Shakopee Friendship Manor

In the surveyor’s words

From the most serious findings on record at Shakopee Friendship Manor, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 8, 2026

  Based on observation, interview, and document review, the facility failed to ensure a mechanical lift was used in accordance with manufacturer's guidelines and Federal law to complete a safe transfer for 1 of 3 residents (R1) reviewed who used mechanical lifts. Two nursing assistant (NA) staff members, one of which was not [AGE] years of age, attempted to transfer R1 using the lift, but did not properly secure the sling to the device prior to lifting R1 up. This resulted in R1 falling onto the floor and sustaining multiple injuries including a fractured shoulder and head laceration. These findings constituted an immediate jeopardy (IJ) situation for R1. […]

• No harm, potential for more than minimal, widespreadF812Aug 18, 2026

  Based on observation, interview and document review, the facility failed to track and monitor dishwasher temperatures and take timely action to correct the temperature, for 1 of 1 dishwasher reviewed for kitchen. This deficient practice had the potential to affect all 51 residents residing in the facility.Findings include:On 8/17/26 at 9:12 a.m., dietary aide (DA)-A was observed using the dishwasher. DA-A was unaware if the dishwasher used chemicals or heat to sanitize the dishes. During the wash cycle on the dishwasher, observed the water temperature reached only 146 degrees Fahrenheit (F) and not the required temperature of at least 150 degrees F.On 8/17/26 at 9:13 a.m., dietary manager (DM)-A stated the dishwasher used heat sanitization. […]

• No harm, potential for more than minimal, patternF574Aug 18, 2026

  Based on observation, interview and document review, the facility failed to ensure residents had accessible access to contact information for the ombudsman for 8 of 8 residents (R4, R14, R22, R26, R45, R46, R52, R54) reviewed for resident council.Findings include:During a resident council meeting on 8/18/26 at 10:00 a.m., the following residents were in attendance:R4's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated moderately impaired cognition, clear speech, could usually understand and be understood. R4 was dependent upon staff for mobility in a wheelchair.R14's quarterly MDS assessment dated [DATE], indicated severe cognitive impairment, clear speech, could understand and be understood. […]

• No harm, potential for more than minimal, patternF576Aug 18, 2026

  Based on interview and document review, the facility failed to ensure resident mail was delivered on Saturdays for 7 of 8 residents (R4, R14, R22, R26, R45, R46, R52) reviewed during resident council.Findings include:On 8/18/26 at 10:00 a.m., during resident council meeting, the following residents were in attendance:R4's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated moderately impaired cognition, clear speech, could usually understand and be understood. R4 was dependent upon staff for mobility in a wheelchair.R14's quarterly MDS assessment dated [DATE], indicated severe cognitive impairment, clear speech, could understand and be understood. […]

• No harm, potential for more than minimal, patternF577Aug 18, 2026

  Based on observation, interview and document review, the facility failed to ensure residents had accessible access to previous State survey results for 8 of 8 residents (R4, R14, R22, R26, R45, R46, R52, R54) reviewed for resident council.Findings include:On 8/18/26 at 10:00 a.m., during resident council meeting, the following residents were in attendance:R4's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated moderately impaired cognition, clear speech, could usually understand and be understood. R4 was dependent upon staff for mobility in a wheelchair.R14's quarterly MDS assessment dated [DATE], indicated severe cognitive impairment, clear speech, could understand and be understood. […]