CCN 245322
Covenant Living of Golden Valley Care & Rehab CTR
5825 ST CROIX AVENUE, Golden Valley, MN 55422 · Hennepin County
- Ownership
- Non profit - Church related
- Certified beds
- 88
- Residents per day
- 74.5
- Health citations
- 4
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
CMS has marked this home with the high-performing icon. The September 2026 Technical Users' Guide describes that icon for homes with fewer citations, higher staffing, and other quality indicators, shown in addition to the five-star rating. Selection criteria are in CMS memorandum QSO-26-14-NH.
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.48
- 2.52
- 2.32
- LPN/LVN
- 1.20
- 0.61
- 0.86
- Registered nurse
- 1.02
- 1.06
- 0.69
- Total nurse staff
- 4.70
- 4.19
- 3.86
- Weekend total
- 4.36
- 3.71
- 3.42
- Weekend RN
- 0.66
- 0.69
- 0.48
Adjusted total nurse hours: 5.23. Adjusted RN hours: 1.14. Case-mix total: 3.44. Case-mix index: 1.259.
Total nursing staff turnover: 22.5%. RN turnover: 36.4%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: May 22, 2025. Health deficiencies counted in cycle 1: 0. Cycle 1 total health score: 0.
Cycle 2 standard survey: April 11, 2024. Cycle 2/3 health deficiencies: 3. Total weighted health survey score: 3.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 4 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
May 9, 2025
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 6, 2025 |
| F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 6, 2025 |
February 27, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 28, 2025 |
August 31, 2023
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 22, 2023 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections