The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
HARMONY RIVER LIVING CENTER
HUTCHINSON, MN · Medicare-certified · 120 beds
Needs attention
Non-profitChain member
Data as of September 1, 2026
4 of 5 overall
Harmony River Living Center in Hutchinson, MN has an overall rating of 4 out of 5 stars, with strong staffing (5 stars and 4.09 hours per resident per day versus the 4.1 federal benchmark) but weaker quality measures (2 stars) and a health inspection rating of 3 stars. It also had $29,870 in fines in the last 24 months and a recent federal penalty, with cited issues involving accident hazards, medication errors, and drug storage/labelling.
Facility ratings
Health inspections
Staffing
4.0944 hrs/resident/day
Quality measures
Last inspection: June 10, 2026Penalties, last 24 months: $29,870recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0944.
Staffing detail
- Registered nurses
- 0.77
- Licensed practical nurses
- 0.38
- Nurse aides
- 2.94
- Weekend nursing
- 3.83
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 26%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20%23.4%Worsening
Residents with a fall causing major injury
1.9%6.7%Worsening
Residents with pressure ulcers (bedsores)
7%11.5%Worsening
Residents with a urinary tract infection
5.9%2.9%Improving
Residents who lost too much weight
2.2%1.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.3%21.2%Worsening
Residents whose ability to walk got worse
15%28.9%Worsening
Long-stay residents on antianxiety or sleep medication
12.9%11.2%Improving
Short-stay residents newly given an antipsychotic
0%1.8%Worsening
Residents with a long-term catheter
3.7%1.4%Improving
Residents with new or worsening incontinence
18.6%18.2%No change
Residents with depressive symptoms
5.2%8.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—88.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—89.2%—
Short-stay residents given the pneumonia vaccine
100%95.2%Worsening
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to properly label and securely store medications and biologicals. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,350 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $13,520 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $29,870 in total fines.
- $16,350
Federal fine
Apr 7, 2026
- $13,520
Federal fine
Oct 15, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of PRESBYTERIAN HOMES & SERVICES · 21 homes · 4.3 stars avg
- Occupancy
- 115.5 residents on an average day (96% of 120 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.