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Complaint Investigation

Park River Healthcare And Rehabilitation Center Ll

April 27, 2026 · Coon Rapids, MN · 9899 Avocet Street Northwest
Citations 19
CMS Rating 2/5
Beds 99
Provider ID 245448
Healthcare Facility
Park River Healthcare And Rehabilitation Center Ll
Coon Rapids, MN  ·  View full profile →
Inspection Summary

PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN — inspection on April 27, 2026.

Found 19 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2026-04-27.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2026-04-27.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0572 during a standard health inspection conducted on 2026-04-27.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Give residents a notice of rights, rules, services and charges.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2026-04-27.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

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Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2026-04-27.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-04-27.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2026-04-27.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2026-04-27.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

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Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2026-04-27.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0688 during a standard health inspection conducted on 2026-04-27.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2026-04-27.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.

Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0727 during a standard health inspection conducted on 2026-04-27.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

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Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2026-04-27.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2026-04-27.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0812 during a complaint investigation conducted on 2026-04-27.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-04-27.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

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Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0881 during a standard health inspection conducted on 2026-04-27.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Implement a program that monitors antibiotic use.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0882 during a standard health inspection conducted on 2026-04-27.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL in COON RAPIDS, MN for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2026-04-27.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL.

Correction Status: Deficient, Provider has no plan of correction.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COON RAPIDS, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PARK RIVER HEALTHCARE AND REHABILITATION CENTER LL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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