Cokato Manor
Cokato, Minnesota · CCN 245412
17 surveys since 2011, 2 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 82
- Surveys
- 17
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 56
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Wright
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 123 not-for-profit facilities with fewer than 66 beds in Minnesota.
Last survey on record
Jun 10, 2026
152 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.66 | 4.22 |
| Registered-nurse hours per resident day | 0.69 | — |
| Annual nurse turnover | 44.2% | 42.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1477.8% | E211.1% | F— |
| No harm, potential for minimal | A— | B— | C211.1% |
Most frequently cited here
In CMS’s current monthly file.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5651×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F5781×
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.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
In the surveyor’s words
From the most serious findings on record at Cokato Manor, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Aug 26, 2021
Based on observation, interview and document review, the facility failed to ensure the ice scoop was stored in a manner to avoid cross contamination. This had the potential to affect all 53 residents that consumed ice from the kitchen. Findings include: On 8/23/21, at 12:25 p.m. a tour of the facilities kitchen was conducted with director of food services (DM)-B. DM-B opened the ice machine to examine the contents. Upon lifting the lid, there was a large metal ice scoop pressed into the ice in the ice machine. DM-B stated the scoop had a holder on the wall for proper storage when not being used and was not to be left in the ice machine. Further, DM-B stated all resident recieved fresh ice water made from this machine, at least daily. […]
- No harm, potential for more than minimal, widespreadF880Aug 26, 2021
Based on observation, interview and document review, the facility failed to perform proper hand hygiene and glove use for 1 of 2 residents (R17) observed for personal cares. In addition, the facility failed to ensure eye protection was used by all facility staff while in resident care areas per the Centers for Disease Control (CDC) guidance. This had the potential to affect all 53 residents in the facility. Findings include: R17's admission Minimum Data Set (MDS) dated [DATE], indicated R17 had cognitive impairment and required extensive assistance with toileting, dressing, and personal hygiene. During observation on 8/25/21, at 7:28 a.m. nursing assistant (NA)-A was in R17's room. NA-A had removed covers and donned pants and placed shoes. R17 sat up with assistance. […]
- No harm, potential for more than minimal, patternF657Apr 25, 2025
Based on record review and interviews the facility failed to ensure care conferences were conducted to include input of the resident or resident representatives for 5 of 11 (R10, R19, R20, R21, and R43) residents reviewed for care conferences. Findings include: R10's quarterly Minimum Data Set (MDS) dated [DATE] indicated R10 was severely cognitively impaired and had the following diagnoses: hypertension (HTN) (high blood pressure), arthritis, and Dementia. R10's Care Plan last revised 3/17/25 indicated, R10 had cognitive loss, impaired decision-making skills, and memory deficits. […]
- No harm, potential for more than minimal, patternF758Apr 25, 2025
Based on interview and document review, the facility failed to ensure target behaviors were consistently monitored for 5 of 5 residents (R7, R28, R30, R46, R1) reviewed for unnecessary psychotropic medication use. Findings include: R7's quarterly Minimum Data Set (MDS), dated [DATE], indicated R7 admitted to the facility on [DATE], had severe cognitive impairment, and diagnoses included dementia, delusional disorders, and depression. R7's order summary, printed 4/25/25, indicated R7 had the following psychotropic medication orders: lorazepam concentrate (antianxiety) 0.25 mL (0.5 mg) twice a day (BID) for anxiety disorder quetiapine (antipsychotic) 25 mg daily for dementia with other behavioral disturbance Sertraline (antidepressant) 100 mg daily for dementia with other behavioral… […]
- No harm, potential for more than minimal, isolatedF657Jun 10, 2026
Based on interview and document review, the facility failed to provide routine care conferences to allow for resident participation for 1 of 4 residents (R40) reviewed for care conferences.Findings include: R40's quarterly minimum data set (MDS) assessment dated [DATE], indicated R40 was admitted to the facility on [DATE], was cognitively intact and had the following diagnoses: high blood pressure, arthritis, and schizophrenia.R40's electronic medical record (EMR) revealed documentation of care conferences being held on 5/2/25, 10/7/25, 12/30/25, and 3/28/26. […]
Read 22 findings in full →The most serious and the most recent: 22 of 82 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 10, 2026Standard2 findings
- Apr 25, 2025Standard11 findings
- Feb 14, 2024Standard5 findings
- Jun 21, 2023Complaint1 finding
- Dec 29, 2022Standard2 findings
- Aug 26, 2021Standard3 findings
- Jan 7, 2021Complaint1 finding
- Jul 9, 2020Complaint1 finding
Show the 9 earlier surveys
- May 2, 2019Standard1 finding
- Feb 15, 2018Standard5 findings
- Dec 1, 2016Standard9 findings
- Jan 7, 2016Standard8 findings · 1 harm
- Dec 31, 2014Standard7 findings
- Feb 13, 2014Standard6 findings
- Nov 8, 2012—6 findings
- Feb 16, 2012—6 findings
- Mar 17, 2011—8 findings · 1 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction