Pathstone Living
Mankato, Minnesota · CCN 245390
23 surveys since 2010, 4 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
- 23
- Harm or worse
- 4
- Immediate jeopardy
- 3
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 69
- Ownership
- Non profit - Corporation
- Chain
- ECUMEN
- County
- Blue Earth
- Medicare-certified since
- 1986
CMS ratings
- Overall
- 2
- Health inspection
- 1
- Staffing
- 5
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 52 not-for-profit facilities of 66–99 beds in Minnesota.
Last survey on record
Mar 6, 2026
248 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 | 4.92 | 4.39 |
| Registered-nurse hours per resident day | 1.23 | — |
| Annual nurse turnover | 44.9% | 37.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $120,546 across 3 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J25.1% | K12.6% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2051.3% | E512.8% | F923.1% |
| No harm, potential for minimal | A— | B— | C25.1% |
Most frequently cited here
In CMS’s current monthly file.
- F6845×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8803×
Provide and implement an infection prevention and control program.
- F9213×
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6412×
Ensure each resident receives an accurate assessment.
In the surveyor’s words
From the most serious findings on record at Pathstone Living, in the surveyor’s own words.
- Immediate jeopardy, patternF689Oct 20, 2023
Based on observation, interview, and document review the facility failed to ensure safe mechanical lift transfers were completed along with following manufacturer guidelines on how to apply slings,harness, and checking strap before using them for 4 of 4 residents (R1, R2, R3, R4), who utilized a mechanical lift. This resulted in immediate jeopardy (IJ) for R1, R2, R3, R4 when staff were not implementing recent retraining resulting in residents sliding through the lift sling, pain and anxiety when transferred with the lift causing the likelihood for serious harm, impairment or death if they fell from the lift. The immediate jeopardy began on 10/6/23 when nursing assistant (NA)-F transferred R1, not in accordance with the care plan, which resulted in a fall from lift. […]
- Immediate jeopardy, isolatedF684Sep 12, 2024
Based on interview and record review, the facility failed to recognize a sudden change of condition which resulted in a delay of treatment for 1 of 3 resident (R1) reviewed with change condition. As a result R1 experienced chest pain was hospitalized and died . The immediate jeopardy (IJ) began on [DATE] when licensed nursing staff failed to comprehensively assess and monitor R1 after he voiced he was having chest pain. The Administrator and Director of Nursing (DON) were notified of the IJ on [DATE] at 4:30 p.m. The IJ was removed on [DATE] but non-compliance remained at the lower scope and severity level 2 (D), which indicated no actual harm with potential for more than minimal harm that is not IJ. Findings include: R1's face sheet dated [DATE], identified R1 admitted ,d+[DATE]. […]
- Immediate jeopardy, isolatedF684Mar 8, 2024
Based on interview and document review, the facility failed to comprehensively assess, implement interventions, and provide timely notification for change in condition to a provider for 1 of 1 resident (R1) who was found unresponsive which delayed care resulting in death from acute respiratory distress. The facility's failures resulted in an immediate jeopardy for R1. The immediate jeopardy (IJ) began on 3/3/24, when licensed nursing staff failed to comprehensively assess and monitor R1 after being notified by several nursing assistants of R1's change in condition which included decreased appetite, facial pallor, blue lips, increased fatigue, lethargy, and decreased responsiveness. The Administrator and Director of Nursing were notified of the IJ on 3/7/24 at 5:25 p.m. […]
- No harm, potential for more than minimal, widespreadF725Dec 15, 2025
Based on observation, interview, and document review, the facility failed to provide sufficient staffing to ensure 7 of 7 residents (R4, R7, R10, R11, R14, R18, and R46) reviewed for adequate staffing received timely assistance with incontinence care, hydration, and prompt call light responses. The deficient practice had the potential to affect all 61 residents who resided in the facility. Finding include: See F676- Based on observation, interview and document review, the facility failed to ensure residents received assistance with meals for 1 of 2 resident (R5) reviewed for nutrition who required staff assistance and/or supervision with meals See F677- Based on observation, interview and document review, the facility failed to provide incontinence care for 1 of 1 resident (R12) reviewed… […]
- No harm, potential for more than minimal, widespreadF726Dec 15, 2025
Based on observation, interview and document review, the facility failed to ensure nursing staff had specific competencies and skill sets necessary to care for resident needs as identified through resident assessments and plan; failed to ensure accuracy of wound assessments for 2 of 3 residents (R12 and R13) reviewed for pressure wounds. In addition, failed to provide services to maintain and/or prevent loss of range of motion (ROM) for 1 of 3 residents (R4) reviewed for limited range of motion and ensure a hand splint was properly applied to ensure palmar protection. In addition, the facility failed to develop a comprehensive care plan for 1 of 1 resident (R46) reviewed for colostomy care. Additionally, the facility failed to ensure staff competent in cleaning mechanical lift equipment. […]
Read 24 findings in full →The most serious and the most recent: 24 of 82 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 6, 2026Complaint1 finding
- Dec 15, 2025Standard and complaint19 findings
- Feb 11, 2025Standard4 findings
- Sep 12, 2024Complaint1 finding · 1 harm
- Apr 11, 2024Standard10 findings
- Mar 15, 2024Complaint1 finding
- Mar 8, 2024Complaint1 finding · 1 harm
- Oct 20, 2023Complaint2 findings · 1 harm
Show the 15 earlier surveys
- Feb 2, 2023Standard3 findings
- Dec 20, 2022Complaint1 finding
- Apr 5, 2022Complaint1 finding
- Dec 21, 2021Complaint1 finding
- Mar 25, 2021Standard5 findings
- Jan 9, 2020Complaint1 finding
- Apr 11, 2019Standard4 findings
- Mar 1, 2018Standard2 findings
- Apr 13, 2017Standard5 findings
- Mar 3, 2016Standard2 findings
- Apr 2, 2015Standard3 findings
- Jan 16, 2014—1 finding
- Mar 13, 2013—1 finding
- Dec 15, 2011—8 findings · 1 harm
- Nov 18, 2010—5 findings
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.
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