Spring Valley Care Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

67.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 14% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 45 beds and averages 42.7 residents a day — about 95% occupied, or roughly 2 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.50 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.18 hrs/resident/day on weekends vs 3.76 on weekdays — 15% thinner on weekends. RN hours go from 0.94 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 76% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · F2025-12-18 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to properly label, store and dispose of refrigerated items. This had the potential to affect all residents served out of the kitchen.During the initial kitchen tour on 12/15/25 at 11:45 a.m., with dietary manager (DM)-A the following undated or expired items were observed in the refrigerator: Undated bin of sandwiches,Undated hot dogs,Undated onion, Undated oranges in syrupPumpkin puree dated 12/10Honeydew dated 11/8Chicken gravy dated 11/20During interview 12/15/25 at 12:01 p.m., DM-A confirmed the previous listed items. She stated the sandwiches and pumpkin puree were expired and should have been discarded. The policy directs them to discard all items after 3 days. DM-A confirmed the importance of dating food was to ensure residents don't become ill from the foods they were served. During interview on 12/18/25 at 12:11 p.m., the administrator stated the dietary staff were expected to follow the facility food safety policy to accurately date and dispose of food items.A facility policy titled Food Receiving and Storage dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure advanced directives for emergency treatment were accurately reflected in all areas of the medical record to ensure the residents wishes would be implemented correctly in an emergent situation for 1 of 1 residents R39) reviewed for advanced directives. Findings include:R39's quarterly Minimum Data Set (MDS) dated [DATE], indicated R39 had severe cognitive impairment. R39 had diagnoses of non-traumatic brain dysfunction and dementia. The MDS also indicated R39 was receiving hospice care. R39's medication administration record (MAR) indicated unscheduled other orders DNR Do Not Resuscitate. The Advanced directives section indicated DNR Do Not Resuscitate/Comfort. The MAR also contained hospice weekly charting.R39's care plan indicated R39 was receiving hospice care.During record review on [DATE] the banner on R39's electronic medical record (EMR) indicated Code Status: DNR-Do not resuscitate/comfort. Also contained in the banner was a hyperlink…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure proper side effect monitoring for potential orthostatic hypotension (sudden drop in blood pressure that occurs when a person changes position from lying to sitting and/or standing) was completed for 1 of 1 resident (R45) reviewed for unnecessary medications who received antipsychotics. R45's quarterly Minimum Data Set (MDS) dated [DATE] indicated R45 had severe cognitive impairment with wandering but no other behaviors. R45 required partial to substantial assist for activities of daily living and was independent with side-to-side bed mobility and sitting on edge of the bed. He required substantial assists for all other transfers and position changes. R34 has a history of traumatic brain dysfunction, and palliative care. The MDS also indicated R45 had a history of 2 or more falls with no injuries and 1 fall with minor injury. R45 received antipsychotic medications on a routine and as needed basis and receives hospice care R45's diagnoses list…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0710 — isolated
  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure a resident had accurate physician orders for medications for 1 of 5 residents (R11) reviewed order accuracy.Findings include:R11's comprehensive Minimum Data Set (MDS) dated [DATE], indicated R11 had no cognitive deficit.R11's diagnosis included: dementia with psychotic and mood disturbance, psychotic disorder with delusions, cognitive function decline, anxiety, and depression.R11's Medication administration Record (MAR) indicated Tylenol-give 1 tablet every 6 hours as needed for pain; the Tylenol order lacked a dosage.R11's Order summary reports, signed by the provider, dated 1/28/25 through 12/17/25 lacked a dosage for Tylenol.During interview on 12/17/25 at 10:32 a.m., medical director (MD) confirmed the current Tylenol order lacked a dosage. MD confirmed an accurate Tylenol order would contain a dosage. MD confirmed her provider team should have picked up the dosage discrepancy with his initial order summary sign off and with each sign off…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure facility staff appropriately transcribed physician orders for 1 of 5 residents (R11) reviewed for order entry.Findings include: R11 was admitted to the facility on [DATE], with orders from the sending facility for Tylenol 500mg, take 1 tablet by mouth every 6 hours as needed for pain. R11's comprehensive Minimum Data Set (MDS) dated [DATE], indicated R11 had no cognitive deficit. R11's diagnosis included: dementia with psychotic and mood disturbance, psychotic disorder with delusions, cognitive function decline, anxiety, and depression. R11's Medication administration Record (MAR) indicated Tylenol-give 1 tablet every 6 hours as needed for pain; the Tylenol order lacked dosage. R11's initial orders were transcribed into the medical record by the health unit coordinator (HUC). During interview on 12/18/25 at 12:11 p.m., the administrator stated the current process for ordering processing was the HUC entered the orders sent from the provider, a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the pharmacy consultant identified irregularities in monthly drug regimen reviews for 2 of 5 residents (R11 and R45) reviewed for unnecessary medications.Findings include: R11's comprehensive Minimum Data Set (MDS) dated [DATE], indicated R11 had no cognitive deficit. R11's diagnosis included: dementia with psychotic and mood disturbance, psychotic disorder with delusions, cognitive function decline, anxiety, and depression. R11's Medication administration Record (MAR) indicated Tylenol-give 1 tablet every 6 hours as needed for pain; the Tylenol order lacked a dosage. R11's pharmacy reviews dated July 2025 through December 2025, lacked a dosage for Tylenol. During interview on 12/17/25 at 10:32 a.m., medical director (MD) confirmed the current Tylenol order lacked a dosage. MD confirmed an accurate Tylenol order contained a dosage. MD stated she expected the pharmacist to question the Tylenol order during monthly pharmacy reviews. During…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-11-21 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to submit complete and/or accurate data for staffing information based on payroll and other verifiable data during 1 of 1 quarter (Quarter 3) reviewed, to the Centers for Medicare and Medicaid Services (CMS), according to specifications established by CMS. Findings include: Review of the Payroll Based Journal (PBJ) [NAME] Report 1705D identified the facility had excessively low weekend staffing during the third quarter of the fiscal year 2024, which included dates between April 1st to June 30th. Review of daily staff schedules and facility staffing report during quarter three indicated adequate levels of staff on weekends. Therefore, the data submitted in the PBJ to CMS was inaccurate. During interview on 11/21/24 at 3:09 p.m. the administrator stated the facility staffing levels did not change from weekdays to weekends. Administrator stated the business office completed and submits the PBJ data based on information off the schedule and daily staff postings. Administrator stated it was important to ensure accurate data is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to provide a dignified dining experience for 1 of 1 resident (R37) observed for dignity. Findings include: R37's quarterly Minimum Data Set (MDS) dated [DATE], identified R37 had severe cognitive impairment and required assistance with all activities of daily living (ADL)'s. R37's diagnoses included Alzheimer's disease, aphasia, dementia, depression, polyneuropathy ( is a condition in which a person ' s peripheral nerves are damaged, and low back pain. R37's care plan, indicated R37 needed assistance with eating, however lacked plastic silverware had been used for R37. During observation on 11/19/24, at 5:10 p.m., R37 was sitting in his wheelchair at a table in the middle of dining room with three other residents. Staff had placed regular silverware in front of the other three residents sitting at the table and placed a plastic spoon and fork on the table in front of R37. Staff assisted R37 with eating while staff utilizing a plastic fork.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure residents were comprehensively assessed for self-administration of medications for 1 of 1 resident (R32) reviewed and observed for self-administration of medications. Findings include: R32's quarterly Minimum Data Set (MDS) dated [DATE], identified R32 had severe cognitive impairment and required assistance with all activities of daily living (ADL)'s. R32's physician orders included order for Ipratropium-Albuterol inhalation solution 0.5 - 2.5 (3) mg(milligram)/ml(milliliter) - 3 mL inhale orally two times a day related to mild intermittent asthma. R32's medical record was reviewed and lacked evidence of self-administration of medications order had been obtained for R32. During observation and interview on 11/18/24 at 3:17 p.m., R32 stated she used the nebulizer machine twice daily and has been on it for long-term management of asthma. R32 stated nurse will bring medication into room, pour medicated solution into the canister of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and document review, the facility failed to provide the required written Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) and Notice of Medicare Non-Coverage (NOMNC) forms to 2 of 3 residents (R7 and R16) reviewed whose Medicare A coverage ended and then remained in the facility. Findings include: R7's undated Census Records listing identified on 7/9/24, R7's payer source changed from Medicare Part A to Private Pay, and remained in the facility. R7's medical records lacked evidence that a SNFABN and/or the NOMNC forms were completed and/or reviewed with resident/representative. R16's undated Census Records listing identified on 9/7/24, R16's payer source changed from Medicare Part A to Medicaid, and remained in the facility. R16's medical records lacked evidence that a SNFABN and/or the NOMNC forms were completed and/or reviewed with resident/representative. During interview on 11/20/24 at 2:09 p.m., social worker (SW) stated the facility could not locate any forms for R16. During interview on 11/21/24 at 11:22 a.m., SW stated the facility could not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MN