Harmony River Living Center
HARMONY RIVER LIVING CENTER in HUTCHINSON, MN — inspection on October 15, 2025.
Found 1 citation. 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
RNCC on call. RNCC further stated R1's hospitalization was due to the omission of the Bumex.During
the significant medication error until R1's hospitalization on 9/16/25.
The DON also stated the facility
that TMA's and nurses follow the facility protocol.The following facility's corrective actions dated 9/20/25 were verified as implemented prior to the survey: -The facility completed a thorough investigation that identified the Medication Administration Policy was not followed and provided coaching and corrective action to staff involved.-Notified the medical director.- Conducted medication administration audits on all residents for medications marked unavailable and followed up on their findings.
Continued weekly audits. -Provided education to all staff on the facility Medication Administration Policy and Procedure with emphasis on directions to follow if a resident medication is unavailable.
Also, conducted random audits of staff knowledge of steps to take if a medication is not available.-Created laminated instruction cards for all medication carts. A facility policy, Medication Administration Policy last modified May 2021, identified it was the policy to ensure safe, effective, and timely drug therapy, to provide for an accurate and concise documentation system. RN's LPN's and TMAs would administer medication as ordered by the attending physician/NP (nurse practitioner).
Medications will be prepared and administered as near the scheduled times as possible. If a medication is not available, the emergency kit may be used according to policy.The facility Medication Administration Error Policy last modified May 2021, defined a significant medication error as on which causes the resident discomfort or jeopardizes his or health or safety. A medication error occurs when a prescribed medication is not available to be administered. If the above errors occur, the following action is taken: the employee who discovers the error must assess resident for any adverse effect and if needed contact emergency services; notify provider (MD/NP); notify the charge nurse, clinical administrator and or on-call nurse; notify resident representative; document in medical record.
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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.