Federal inspection record · CMS data as of October 1, 2026
Park River Healthcare And Rehabilitation Center Ll
9899 Avocet Street Northwest, Coon Rapids, MN · (763) 757-2320
- Certified beds
- 98
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1987
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Park River Healthcare And Rehabilitation Center Ll carries 194.75 inspection points. That is fewer than 3% of Minnesota's 335 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–30 pts
- 3★ 30–54 pts
- 2★ 54–92 pts
- 1★ over 92 pts
Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
42 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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J
Provide and implement an infection prevention and control program.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care10E
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights7F
- E
Give residents a notice of rights, rules, services and charges.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- F
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Pharmacy Service7E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control5F
- F
Implement a program that monitors antibiotic use.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-04-27
19 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2025-06-12
18 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-03-13
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 13 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
4 h 13 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 39% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$163,141 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-27 | Fine | $163,141 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better | 99.2% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.6 pts worse | 90.8% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 2.7% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.4 pts worse | 4.5% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts worse | 6.7% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts better | 6.6% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.3 pts worse | 23.5% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.3 pts worse | 25.1% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts better | 15.0% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better | 0.6% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 1.5% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.6 pts worse | 36.3% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.8 pts better | 2.3% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 89.4% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.7 pts better | 8.9% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.6% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.1 pts worse | 64.2% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts better | 21.0% | 23.0% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Chies, Michael | 5% Or Greater Direct Ownership Interest · Individual | 33% | 2 facilities |
| Chies, Steven | 5% Or Greater Direct Ownership Interest · Individual | 33% | 39 facilities |
| Chies, Timothy | 5% Or Greater Direct Ownership Interest · Individual | 33% | 2 facilities |
| Chies, Steven | W-2 Managing Employee · Individual | 0% | 39 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 41 min
- Fines
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-
The Villas At Osseo LLC
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- Nursing / resident / day
- 3 h 41 min
- Fines
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-
Maranatha Care Center
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- G
- Nursing / resident / day
- 4 h 24 min
- Fines
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