Park River Healthcare and Rehabilitation Center Ll
9899 Avocet Street Northwest · Coon Rapids, MN · 55433 · 7637572320
99 certified beds For profit - Individual
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 4.16 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (43 in the current record)
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Immediate jeopardy · J April 27, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Immediate jeopardy · J April 27, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
-
Potential for harm · D April 27, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 27, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · E April 27, 2026
Give residents a notice of rights, rules, services and charges.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · E April 27, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 27, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 27, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D April 27, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D April 27, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 27, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 27, 2026
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.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · F April 27, 2026
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.
Deficient, Provider has no plan of correction · Nursing and Physician Services
-
Potential for harm · D April 27, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · D April 27, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · F April 27, 2026
Implement a program that monitors antibiotic use.
Deficient, Provider has no plan of correction · Infection Control
-
Potential for harm · F April 27, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Deficient, Provider has no plan of correction · Infection Control
-
Potential for harm · D April 27, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has no plan of correction · Infection Control
-
Potential for harm · E April 27, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has no plan of correction · Nutrition and Dietary
-
Potential for harm · D June 12, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 17, 2025 · Resident Rights
-
Potential for harm · D June 12, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected July 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 12, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 23, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 12, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 28, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E June 12, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected July 17, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245448 · certified since March 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.