Harmony River Living Center
1555 Sherwood Street Southeast, Hutchinson, MN 55350 · Mc Leod County · 120 certified beds · avg 116 residents/day · certified since Mar 15, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PRESBYTERIAN HOMES & SERVICES (21 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 7, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 9, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Oct 15, 2025 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 20, 2025 (Past Non-Compliance)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 10, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 10, 2026 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint |
| Jun 10, 2026 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Apr 7, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 10, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 10, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Oct 15, 2025 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 9, 2024 | F · Potential for harm, facility-wide | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | F |
| 2025 | 6 | 1 | G ▲ |
| 2026 | 4 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $13,520.
| Date | Type | Amount / length |
|---|---|---|
| Oct 15, 2025 | Fine | $13,520 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.09 | 4.83 | 3.95 | top 37% in Minnesota; top 12% in the U.S. |
| Registered Nurse hours | 0.96 | 1.22 | 0.69 | bottom 29% in Minnesota; top 18% in the U.S. |
| Weekend total nurse staffing | 4.77 | 4.27 | 3.50 | top 23% in Minnesota; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.69 | 0.48 | bottom 35% in Minnesota; top 33% in the U.S. |
| Total nursing staff turnover (%) | 29.5 | 42.2 | 45.8 | top 22% in Minnesota; top 13% in the U.S. |
| RN turnover (%) | 25.9 | 38.6 | 42.9 | top 33% in Minnesota; top 23% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.09, RN 0.77, weekend 3.83. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Presbyterian Home Care Centers INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2018 |
| Compeer Financial | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/30/2010 |
| Compeer Financial | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 11/30/2010 |
| Fletcher, Jonathan | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Hantge, Wendy | Individual | Corporate Director | NOT APPLICABLE | 08/01/2018 |
| Krueger, Luke | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/04/2019 |
| Krueger, Luke | Individual | ADP of the SNF | NOT APPLICABLE | 10/08/2025 |
| Larson, Duane | Individual | Corporate Director | NOT APPLICABLE | 08/01/2018 |
| Meyer, Mark | Individual | Corporate Director | NOT APPLICABLE | 08/01/2018 |
| Meyer, Mark | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2018 |
| Meyer, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2018 |
| Meyer, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Mulder, Steven | Individual | Corporate Director | NOT APPLICABLE | 02/10/2012 |
| Pederson, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Peterson, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Peterson, Heidi | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| PHS Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2018 |
| PHS Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/07/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Glenfields Living with Care | 11.9 mi | Glencoe, MN | ★★★★☆ | 4/5 | |
| Buffalo Lake Health Care Center | 15.4 mi | Buffalo Lake, MN | ★★★★☆ | 3/5 | |
| Lakeside Generations Health Care Center | 15.4 mi | Dassel, MN | ★★★★☆ | 4/5 | |
| The Gardens at Winsted LLC | 17.1 mi | Winsted, MN | ★★☆☆☆ | 2/5 | |
| Cokato Manor | 17.1 mi | Cokato, MN | ★★★★★ | 4/5 | |
| Meeker Manor Rehablitation Center, LLC | 19.3 mi | Litchfield, MN | ★★★☆☆ | 3/5 | |
| Good Samaritan Society - Howard Lake | 19.6 mi | Howard Lake, MN | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
All facilities in Hutchinson →
Facility data as of CMS processing date 2026-08-01. CCN 245114.