Harmony River Living Center
1555 Sherwood Street Southeast, Hutchinson, MN 55350 · Mc Leod County · (320) 484-6000
120 certified beds, about 116 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245114 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 7, 2026, inspectors cited 1 health deficiency (the Minnesota average is 7.1, the national average 9.2).
Of 12 health citations since January 2024, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $29,870 in the last three years; the largest was $16,350, and the latest is dated April 7, 2026.
Nurses and nurse aides worked 4.09 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.
29.5% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Presbyterian Homes & Services, an affiliated group of 21 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
201/24
302/25
110/25
212/25
104/26
306/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
9D
0E
1F
Potential for minimal harm
0A
0B
0C
June 10, 2026Complaint inspection · 3 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review the facility failed to report an allegation of sexual abuse to the state agency (SA) for 2 of 3 residents (R4, R5) reviewed for reporting of alleged violations when R1 displayed sexual behaviors towards R4 and R5.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview and document review the facility failed to develop and implement resident specific approaches to behavior for 1 of 3 residents (R1) diagnosed with dementia who displayed negative behaviors affecting himself and other residents in the facility.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and document review the facility failed to ensure pharmacy recommendations were addressed to include a clinical rationale for declined recommendations and failed to identify and address medications as a contributing factor for falls for 1 of 3 residents (R1) reviewed who sustained multiple falls following the implementation of hospice prescribed medications.
April 7, 2026Standard inspection, Complaint inspection · 1 citation · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and document review, the facility failed to provide care consistent with a resident's needs and care plan to eliminate/reduce the risk of an accident during cares in bed for 1 of 3 residents (R111). This resulted in actual harm to R111 when staff repositioned R111 on her side with one staff member instead of two staff members per care plan, causing R111 to roll out of the bed to the floor. As a result, R111 was admitted to the hospital on [DATE] for a fracture of the right femur and a closed fracture of the left hip. R111 had surgery on 12/6/25 on the right femur and surgery on 12/11/25 on the left hip femur. The facility had implemented actions to prevent recurrence prior to the survey on 4/6/26, therefore, the citation was issued at past non-compliance. R111's quarterly Minimal Set Data (MDS) dated [DATE], identified R111 as cognitively intact. [...]
December 10, 2025Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review, the facility failed to report allegations of abuse to the state agency, immediately, but not later than 2 hours after the allegation is made, for one of three residents (R1) reviewed. R1 reported he was abused in his room multiple times during the night.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and document review, the facility failed to conduct a formal investigation into the allegations of physical and sexual abuse for one of three residents reviewed (R1) for abuse.
October 15, 2025Complaint inspection · 1 citation
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and document review, the facility failed to ensure medications were administered according to physician orders for 1 of 3 residents (R1) reviewed for significant medication errors. This failure resulted in actual harm when R1 did not receive twelve doses of a medication for treatment of congestive heart failure and subsequently required a two-day hospitalization. The facility implemented appropriate corrective action prior to the onsite investigation; therefore, the deficiency is being cited at past non-compliance.
February 20, 2025Standard inspection · 3 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and document review, the facility failed to create a comprehensive care plan for a resident with a history of respiratory conditions for 1 of 1 residents (R102) reviewed for care plans.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and document review facility failed to provide activities of daily living (ADL) assistance for 1 of 1 resident (R38) who required assistance with eating.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review, the facility failed to follow provider orders for a resident on mild thickened liquids for 1 of 2 residents (R102) reviewed for diet changes.
January 9, 2024Standard inspection · 2 citations
- F Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure medication carts were properly secured for 4 of 8 medication carts observed. Findings Include: On 1/8/24, at 8:50 a.m. during medication observation trained medication aide (TMA)-A stepped away from medication cart, entered nursing office out of view of medication (med) cart with lock button observed to be in extended position. TMA-A returned to cart, continued with medication administration When interviewed on 1/8/24, at 9:03 a.m. TMA-A stated when lock button in extended position the medication cart was unlocked. TMA-A demonstrated entering code into touchpad on top surface of cart locked med cart by pulling lock button into cart. TMA-A then re-entered code demonstarting lock button extended out from cart then opening drawer demonstrating med cart was unlocked. On 1/8/24, at 9:04 a.m. [...]
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to ensure 3 of the 5 residents (R16, R63, R89) reviewed for immunizations were offered and/or provided the pneumococcal vaccination series as recommended by the Centers for Disease Control (CDC) to help reduce the risk of associated infection(s).
Fire safety inspections
11 fire safety citations on file: 4 on April 7, 2026, 3 on February 20, 2025, 4 on January 9, 2024.
Every fire safety citation11 citations
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure proper usage of power strips and extension cords.
- F Provide properly protected cooking facilities.
- F Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 7, 2026 | Fine | $16,350 |
| October 15, 2025 | Fine | $13,520 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.09 | 4.19 | 3.86 |
| Registered nurses | 0.77 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.83 | 3.71 | 3.42 |
| Nurse aides | 2.94 | ||
| Licensed practical nurses | 0.38 | ||
| Nursing staff turnover (share who left in a year) | 29.5% | 42.2% | 45.8% |
| Registered nurse turnover | 25.9% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.08 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.20 on weekdays and 3.83 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.15 in April to June 2025 to 4.09 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.09 | 0.77 | 4.20 | 3.83 | 0.0% | 0 of 90 | 116 |
| Oct to Dec 2025 | 4.12 | 0.74 | 4.24 | 3.83 | 0.0% | 0 of 92 | 114 |
| Jul to Sep 2025 | 4.11 | 0.79 | 4.24 | 3.78 | 0.0% | 0 of 92 | 116 |
| Apr to Jun 2025 | 4.15 | 0.80 | 4.31 | 3.75 | 0.0% | 0 of 91 | 115 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.6 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.2 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.2 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.9 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.4 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.0 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.7 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.6 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.2 | 1.9 | 1.8 |
Owners and operators
Legal business name: HUTCHINSON SENIOR CARE SERVICES. CMS links this home to Presbyterian Homes & Services, a group of 21 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Presbyterian Home Care Centers Inc | 5% or greater direct ownership interest | Organization | 100% | 08/01/2018 |
| Compeer Financial | 5% or greater mortgage interest | Organization | 11/30/2010 | |
| Usda Department of Agriculture Rural Development | 5% or greater mortgage interest | Organization | 11/30/2010 | |
| Compeer Financial | 5% or greater security interest | Organization | 11/30/2010 | |
| Usda Department of Agriculture Rural Development | 5% or greater security interest | Organization | 11/30/2010 | |
| Hantge, Wendy | Corporate director | Individual | 08/01/2018 | |
| Larson, Duane | Corporate director | Individual | 08/01/2018 | |
| Meyer, Mark | Corporate director | Individual | 08/01/2018 | |
| Mulder, Steven | Corporate director | Individual | 02/10/2012 | |
| Pederson, Mark | Corporate director | Individual | 01/01/2023 | |
| Remple, Timothy | Corporate director | Individual | 08/01/2018 | |
| Fletcher, Jonathan | Corporate officer | Individual | 02/01/2025 | |
| Meyer, Mark | Corporate officer | Individual | 08/01/2018 | |
| Phs Management, LLC | Operational/managerial control | Organization | 08/01/2018 | |
| Fletcher, Jonathan | Operational/managerial control | Individual | 02/01/2025 | |
| Krueger, Luke | Operational/managerial control | Individual | 08/04/2019 | |
| Meyer, Mark | Operational/managerial control | Individual | 08/01/2018 | |
| Peterson, Heidi | Operational/managerial control | Individual | 01/01/2023 | |
| Remple, Timothy | Operational/managerial control | Individual | 08/01/2018 | |
| Phs Management, LLC | Adp of the SNF | Organization | 10/07/2025 | |
| Fletcher, Jonathan | Adp of the SNF | Individual | 02/01/2025 | |
| Krueger, Luke | Adp of the SNF | Individual | 10/08/2025 | |
| Meyer, Mark | Adp of the SNF | Individual | 08/01/2018 | |
| Peterson, Heidi | Adp of the SNF | Individual | 01/01/2023 | |
| Remple, Timothy | Adp of the SNF | Individual | 11/19/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 10, 2026: "Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on June 10, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 10, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 20, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
Other nursing homes nearby
- Glenfields Living With Care Glencoe, 11.9 mi · 4 of 5 stars · 8 citations
- Buffalo Lake Health Care Center Buffalo Lake, 15.4 mi · 4 of 5 stars · 13 citations
- Lakeside Generations Health Care Center Dassel, 15.4 mi · 4 of 5 stars · 8 citations
- The Gardens at Winsted LLC Winsted, 17.1 mi · 2 of 5 stars · 39 citations
- Cokato Manor Cokato, 17.1 mi · 5 of 5 stars · 18 citations
- Meeker Manor Rehablitation Center, LLC Litchfield, 19.3 mi · 3 of 5 stars · 29 citations
- Good Samaritan Society - Howard Lake Howard Lake, 19.6 mi · 4 of 5 stars · 11 citations
- Bayside Manor LLC Gaylord, 22.3 mi · 2 of 5 stars · 34 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Harmony River Living Center's Medicare star rating?
- CMS rates Harmony River Living Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Harmony River Living Center get at its last inspection?
- 1 health deficiency at the standard inspection on April 7, 2026. The Minnesota average is 7.1.
- Has Harmony River Living Center been fined?
- Yes. CMS lists 2 fines totaling $29,870 in the last three years.
- Does Harmony River Living Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Harmony River Living Center?
- CMS lists 25 owners and managers, and links the home to Presbyterian Homes & Services. Legal business name: HUTCHINSON SENIOR CARE SERVICES.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.