Mankato, MN

Hillcrest Care & Rehabilitation Center

2-star overall rating with 2-star inspections with $26,685 in total fines with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

714 Southbend Avenue, Mankato, MN

(507) 387-3491

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Monarch Healthcare Management

Operator or chain grouping

Approved since

1988-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

45 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.89

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.63

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.10

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

3.62

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.52

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.22

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.65

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.00

CMS adjusted RN staffing hours

Adjusted total hours

4.08

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,492

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

44.08

Composite VBP score used to determine payment impact.

Payment multiplier

0.9971

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.43

Baseline 20.74% · Performance 18.91% · Measure score 5.43 · Achievement 5.43 · Improvement 4.43

Healthcare-associated infections

4.07

Baseline 6.64% · Performance 6.62% · Measure score 4.07 · Achievement 4.07 · Improvement 0

Total nurse turnover

5.53

Baseline 100.00% · Performance 54.67% · Measure score 5.53 · Achievement 2.20 · Improvement 5.53

Adjusted total nurse staffing

2.60

Baseline 4.10 hours · Performance 3.82 hours · Measure score 2.60 · Achievement 2.60 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.54%	10.72% 2.2 pts better	No Different than the National Rate · Eligible stays 79 · Observed rate 3.8% · Lower 95% interval 5.7%
Discharge to community	48.3%	50.57% 2.3 pts worse	No Different than the National Rate · Eligible stays 68 · Observed rate 38.24% · Lower 95% interval 36.53%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 42 · Denominator 42
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 42
Discharge self-care score	43.75%	53.69% 9.9 pts worse	Numerator 14 · Denominator 32
Discharge mobility score	40.63%	50.94% 10.3 pts worse	Numerator 13 · Denominator 32
Pressure ulcers or injuries, new or worsened	4.76%	2.29% 2.5 pts worse	Numerator 2 · Denominator 42 · Adjusted rate 5.5%
Healthcare-associated infections requiring hospitalization	6.62%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 53 · Observed rate 5.66% · Lower 95% interval 3.67%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 88
Staff flu vaccination coverage	28.44%	42% 13.6 pts worse	Numerator 31 · Denominator 109
Discharge function score	53.13%	56.45% 3.3 pts worse	Numerator 17 · Denominator 32
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	40%	25.2% 14.8 pts better	Numerator 10 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.7 0.6 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.3 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	2.0 1.3 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.6%	97.3% 1.3 pts better	93.4% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 100.0% · Q3 98.1% · Q4 97.9% · 4Q avg 98.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.2%	96.1% 9.9 pts worse	95.5% 9.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.2%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	3.9% 0.4 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 1.9% · Q3 1.9% · Q4 8.3% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.2%	4.3% 0.9 pts worse	11.4% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.1% · Q3 4.0% · Q4 6.8% · 4Q avg 5.2%
Percentage of long-stay residents who lose too much weight	2.7%	4.1% 1.4 pts better	5.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 6.4% · Q3 2.2% · Q4 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.6%	12.4% 11.2 pts worse	19.6% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 19.1% · Q3 26.1% · Q4 29.3% · 4Q avg 23.6%
Percentage of long-stay residents who received an antipsychotic medication	34.3%	17.5% 16.8 pts worse	16.7% 17.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 30.8% · Q3 40.0% · Q4 36.4% · 4Q avg 34.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	16.1%	22.5% 6.4 pts better	16.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q3 4.8% · 4Q avg 16.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.0%	18.6% 5.6 pts better	14.9% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 11.6% · Q3 6.8% · Q4 10.3% · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0%	2.3% 1.3 pts better	1.0% About the same	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	2.6% 2.1 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.6%	24.8% 2.8 pts worse	19.8% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 31.6% · Q3 14.1% · Q4 38.2% · 4Q avg 27.6%
Percentage of long-stay residents with pressure ulcers	7.9%	5.4% 2.5 pts worse	5.1% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 7.5% · Q3 3.6% · Q4 6.2% · 4Q avg 7.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.2%	88.6% 5.6 pts better	81.7% 12.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 95.9% · Q3 92.8% · Q4 94.1% · 4Q avg 94.2%
Percentage of short-stay residents who had an outpatient emergency department visit	21.8%	14.0% 7.8 pts worse	12.0% 9.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 23.7% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	8.0%	1.9% 6.1 pts worse	1.6% 6.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 8.6% · Q3 6.9% · Q4 7.7% · 4Q avg 8.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	42.7%	82.7% 40 pts worse	79.7% 37 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 42.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.7%	23.1% 1.6 pts worse	23.9% 0.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.7% · Observed 26.3% · Expected 25.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-13 · Fire 2024-06-13

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-07-27 · Fire 2023-07-27

20 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-02-18 · Fire 2022-02-18

13 health deficiencies

Top issue: Environmental (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-13

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-07-25

F · Potential for more than minimal harm 2024-06-13

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-25

F · Potential for more than minimal harm 2024-06-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-25

F · Potential for more than minimal harm 2024-06-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-07-25

F · Potential for more than minimal harm 2024-06-13

K930 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper storage of liquid oxygen.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-06-13

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2024-07-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-14

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-09-24

J · Immediate jeopardy 2025-02-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-06

G · Actual harm 2024-10-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-28

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-08-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-09-26

F · Potential for more than minimal harm 2024-06-13

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-07-25

E · Potential for more than minimal harm 2024-06-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-25

E · Potential for more than minimal harm 2024-06-13

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-06-13

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-06-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-06-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-06-13

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-06-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-06-13

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-03-29

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-05-01

D · Potential for more than minimal harm 2024-03-29

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-02

F · Potential for more than minimal harm 2023-07-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-01

F · Potential for more than minimal harm 2023-07-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-15

F · Potential for more than minimal harm 2023-07-27