.392,"overall":5,"health_rating":5,"staffing_rating":5,"qm_rating":5,"nurse_hprd":4.21,"turnover":47.7,"inspections":8,"last_inspection":"2026-06-15","deficiencies":11,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0345","cms-k0353","cms-k0920","cms-k0363","cms-k0712","cms-f0812","cms-f0600","cms-f0609","cms-f0804","cms-f0880"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-valley-care-and-rehab-llc","name":"Valley Care and Rehab LLC","legal_name":"VALLEY CARE AND REHAB LLC","facility_count":1,"states":["MN"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_type":"individual","owner_name":"Debra Rustad","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":51,"percentage_raw":"51%","association_date":"2015-11-01","owner_name_raw":"RUSTAD, DEBRA"},{"owner_type":"individual","owner_name":"Mark Rustad","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":49,"percentage_raw":"49%","association_date":"2015-11-01","owner_name_raw":"RUSTAD, MARK"},{"owner_type":"individual","owner_name":"Ryan Nielsen","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-30","owner_name_raw":"NIELSEN, RYAN"},{"owner_type":"individual","owner_name":"Holly Ritchie","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-30","owner_name_raw":"RITCHIE, HOLLY"},{"owner_type":"individual","owner_name":"Teri Ruff","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-30","owner_name_raw":"RUFF, TERI"},{"owner_type":"individual","owner_name":"Debra Rustad","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-11-01","owner_name_raw":"RUSTAD, DEBRA"},{"owner_type":"individual","owner_name":"Mark Rustad","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-11-01","owner_name_raw":"RUSTAD, MARK"},{"owner_type":"individual","owner_name":"Karen Sharp","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-30","owner_name_raw":"SHARP, KAREN"},{"owner_type":"individual","owner_name":"Madison Smart","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-30","owner_name_raw":"SMART, MADISON"},{"owner_type":"individual","owner_name":"Owen Thompson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-11-01","owner_name_raw":"THOMPSON, OWEN"},{"owner_id":"org-rusty-acres-llc","owner_type":"organization","owner_name":"Rusty Acres, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-11-01"},{"owner_type":"individual","owner_name":"Debra Rustad","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-11-01","owner_name_raw":"RUSTAD, DEBRA"},{"owner_type":"individual","owner_name":"Mark Rustad","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-11-01","owner_name_raw":"RUSTAD, MARK"},{"owner_type":"individual","owner_name":"Owen Thompson","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-02-12","owner_name_raw":"THOMPSON, OWEN"}],"inspections":[{"id":"cms-245281-20260615-fire","ccn":"245281","date":"2026-06-15","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-29","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-29","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-29","std":1,"tv":"New"}]},{"id":"cms-245281-20260615-health","ccn":"245281","date":"2026-06-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":["29"],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-245281-20250423-fire","ccn":"245281","date":"2025-04-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0363","ss":"F","sl":2,"cs":"corrected","cd":"2025-04-29","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2025-04-22","std":1,"tv":"New"}]},{"id":"cms-245281-20250423-health","ccn":"245281","date":"2025-04-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-06","std":1}]},{"id":"cms-245281-20250127-health","ccn":"245281","date":"2025-01-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-01","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-30","cmp":1}]},{"id":"cms-245281-20240306-fire","ccn":"245281","date":"2024-03-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-245281-20240306-health","ccn":"245281","date":"2024-03-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-22","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-22","std":1}]},{"id":"cms-245281-20240209-health","ccn":"245281","date":"2024-02-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-22","cmp":1}]}],"deficiency_types":{"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245281&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245281&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245281&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245281&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245281&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245281&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MN","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":3.2,"staffing_rating":4.2,"avg_residents_per_day":60.3,"cycle1_health_deficiencies":7.2,"cycle1_fire_deficiencies":4.1,"nurse_aide_hprd":2.58,"lpn_hprd":0.61,"rn_hprd":1.08396,"licensed_hprd":1.69,"total_nurse_hprd":4.26848,"weekend_total_nurse_hprd":3.73264,"weekend_rn_hprd":0.71,"pt_hprd":0.07,"nursing_turnover_pct":42.1,"rn_turnover_pct":39.3,"administrators_left":0.5,"case_mix_index":1.2089,"fines":0.7,"fine_amount":24560,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MN","name":"Minnesota"},"county":{"fips":"27027","name":"Clay County"},"zip":"56514","city":"Barnesville"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}