The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL
COON RAPIDS, MN · Medicare-certified · 99 beds
In good standing
For-profit
4 of 5 overall
4 of 5 stars overall. Staffing is strong at 5 of 5 with reported nurse staffing above the federal benchmark (4.46 vs 4.1 hours/resident/day), and quality measures are 5 of 5, but the health inspection rating is lower at 2 of 5 and recent inspection citations included accident hazards/supervision, resident rights, and maintaining activities of daily living; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4628 hrs/resident/day
Quality measures
Last inspection: June 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4628.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 1.09
- Nurse aides
- 2.67
- Weekend nursing
- 4.16
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 24%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.6%Worsening
Residents with a fall causing major injury
2.3%Worsening
Residents with pressure ulcers (bedsores)
2.3%Worsening
Residents with a urinary tract infection
1.2%Steady
Residents who lost too much weight
9.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.1%Worsening
Residents whose ability to walk got worse
20.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
4.3%Worsening
Short-stay residents newly given an antipsychotic
1.2%Worsening
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
33.8%Worsening
Residents with depressive symptoms
4.5%Improving
Long-stay residents given the seasonal flu vaccine
93.2%Steady
Long-stay residents given the pneumonia vaccine
99.6%Improving
Short-stay residents given the seasonal flu vaccine
83.3%Steady
Short-stay residents given the pneumonia vaccine
97%Worsening
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2024 — widespread issue, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: F
The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited June 2025 — limited pattern, potential for harm.
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F-Tag 676 — 42 CFR §483.24 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited June 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 756 — 42 CFR §483.45(c) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 83 residents on an average day (84% of 99 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 39 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.