Nursing homeActive
Valley Care And Rehab LLC
600 Fifth Street Southeast, Box 129, Barnesville, MN 56514218354225435 certified beds · 33 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2024
Deficiencies
6
● 0● 6● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-06-15
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-15 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2025-04-23 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-27 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-03-06 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-02-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-06Record 245281-20250423-F812
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-01Record 245281-20250127-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-30Record 245281-20250127-F609
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 245281-20240306-F804
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 245281-20240306-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-22Record 245281-20240209-F609
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.95
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.24
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.62
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover44%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover38%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.9% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.9% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 6.8% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 24.7% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.1% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 12.9% | 12.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Rustad, Debra Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | — | — |
| Rustad, Mark Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | — | — |
| Nielsen, Ryan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ritchie, Holly Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ruff, Teri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rustad, Debra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rustad, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sharp, Karen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smart, Madison Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thompson, Owen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rustad, Debra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rustad, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rusty Acres, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thompson, Owen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.
No county cost figures on file for Clay.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Pelican Valley Health Center Pelican Rapids | 16.5 mi | 2026-03-25 | 070 |
| Sunnyside Care Center Lake Park | 21.6 mi | 2026-06-09 | 0111 |
| Eventide Lutheran Home Moorhead | 22.2 mi | 2026-07-08 | 0125 |
| Viking Manor Nursing Home Ulen | 29.2 mi | 2025-06-11 | 050 |
| Fargo Elim Health Care Center Fargo | 22.2 mi | 2026-04-01 | 0131 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |