Mankato, MN

Pathstone Living

1-star overall rating with 1-star inspections with $120,546 in total fines with 19 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

718 Mound Avenue, Mankato, MN

(507) 345-4576

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

69

Certified beds

Average residents

61

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1986-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

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

1.08

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.78

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.97

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

4.83

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.86

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

4.15

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.49

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.25

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.12

CMS adjusted RN staffing hours

Adjusted total hours

5.02

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

39%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,410

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

Performance score

49.91

Composite VBP score used to determine payment impact.

Payment multiplier

1.0039

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.53

Baseline 18.45% · Performance 17.94% · Measure score 7.53 · Achievement 7.53 · Improvement 3.09

Healthcare-associated infections

5.97

Baseline 5.35% · Performance 6.05% · Measure score 5.97 · Achievement 5.97 · Improvement 0

Total nurse turnover

0.70

Baseline 51.85% · Performance 60.83% · Measure score 0.70 · Achievement 0.70 · Improvement 0

Adjusted total nurse staffing

5.77

Baseline 4.35 hours · Performance 4.72 hours · Measure score 5.77 · Achievement 5.77 · Improvement 2.07

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.08%
10.72%
0.6 pts better
No Different than the National Rate · Eligible stays 314 · Observed rate 8.28% · Lower 95% interval 7.14%
Discharge to community 73.75%
50.57%
23.2 pts better
Better than the National Rate · Eligible stays 295 · Observed rate 74.24% · Lower 95% interval 68.45%
Medicare spending per beneficiary 0.91
1.02
0.1 pts better
Drug regimen review with follow-up 96.95%
95.27%
1.7 pts better
Numerator 191 · Denominator 197
Falls with major injury 1.02%
0.77%
0.2 pts worse
Numerator 2 · Denominator 197
Discharge self-care score 46.5%
53.69%
7.2 pts worse
Numerator 73 · Denominator 157
Discharge mobility score 75.8%
50.94%
24.9 pts better
Numerator 119 · Denominator 157
Pressure ulcers or injuries, new or worsened 1.54%
2.29%
0.8 pts better
Numerator 3 · Denominator 195 · Adjusted rate 2.24%
Healthcare-associated infections requiring hospitalization 6.05%
7.12%
1.1 pts better
No Different than the National Rate · Eligible stays 178 · Observed rate 4.49% · Lower 95% interval 3.79%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 329
Staff flu vaccination coverage 15.23%
42%
26.8 pts worse
Numerator 62 · Denominator 407
Discharge function score 69.43%
56.45%
13 pts better
Numerator 109 · Denominator 157
Transfer of health information to provider 94.12%
95.95%
1.8 pts worse
Numerator 48 · Denominator 51
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 120 · Denominator 120
Resident COVID-19 vaccinations up to date 55.34%
25.2%
30.1 pts better
Numerator 57 · Denominator 103

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.6
1.7
0.9 pts worse
1.9
0.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.9 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.8
2.0
0.8 pts worse
1.8
1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.9 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.8%
97.3%
2.5 pts worse
93.4%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 100.0% · Q3 89.5% · Q4 91.2% · 4Q avg 94.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
96.1%
0.4 pts worse
95.5%
0.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of long-stay residents experiencing one or more falls with major injury 4.5%
3.9%
0.6 pts worse
3.3%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 7.1% · Q3 2.6% · Q4 2.9% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.7%
4.3%
3.6 pts better
11.4%
10.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight 4.9%
4.1%
0.8 pts worse
5.4%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.1% · Q3 5.6% · Q4 3.1% · 4Q avg 4.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.9%
12.4%
13.5 pts worse
19.6%
6.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 25.0% · Q3 27.8% · Q4 28.1% · 4Q avg 25.9%
Percentage of long-stay residents who received an antipsychotic medication 12.7%
17.5%
4.8 pts better
16.7%
4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 13.5% · Q3 13.3% · Q4 12.9% · 4Q avg 12.7% · 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 16.7%
22.5%
5.8 pts better
16.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 17.7%
18.6%
0.9 pts better
14.9%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 17.1% · Q3 16.1% · Q4 3.6% · 4Q avg 17.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.4%
2.3%
5.1 pts worse
1.0%
6.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 9.5% · Q3 6.4% · Q4 8.7% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 7.9%
2.6%
5.3 pts worse
1.7%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 4.9% · Q3 2.6% · Q4 17.6% · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 32.1%
24.8%
7.3 pts worse
19.8%
12.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 33.7% · Q3 31.1% · Q4 37.8% · 4Q avg 32.1%
Percentage of long-stay residents with pressure ulcers 4.1%
5.4%
1.3 pts better
5.1%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 2.5% · Q3 2.7% · Q4 4.1% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.8%
88.6%
4.2 pts better
81.7%
11.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 92.6% · Q3 95.1% · Q4 95.8% · 4Q avg 92.8%
Percentage of short-stay residents who had an outpatient emergency department visit 18.6%
14.0%
4.6 pts worse
12.0%
6.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 18.6% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.3%
1.9%
0.6 pts better
1.6%
0.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.6% · Q3 1.0% · Q4 0.9% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86.3%
82.7%
3.6 pts better
79.7%
6.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.6%
23.1%
5.5 pts better
23.9%
6.3 pts better
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 17.5% · Expected 23.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-15 · Fire 2025-12-15

19 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2025-02-11 · Fire 2025-02-11

7 health deficiencies

Top issue: Infection Control (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2024-04-11 · Fire 2024-04-11

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-22

E · Potential for more than minimal harm 2025-12-15

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-01-22

E · Potential for more than minimal harm 2025-12-15

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-01-22

E · Potential for more than minimal harm 2025-12-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-22

E · Potential for more than minimal harm 2025-12-15

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2026-01-22

D · Potential for more than minimal harm 2025-02-11

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-14

D · Potential for more than minimal harm 2024-04-11

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-15

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-15

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2026-02-13

F · Potential for more than minimal harm 2025-12-15

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2026-02-13

F · Potential for more than minimal harm 2025-12-15

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 2026-02-13

F · Potential for more than minimal harm 2025-12-15

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2026-02-13

F · Potential for more than minimal harm 2025-12-15

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2026-02-13

F · Potential for more than minimal harm 2025-12-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-13

F · Potential for more than minimal harm 2025-12-15

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 2026-02-13

E · Potential for more than minimal harm 2025-12-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-02-13

E · Potential for more than minimal harm 2025-12-15

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2026-02-13

D · Potential for more than minimal harm 2025-12-15

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-02-13

D · Potential for more than minimal harm 2025-12-15

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 2026-02-13

D · Potential for more than minimal harm 2025-12-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-02-13

D · Potential for more than minimal harm 2025-12-15

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-02-13

D · Potential for more than minimal harm 2025-12-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-02-13

D · Potential for more than minimal harm 2025-12-15

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 2026-02-13

D · Potential for more than minimal harm 2025-12-15

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2026-02-13

D · Potential for more than minimal harm 2025-12-15

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 2026-02-13

D · Potential for more than minimal harm 2025-12-15

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2026-02-13

C · Minimal harm 2025-12-15

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2026-02-13

F · Potential for more than minimal harm 2025-02-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-21

E · Potential for more than minimal harm 2025-02-11

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-02-11

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 2025-03-05

D · Potential for more than minimal harm 2025-02-11

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 2025-03-21

J · Immediate jeopardy 2024-09-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-09

F · Potential for more than minimal harm 2024-04-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-17

E · Potential for more than minimal harm 2024-04-11

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-11

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 2024-05-17

D · Potential for more than minimal harm 2024-04-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-05-15

D · Potential for more than minimal harm 2024-04-11

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-05-15

D · Potential for more than minimal harm 2024-04-11

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-05-15

D · Potential for more than minimal harm 2024-04-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-11

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-11

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 2024-05-15

C · Minimal harm 2024-04-11

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 2024-05-17

D · Potential for more than minimal harm 2024-03-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-05

J · Immediate jeopardy 2024-03-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-01

K · Immediate jeopardy 2023-10-20

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 2023-11-14

E · Potential for more than minimal harm 2023-10-20

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-11-14

Penalties and ownership

What sits behind the stars

$14,433 2024-09-12

Fine

Fine · fine $14,433

Fine

$16,801 2024-03-08

Fine

Fine · fine $16,801

Fine

$89,312 2023-10-20

Fine

Fine · fine $89,312

Fine

Ownership

Bjerketvedt, Scott

Corporate Director · Individual

0% 2 facilities 2022-09-30
Bjerketvedt, Scott

Corporate Officer · Individual

0% 2 facilities 2020-02-25
Bjerketvedt, Scott

W-2 Managing Employee · Individual

0% 2 facilities 2020-02-25
Crockett, Susan

Corporate Director · Individual

0% 3 facilities 2021-06-01
Dady, James

Corporate Director · Individual

0% 4 facilities 2019-06-01
Evers, Rachael

Operational/Managerial Control · Individual

0% 1 facilities 2020-01-07
Evers, Rachael

W-2 Managing Employee · Individual

0% 1 facilities 2020-01-07
Kendrick, Shelley

Operational/Managerial Control · Individual

0% 7 facilities 2019-02-04
Kendrick, Shelley

Corporate Director · Individual

0% 7 facilities 2019-02-04
Kendrick, Shelley

W-2 Managing Employee · Individual

0% 7 facilities 2012-01-18
Petraborg, John

Corporate Director · Individual

0% 4 facilities 2020-06-01
Ulvestad, Nancy

Corporate Director · Individual

0% 3 facilities 2019-06-01

Nearby options

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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

Overall
2 / 5
Health
2 / 5
Staffing
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Fines
$26,685
#2

Laurels Peak Care & Rehabilitation Center

Mankato, MN

2-star overall rating with 2-star inspections with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
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Fines
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#3

Oaklawn Care & Rehabilitation Center

Mankato, MN

2-star overall rating with 2-star inspections with $59,001 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$59,001

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