Park River Healthcare And Rehabilitation Center Ll
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.
Inspection Findings
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.
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.
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.
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.
serve food in accordance with professional standards.
purchased and stored were rotated and utilized before the expiration dates.
This had the potential to
services.
Findings include - During full kitchen tour on 4/21/26 at 2:10 p.m., the dry storage room (the area of the kitchen where food items are stored which do not require refrigeration) of the kitchen was reviewed. On the top shelf of one of the storage racks the following items were noted: - a clear 5-gallon clear plastic food storage container which contained approximately 2 pounds of white rice.
The container was covered with a loosely fitting piece of aluminum foil, with the date of 4/9 marked in green marker.- 2 1-gallon containers of salad dressing (similar to Miracle Whip) with the expiration date of March 2026- 3 1-gallon containers of prepared yellow mustard with the expiration date of November 2025 In an interview on 4/21/26 at 2:10 p.m., the kitchen manger (KM) and the clinical certified dietary manager (CDM) verified these findings.
The CMS stated the rice container should have had a matching lid which would have sealed the container.
The CDM further stated the gallons of salad dressing and prepared mustard should have been rotated and used before the expiration dates.
CDM further stated the department had begun a marking system for a received date, which none of the none of the 5 condiment containers were marked with. KM confirmed. In a further interview on 4/21/26 at 2:27 p.m., a cook (Cook)-A stated when food items are needed from the dry storage, they do not always look at the expiration date, but they do check to see the containers are sealed and are not dented / leaking. In review of the facility policy, entitled: Date Marking for Food Safety (undated) documented the following: Policy:The facility adheres to a date marking system to ensure the safety of ready-to-eat, time/temperature control for food safety.
Policy Explanation and compliance Guidelines for Staffing: 1.
Refrigerated, ready-to-eat, time/temperature control for safety food (i.e.: perishable food) shall be held at a temperature of [41 degrees Fahrenheit] or less.2.
Dry storage shall be marked to indicate the date in which food would expire and thus discarded prior to serving.3.
The individual opening or preparing food shall be responsible for date marking the food at the time the food is opened or prepared.
Prepared food shall be discarded 72 hours post opening.4.
The Head Cook, or designee, shall be responsible for checking the refrigerator daily for food items that are expiring, and shall discard accordingly.
References:Food and Drug Administration, U.S.
Department of Health and Human Services.
Food Code (2022)F.
Section 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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.
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.