Park River Healthcare and Rehabilitation Center LL
Coon Rapids, Minnesota · CCN 245448
24 surveys since 2011. The first finding at harm level was recorded in 2020.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 113
- Surveys
- 24
- Harm or worse
- 5
- Immediate jeopardy
- 4
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 98
- Ownership
- For profit - Individual
- Chain
- Independent
- County
- Anoka
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 2
- Health inspection
- 1
- Staffing
- 5
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 27 for-profit facilities of 66–99 beds in Minnesota.
Last survey on record
Jul 24, 2026
108 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.58 | 3.64 |
| Registered-nurse hours per resident day | 0.73 | — |
| Annual nurse turnover | 41.7% | 41.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $163,141 across 1 penalty
- Special focus
- SFF Candidate
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J24.8% | K— | L— |
| Actual harm | G12.4% | H— | I— |
| No harm, potential for more than minimal | D2764.3% | E819.0% | F37.1% |
| No harm, potential for minimal | A— | B— | C12.4% |
Most frequently cited here
In CMS’s current monthly file.
- F7563×
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F6042×
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- F6052×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
In the surveyor’s words
From the most serious findings on record at Park River Healthcare and Rehabilitation Center LL, in the surveyor’s own words.
- Immediate jeopardy, isolatedF698Apr 27, 2026
Based on observation, interview, and document review, the facility failed to ensure residents receiving dialysis services were provided appropriate care and services, including failure to establish and implement an effective communication system with the dialysis center, failure to monitor and assess vascular access sites, failure to implement Enhanced Barrier Precautions (EBP), failure to monitor fluid restrictions, assess vital signs per physician orders, and failure to ensure sterile technique and follow physician direction for central venous catheter (CVC) care, for 2 of 2 residents (R16, R12) reviewed for dialysis services. […]
- Immediate jeopardy, isolatedF880Apr 27, 2026
Based on observation, interview and document review, the facility failed to establish and maintain an infection control program, failed to have a system for preventing, identifying, reporting, investigating, and controlling infections that occurred in the facility. The facility failed to identify a potential respiratory illness outbreak with 5 residents (R38, R24, R43, R78, and R28) showing signs of illness between 4/15/26 and 4/24/26, the facility failed to assess, monitor, and document their symptoms, conduct any outbreak testing, or place on transmission-based precautions (TBP) to prevent the spread to others. In addition, the facility failed to identify the need for and implement enhanced barrier precautions (EBP) for 2 of 2 residents (R16 and R29) reviewed who required EBP. […]
- Immediate jeopardy, isolatedF678Nov 2, 2021
Based on interview and document review, the facility failed to initiate cardiopulmonary resuscitation (CPR) in accordance with physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in an immediate jeopardy (IJ) when R1 was found absent of pulse and respirations, CPR was not initiated and R1 died . The facility implemented corrective action so the deficient practice is being issued at past noncompliance. The IJ began on [DATE], at approximately 2:00 p.m. when R1 went unresponsive, then was without a pulse or respirations, and CPR was not initiated. The administrator and director of nursing (DON) were notified of the IJ on [DATE], at 2:48 p.m. […]
- Actual harm, isolatedF689Mar 21, 2025
Based on interview, and document review the facility failed to ensure 1 of 3 residents (R1) remained free of an avoidable accident and injury. This resulted in actual harm when R1 sustained a comminuted distal humeral shaft fracture (upper arm, near the elbow) when R1 was transferred with assistance of one staff and fell into her wheelchair. Findings include: A nursing home incident report (NHIR) submitted to the State Agency (SA) indicated on 3/18/25 at 10:09 a.m., R1 was transferred from her wheelchair to her bed with assistance of two staff. Resident is a mechanical lift. Shortly after, R1 cried out in pain. R1's significant change Minimum Data Set (MDS) dated [DATE], indicated R1 had diagnoses of Alzheimer's disease and osteoarthritis. […]
- No harm, potential for more than minimal, widespreadF881Apr 27, 2026
Based on interview and document review, the facility failed to implement an ongoing antibiotic stewardship program for the facility which had the potential to affect all 85 residents the facility, as well as the potential to impact staff and visitors. Findings include:On 4/23/26, at10:27 a.m. the director of nursing (DON)/infection preventionist (IP) stated monthly, a report called antibiotic stewardship is pulled off the electronic medical record (EMR) which included includes all antibiotics ordered in the past month. IP stated the data compiled from that report was then placed into the surveillance log. IP stated she was not completing any investigation at that time. IP stated the results of testing is not consistently reviewed in real time. […]
Read 23 findings in full →The most serious and the most recent: 23 of 113 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 24, 2026Complaint1 finding
- Apr 27, 2026Standard and complaint18 findings · 2 harm
- Jun 12, 2025Standard17 findings
- Mar 21, 2025Complaint1 finding · 1 harm
- Mar 13, 2024Standard5 findings
- Jun 20, 2023Complaint1 finding
- Mar 30, 2023Standard4 findings
- Nov 1, 2022Complaint1 finding
Show the 16 earlier surveys
- Feb 25, 2022Standard3 findings
- Nov 2, 2021Complaint1 finding · 1 harm
- Aug 18, 2021Complaint3 findings
- Sep 24, 2020Standard and complaint3 findings · 1 harm
- Apr 27, 2020Infection control1 finding
- Jul 18, 2019Standard2 findings
- Aug 30, 2018Standard1 finding
- May 3, 2018Complaint2 findings
- Jun 15, 2017Standard4 findings
- Apr 14, 2016Standard6 findings
- Feb 26, 2015Standard8 findings
- Jan 9, 2014—3 findings
- Feb 15, 2013—14 findings
- Dec 18, 2012Complaint5 findings
- Mar 29, 2012—8 findings
- Jan 13, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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