River Valley Health and Rehabilitation Center LLC
200 South Dekalb Street · Redwood Falls, MN · 56283 · 5076375711
43 certified beds For profit - Corporation Chain: Monarch Healthcare Management
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
81% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.55 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.97 | 0.55–0.75 |
| Weekend hours / resident-day | 3.16 | ≈ weekday level |
| Nursing turnover / year | 81% | median 45% |
| Fines (3-yr window) | 1 · $14,069 |
Inspection citations (21 in the current record)
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Potential for harm · D March 24, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 6, 2026 · Resident Rights
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Potential for harm · D March 24, 2026
Ensure each resident receives an accurate assessment.
Corrected May 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 6, 2026 · Quality of Life and Care
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Potential for harm · D March 24, 2026
Ensure that residents are free from significant medication errors.
Corrected May 6, 2026 · Pharmacy Service
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Potential for harm · F May 13, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Deficient, Provider has no plan of correction · Nursing and Physician Services
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Potential for harm · D February 5, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 14, 2025 · Resident Rights
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Potential for harm · D February 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 14, 2025 · Quality of Life and Care
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Potential for harm · F February 5, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected March 14, 2025 · Nursing and Physician Services
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Potential for harm · D February 5, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected March 14, 2025 · Quality of Life and Care
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Potential for harm · F February 5, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 14, 2025 · Administration
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Potential for harm · D February 5, 2025
Provide and implement an infection prevention and control program.
Corrected March 14, 2025 · Infection Control
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Potential for harm · D February 5, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 14, 2025 · Infection Control
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Immediate jeopardy · J January 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 19, 2025 · Quality of Life and Care
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Potential for harm · D February 7, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · F February 7, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 6, 2024 · Administration
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Potential for harm · F February 7, 2024
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected March 6, 2024 · Administration
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Potential for harm · D February 7, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 7, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 7, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 7, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 8, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 20, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 27, 2025 | Fine | $14,069 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245237 · certified since April 14, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.