Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Harmony River Living Center during CMS and state inspections, most recent first.
Failure to follow a resident’s bed mobility care plan led to a fall from bed during cares. A cognitively intact resident who required two staff for turning and sling-related care was being changed after a mechanical lift transfer when one NA left the room and the remaining NA rolled the resident alone. The resident rolled off the bed, later developed pain, and imaging showed fractures of both femurs, requiring surgery.
A resident with a history of behavioral disturbances and cognitive impairment made multiple allegations of physical and sexual abuse. Although facility policy required reporting such allegations to the state agency within two hours, staff and administrators did not consistently follow this protocol, often choosing not to report due to the resident's history of frequent allegations. This resulted in a failure to meet mandated abuse reporting requirements.
A resident with mild cognitive impairment and a history of behavioral disturbances made multiple allegations of physical and sexual abuse. Despite these reports and the facility's policy requiring formal investigation of all abuse allegations, staff did not initiate a formal investigation, citing the resident's history of similar claims and existing preventive measures such as the buddy care system.
A resident with CHF and renal insufficiency missed twelve doses of Bumex due to the medication being unavailable, while still receiving potassium chloride. Multiple staff were aware of the issue but did not consistently follow protocol for medication unavailability or notify the physician in a timely manner. The resident developed symptoms including shortness of breath and confusion, ultimately requiring hospitalization for CHF and hyperkalemia.
A facility failed to update a comprehensive care plan for a resident with pneumonia and respiratory failure. The resident's MDS indicated these conditions, but the care plan lacked specific interventions. A nurse acknowledged the oversight, and the DON stated that care plans should reflect resident needs. Facility policy required updates with each MDS assessment, which was not followed.
A resident with moderate cognitive impairment and extensive tremors required assistance with eating but was consistently served last, leading to delays in receiving help. Staff confirmed that residents needing assistance were served after independent residents, contrary to the facility's policy for dignified and prompt meal service.
A resident on a diet requiring mild thickened liquids due to aspiration risk was given non-thickened water, contrary to prescribed dietary orders. Despite care plans and facility sheets indicating the need for thickened liquids, staff failed to provide the correct consistency, leading to a deficiency. Interviews confirmed the resident's dietary needs and the facility's policy on thickened liquids for swallowing difficulties.
Failure to Follow Bed Mobility Care Plan During Bed Cares
Penalty
Summary
The facility failed to provide care consistent with a resident’s care plan to reduce the risk of an accident during bed cares for one resident who was cognitively intact, dependent on staff for toileting and bed mobility, and had diagnoses including fractures and diabetes. The resident’s care plan and care sheets identified the need for two staff for sling management and for moving up in bed, and physical therapy documentation also identified the need for moderate to maximal assistance from two caregivers for rolling in bed. The resident had previously been assessed as appropriate for grab bars on the bed, and staff later reported that the grab bars had been removed before the fall. On the evening of the incident, the resident was assisted into bed with a full mechanical lift by two nursing assistants. One assistant left the room to help another resident, and the remaining assistant rolled the resident to change her brief. The resident rolled to the right side and fell from the bed to the floor. The resident was found on her back with her arms at her side and legs bent toward herself. At the time of the fall, no medical attention was required and the resident denied being hurt, but later progress notes documented pain in the legs when being moved and pain all over, especially the right arm, right leg, and left hip. After the fall, the resident was sent for evaluation and imaging showed a displaced comminuted intertrochanteric/periprosthetic fracture of the proximal left femur and a displaced fracture of the right distal femoral diaphysis and metaphysis. The resident underwent surgery on the right femur and later surgery on the left hip/femur. Interviews with the resident, nursing assistants, the RN care coordinator, the DON, the administrator, and therapy staff consistently identified that the resident was a two-assist for bed mobility at the time of the fall and that the care sheet was not followed when one staff member left the room and the resident was rolled by the remaining staff member.
Failure to Timely Report Allegations of Abuse to State Agency
Penalty
Summary
The facility failed to report allegations of abuse to the state agency within the required two-hour timeframe after the allegations were made. One resident, who had a history of behavioral disturbances, paranoia, delusions, and making previous allegations against staff, reported multiple incidents of being struck on the head and being touched inappropriately during the night. Documentation in the resident's care plan indicated that staff were to implement a buddy care system for all care tasks and report any further concerns to the campus administrator, following the facility's vulnerable adult policy. Despite these documented allegations, interviews with staff revealed inconsistent practices regarding the reporting of abuse. Some staff members stated they would notify the nurse or administrator immediately upon hearing an allegation, while others indicated that the resident's history of making frequent allegations influenced whether or not the incidents were reported to the state agency. The household coordinator specifically stated that not all of the resident's allegations were reported to the state agency due to their frequency. The administrator and clinical leadership described a process of vetting allegations based on the resident's care plan and history, sometimes choosing not to report if the care plan was followed or if the resident had a known history of making such claims. Facility policy required that allegations of abuse be reported within two hours, but the actual practice did not consistently meet this standard, resulting in a failure to comply with federal and state reporting requirements.
Failure to Investigate Abuse Allegations for High-Risk Resident
Penalty
Summary
The facility failed to conduct a formal investigation into multiple allegations of physical and sexual abuse made by a resident with mild cognitive impairment, chronic pain, and a history of behavioral disturbances, paranoia, and delusions. The resident, who required substantial assistance and used a wheelchair, reported on several occasions that he had been struck on the head and touched inappropriately. Documentation shows that staff were aware of the resident's history of making abuse allegations and had implemented a buddy care system as a preventive measure. Despite these safeguards and the resident's repeated reports, staff responses were limited to documentation and internal notifications, without initiating a formal investigation as outlined in facility policy. Interviews with nursing and administrative staff revealed that the decision not to formally investigate was based on the resident's history of making similar allegations, the presence of the buddy care system, and the belief that no other residents could have entered the room. The facility's Vulnerable Adult Abuse Prevention Plan required a review and formal investigation of each allegation, including completion of an Investigation Form and staff interviews. However, these steps were not taken in response to the resident's reports, and the interdisciplinary team determined that a formal investigation was unnecessary, contrary to facility policy.
Failure to Administer Ordered Medication Resulting in Hospitalization
Penalty
Summary
A deficiency occurred when a resident with a history of congestive heart failure (CHF), atrial fibrillation, and renal insufficiency did not receive twelve doses of Bumex, a diuretic prescribed to manage fluid retention associated with CHF. The medication was ordered to be administered twice daily, but starting with a noon dose, the medication was not available and was not given for several consecutive days. Despite the absence of Bumex, the resident continued to receive potassium chloride as ordered, which is significant because Bumex can cause potassium loss, and the potassium supplement was intended to counteract this effect. Documentation and interviews revealed that multiple staff members, including trained medication assistants (TMAs) and nurses, were aware that the medication was unavailable. Some staff attempted to reorder the medication and notified others, but there was a lack of consistent follow-up and communication. The facility's protocol required staff to check backup storage, contact the pharmacy, notify the clinical coordinator, and inform the physician if a medication was unavailable. However, these steps were not consistently followed, and the physician was not notified of the medication's unavailability until several days after the first missed dose. During the period when the resident was not receiving Bumex, she exhibited symptoms such as shortness of breath, confusion, restlessness, and weight gain. The situation escalated to the point where the resident was hospitalized for acute and chronic CHF and hyperkalemia, with a critical potassium level documented. The failure to administer Bumex as ordered and to follow established protocols for medication unavailability directly contributed to the resident's decline and subsequent hospitalization.
Failure to Update Care Plan for Resident with Respiratory Conditions
Penalty
Summary
The facility failed to create a comprehensive care plan for a resident with a history of respiratory conditions. The resident, identified as R102, had diagnoses of pneumonia and respiratory failure, as indicated in their Medicare 5-day Minimum Data Set (MDS). However, the resident's care plan was undated and lacked specific interventions related to these respiratory conditions. During an interview, a registered nurse acknowledged that the care plan should have been updated with a respiratory care plan, goals, and interventions when the MDS was updated. The director of nursing stated that the care plan should be filled out based on resident needs. The facility's policy indicated that care plans should be reviewed with each MDS assessment and updated as the resident's condition changes, but this was not adhered to in R102's case.
Failure to Provide Timely Eating Assistance
Penalty
Summary
The facility failed to provide timely assistance with activities of daily living (ADL) for a resident who required help with eating. The resident, identified as R38, had moderate cognitive impairment and required assistance with all ADLs due to extensive tremors. Observations on two separate occasions revealed that R38 was seated at a dining room table with two other residents who were served their meals first and began eating while R38 waited. On both occasions, R38's meal was served later, and assistance with eating was only provided after the other residents had started their meals. Interviews with staff, including a nursing assistant and the director of nursing (DON), confirmed that residents who required assistance with eating were served last. The DON acknowledged the importance of serving all residents at the same time for a more dignified and pleasurable dining experience. The facility's Dining Room Protocol policy indicated that staff should provide dignified and prompt meal service, but the practice of serving residents needing assistance last was contrary to this policy.
Failure to Follow Prescribed Dietary Orders for Resident
Penalty
Summary
The facility failed to adhere to prescribed dietary orders for a resident identified as R102, who was on a diet requiring mild thickened liquids due to increased risk of aspiration with thin liquids. Despite the care plan and facility care sheets indicating the need for mild thickened liquids, R102 was observed with a plastic glass containing non-thickened water, which the resident drank. This observation was confirmed by nurse assistant NA-D, who acknowledged that the water in both the plastic cup and a large gray mug was unthickened and should have been thickened before being given to the resident. Interviews with staff, including the speech language pathologist and the director of nursing, confirmed that R102 was placed on mild thickened liquids to mitigate the risk of aspiration. The facility's diet policy, last revised in March, stated that thickened liquids are recommended for residents with swallowing difficulties to reduce the risk of choking or coughing. However, the failure to follow these prescribed dietary orders resulted in a deficiency, as the staff did not ensure that R102 received the appropriate consistency of liquids as required by the care plan.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
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Nursing homes near Hutchinson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Glenfields Living With Care | 11.9 mi | ★★★★★ | 0 | 0 |
| Buffalo Lake Health Care Center | 15.4 mi | ★★★★★ | 10 | 0 |
| Lakeside Generations Health Care Center | 15.4 mi | ★★★★★ | 5 | 0 |
| The Gardens At Winsted Llc | 17.1 mi | ★★★★★ | 6 | 0 |
| Cokato Manor | 17.1 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.