Pathstone Living

718 Mound Avenue · Mankato, MN · 56001 · 5073454576

69 certified beds Non profit - Corporation Chain: Ecumen

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $14,433 in fines in the last 24 months.
  • Staffing hours comfortably above national benchmarks.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 27
Serious harm & abuse 20% 82
Staffing 20% 87
Federal penalties 15% 35
Trend 10% 73
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.683.48 min · 4.1 strong
RN hours / resident-day1.070.55–0.75
Weekend hours / resident-day4.09≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)3 · $120,546

Inspection citations (39 in the current record)

  • Potential for harm · D March 6, 2026 · found via complaint

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

    Corrected May 10, 2026 · Quality of Life and Care

  • Potential for harm · D December 15, 2025

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

    Corrected February 13, 2026 · Resident Rights

  • Potential for harm · D December 15, 2025

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

    Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 15, 2025

    Respond appropriately to all alleged violations.

    Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 15, 2025

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

    Corrected February 13, 2026 · Resident Rights

  • Potential for harm · D December 15, 2025

    Ensure each resident receives an accurate assessment.

    Corrected February 13, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 15, 2025

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

    Corrected February 13, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 15, 2025

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

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · D December 15, 2025

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

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · E December 15, 2025

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

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · D December 15, 2025

    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 February 13, 2026 · Quality of Life and Care

  • Potential for harm · F December 15, 2025

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

    Corrected February 13, 2026 · Nursing and Physician Services

  • Potential for harm · F December 15, 2025

    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 February 13, 2026 · Nursing and Physician Services

  • Potential for harm · E December 15, 2025

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

    Corrected February 13, 2026 · Nutrition and Dietary

  • Potential for harm · F December 15, 2025

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

    Corrected February 13, 2026 · Nutrition and Dietary

  • Potential for harm · F December 15, 2025

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

    Corrected February 13, 2026 · Administration

  • Potential for harm · F December 15, 2025

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

    Corrected February 13, 2026 · Administration

  • Potential for harm · F December 15, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 13, 2026 · Infection Control

  • Potential for harm · F December 15, 2025 · found via complaint

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

    Corrected February 13, 2026 · Environmental

  • No harm found · C December 15, 2025

    Post nurse staffing information every day.

    Corrected February 13, 2026 · Nursing and Physician Services

  • Potential for harm · D February 11, 2025

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

    Corrected March 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F February 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 21, 2025 · Infection Control

  • Potential for harm · E February 11, 2025

    Implement a program that monitors antibiotic use.

    Corrected March 5, 2025 · Infection Control

  • Potential for harm · D February 11, 2025

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

    Corrected March 21, 2025 · Environmental

  • Immediate jeopardy · J September 12, 2024 · found via complaint

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

    Corrected September 9, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 12, 2024Fine$14,433
March 8, 2024Fine$16,801
October 20, 2023Fine$89,312

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245390 · certified since December 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.