Valley Care and Rehab LLC
Valley Care and Rehab LLC
Skilled Nursing Facility • 35 Licensed Beds
600 Fifth Street Southeast, Box 129, Barnesville, MN
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Claimed

Valley Care and Rehab LLC

Skilled Nursing Facility • 35 Licensed Beds
600 Fifth Street Southeast, Box 129,
Barnesville, MN
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Valley Care and Rehab LLC – Medicare Certified Since 1985

On June 10, 1965, the Barnesville Nursing Home opened its doors to provide care for seniors with this 76-bed facility. Facing financial problems in 1977, Unicare from Milwaukee came in as the managing corporation in 1977 through 1978. In 1979, Four Seasons from Oklahoma became the managing corporation. Then in February of 1980, Good Neighbor Care Centers of St. Paul bought the Care Center. The center at that time was one of 27 facilities owned by Good Neighbor, Minnesota's second largest operator of nursing homes. In 1992, Barnesville Care Center became an affiliate of the Evangelical Lutheran Good Samaritan Society. On August 1, 2011, the center was purchased from Good Samaritan Society by Jim and Kathy Birchem and was renamed Clayco Care Center. By this time the number of licensed beds in the center were reduced from 76 to 35 to allow private rooms for the residents. On November 1, 2015, Clayco Care Center was purchased by Mark and Debra Rustad and was renamed Valley Care and Rehab. The nursing home became locally owned and operated for the first time in it's history with this acquisition. Mark and Debra are dedicated to making sure Barnesville continues to offer a place for aging seniors to live and remain in their community. Their passion is working with seniors and providing a home-like environment where the resident’s voice and choices are heard. Being very hands on, you will likely see them in the hallway, passing a dinner tray, or assisting a resident with their needs. We welcome you to contact us anytime for questions or information. We love what we do; helping others by offering housing options to the senior population is our passion and we take pride in our work and success.
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Local Comparison Snapshot

How Valley Care and Rehab LLC compares to 13 facilities in Fargo, ND-MN

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
5
3.8
Quality Measures
Clinical outcomes & safety
4
3.3
Health Inspections
State survey results
4
3.4
Staffing
Nurse-to-resident ratio
5
3.8
Staffing Hours (per resident/day)
RN Hours
Registered nurses
1.04 hrs
0.81 hrs
LPN/LVN Hours
Licensed practical nurses
0.97 hrs
0.80 hrs
CNA Hours
Certified nursing assistants
2.77 hrs
3.14 hrs
Total Nursing Hours
CNA + LPN + RN combined
4.79 hrs
4.74 hrs
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
52 %
27 %
Occupancy Rate
Percentage of beds filled
85 %
86 %
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 13 facilities in Fargo, ND-MN.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
5/5
Quality Measures
4/5
Health Inspections
4/5
Staffing
5/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 13 other nursing homes in Fargo, ND-MN

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Valley Care and Rehab LLC
Fargo, ND-MN Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Valley Care and Rehab LLC
Fargo, ND-MN Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Valley Care and Rehab LLC
Fargo, ND-MN Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
166
minutes/day
CNAs
Certified Nursing Assistants
58
minutes/day
LPNs
Licensed Practical Nurses
63
minutes/day
RNs
Registered Nurses
2
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Valley Care and Rehab LLC
Fargo, ND-MN Average (86%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in BARNESVILLE

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