Cycle 1
Health 2025-03-27 · Fire 2025-03-27
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Golden Valley, MN
Courage Kenny Rehabilitation Institutes Trp
5-star overall rating with 4-star inspections with 2 recent health deficiencies
3915 Golden Valley Road, Golden Valley, MN
(612) 775-2835
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
56
Certified beds
Average residents
41
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
2.96
Registered nurse staffing
LPN hours / resident day
0.09
Licensed practical nurse staffing
Aide hours / resident day
4.50
Nurse aide staffing
Weekend hours
6.93
Weekend nurse staffing
RN turnover
25%
Annual RN turnover
Total nurse turnover
41%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.3%
2.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.9%
3.9 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 6.5% |
4.3%
2.2 pts worse
|
11.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 5.9% |
4.1%
1.8 pts worse
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.8% |
12.4%
3.6 pts better
|
19.6%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
17.5%
17.5 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.3% |
18.6%
10.3 pts better
|
14.9%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
2.6%
0.3 pts worse
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.0% |
24.8%
12.8 pts better
|
19.8%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 19.9% |
5.4%
14.5 pts worse
|
5.1%
14.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
88.6%
8.8 pts better
|
81.7%
15.7 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.9%
1.1 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.5% |
82.7%
12.8 pts better
|
79.7%
15.8 pts better
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-14 · Fire 2023-12-14
3 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-03-30 · Fire 2023-03-30
1 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-12-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-19
C · Minimal harm
2023-12-14
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-19
C · Minimal harm
2023-12-14
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-01-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-12
D · Potential for more than minimal harm
2025-05-22
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-01
F · Potential for more than minimal harm
2023-12-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-19
C · Minimal harm
2023-12-14
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-01-19
C · Minimal harm
2023-12-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-19
Penalties and ownership
What sits behind the stars
Ownership
Allina Health System
5% Or Greater Direct Ownership Interest · Organization
Allina Health System
Operational/Managerial Control · Organization
Alstad, Jennifer
Corporate Director · Individual
Baker, Chanda
Corporate Director · Individual
Ballard, Shari
Corporate Director · Individual
Borgstrom, Marna
Corporate Director · Individual
Church, John
Corporate Director · Individual
Estes, Melinda
Corporate Director · Individual
Gillund, Laura
Corporate Director · Individual
Hang, Maykao
Corporate Director · Individual
Joos, David
Operational/Managerial Control · Individual
Joos, David
Corporate Officer · Individual
King, Louis
Corporate Director · Individual
Kolar, James
Corporate Director · Individual
Kuplic, David
Corporate Director · Individual
Lindig, Marcia
Operational/Managerial Control · Individual
Lowe, Challis
Corporate Director · Individual
Mcgrane, Brian
Corporate Director · Individual
Newcome, Roger
Corporate Director · Individual
O'laughlin, Daniel
Corporate Director · Individual
Rasmusen, Vicki
Corporate Director · Individual
Ronneberg, Amy
Corporate Director · Individual
Schirmers, Patricia
Operational/Managerial Control · Individual
Schirmers, Patricia
Corporate Director · Individual
Schoneman, Debbra
Corporate Director · Individual
Schreier, Thomas
Corporate Director · Individual
Shannon, Lisa
Corporate Director · Individual
Street, Heidi
Operational/Managerial Control · Individual
Tallarico, Dominica
Corporate Officer · Individual
Tukua, Darrell
Corporate Director · Individual
Ulreich, Shawn
Corporate Director · Individual
Welsh, Timothy
Corporate Director · Individual
Williams, Barbara
Corporate Director · Individual
Williams-Brinkley, Ruth
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
The Villas At Robbinsdale
Robbinsdale, MN
2-star overall rating with 2-star inspections with $32,122 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Covenant Living Of Golden Valley Care & Rehab Ctr
Golden Valley, MN
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
The Villas At Bryn Mawr LLC
Minneapolis, MN
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $35,260 in total fines with 23 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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