Nursing Care Index

Pathstone Living

Mankato, Blue Earth County, Minnesota · CCN 245390 · Non-profit (Corporation) · part of Ecumen (5 facilities, chain average 3.4 stars)

CMS rates Pathstone Living 2 of 5 overall as of August 2026. 69 certified beds, 61 residents a day on average. 39 citations on record from the current inspection cycles, 3 at immediate jeopardy; 3 fines totalling $120,546.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay1 / 5 of 5

Staffing

Total nurse staffing4.91756 hours per resident per day
Registered nurses1.2254 hours per resident per day
Weekend total4.20054 hours per resident per day
Nursing staff turnover44.9% (registered nurses 27.8%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-06
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-10
2025-12-15 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-13
2025-12-15 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.
Nursing and Physician Services Deficiencies · tag F0726
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-13
2025-12-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-13
2025-12-15 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · tag F0835
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-13
2025-12-15 Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · tag F0865
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-13
2025-12-15 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-13
2025-12-15
complaint survey
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-13
2025-12-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-13
2025-12-15 Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · tag F0807
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-13
2025-12-15 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-12-15 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-12-15 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-12-15 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · tag F0628
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-12-15 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-12-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-12-15 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · tag F0676
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-12-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-12-15 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.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-12-15 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2026-02-13
2025-02-11 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-03-21
2025-02-11 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-05
2025-02-11 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-05
2025-02-11 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-21
2024-09-12
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2024-09-09
2024-04-11 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-05-17
2024-04-11 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-17
2024-04-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-17
2024-04-11 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-15
2024-04-11 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-15
2024-04-11 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-15
2024-04-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-17
2024-04-11 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.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-17
2024-04-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-15
2024-04-11 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-05-17
2024-03-15
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-05
2024-03-08
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-04-01
2023-10-20
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2023-11-14
2023-10-20
complaint survey
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.
Nursing and Physician Services Deficiencies · tag F0726
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-14

Fines and payment denials

DatePenaltyAmount
2024-09-12Fine$14,433
2024-03-08Fine$16,801
2023-10-20Fine$89,312

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Mankato Lutheran Homes, Inc.
Organization
5% or greater direct ownership interest100%1994-03-15
Cliftonlarsonallen LLP
Organization
adp of the snf2025-04-18
Mankato Lutheran Homes, Inc.
Organization
adp of the snf1994-03-15
Cliftonlarsonallen LLP
Organization
indirect ownership interest2006-01-01
Cliftonlarsonallen LLP
Organization
operational/managerial control2006-01-01
Mankato Lutheran Homes, Inc.
Organization
operational/managerial control1994-03-15
Ackerman, Kendra
Individual
adp of the snf2024-07-12
Andresen, Angelica
Individual
adp of the snf2023-05-24
Anzel, Joseph
Individual
adp of the snf2019-11-12
Boles, Amy
Individual
adp of the snf2021-10-01
Bresser, Heather
Individual
adp of the snf2022-11-29
Gamst, Blaine
Individual
adp of the snf2024-10-04
Haas, Jennifer
Individual
adp of the snf2005-06-27
Haley, Tami
Individual
adp of the snf2012-10-01
Harrison, Douglas
Individual
adp of the snf2024-09-03
Horvath, Brian
Individual
adp of the snf2012-07-09
Keller, Kerri
Individual
adp of the snf2013-03-06
Kendrick, Shelley
Individual
adp of the snf2013-05-22
Krolak, Jr., Thomas
Individual
adp of the snf2025-02-24
Larson, Jana
Individual
adp of the snf2023-10-30
Lawton, Noelle
Individual
adp of the snf2024-08-19
Laxdal Sommer, Emily
Individual
adp of the snf2024-05-22
Leffner, Jacqueline
Individual
adp of the snf2022-03-28
Lewison, Bridget
Individual
adp of the snf2025-03-24
Mcalpine, James
Individual
adp of the snf2021-02-08
Mrosla, Danielle
Individual
adp of the snf2024-11-01
Olson, Amy
Individual
adp of the snf2024-09-23
Olson, Annika
Individual
adp of the snf2024-08-09
Osman, Amal
Individual
adp of the snf1995-11-14
Palmer, Tina
Individual
adp of the snf2024-02-29
Roath, Alvin
Individual
adp of the snf2017-04-12
Rudenick, Terry
Individual
adp of the snf2020-01-22
Schuh, Susan
Individual
adp of the snf2016-02-16
Slette, Katlyn
Individual
adp of the snf2023-10-30
Spearman, Jessica
Individual
adp of the snf2013-06-27
Stevens, Angela
Individual
adp of the snf2010-06-14
Thom, Jamie
Individual
adp of the snf2001-01-22
Titus, Martha
Individual
adp of the snf2012-09-13
Vang, Kou
Individual
adp of the snf2020-10-05
Williams, Emily
Individual
adp of the snf2024-07-04
Augustson, Jeanette
Individual
corporate director2022-05-18
Bergstrom, Susan
Individual
corporate director2025-02-25
Conlin, Jan
Individual
corporate director2024-01-09
Frey, Mary
Individual
corporate director2024-08-21
Getaweh, Sharlene
Individual
corporate director2025-02-25
Iserman, Brent
Individual
corporate director2025-02-25
Kull, Marcia
Individual
corporate director2022-01-01
Petraborg, John
Individual
corporate director2013-02-21
Plamann, Joy
Individual
corporate director2024-05-22
Schowalter, James
Individual
corporate director2024-05-22
Schuna, Peter
Individual
corporate director2024-05-22
Snyder, Nils
Individual
corporate director2024-08-21
Andresen, Angelica
Individual
corporate officer2023-05-24
Haley, Tami
Individual
corporate officer2022-05-18
Harrison, Douglas
Individual
corporate officer2025-01-16
Kendrick, Shelley
Individual
corporate officer2019-02-04
Laxdal Sommer, Emily
Individual
corporate officer2024-05-22
Mcalpine, James
Individual
corporate officer2021-05-20
Olson, Amy
Individual
corporate officer2025-05-21
Palmer, Tina
Individual
corporate officer2024-05-22
Ackerman, Kendra
Individual
indirect ownership interest2024-07-12
Andresen, Angelica
Individual
indirect ownership interest2023-05-24
Anzel, Joseph
Individual
indirect ownership interest2019-11-12
Augustson, Jeanette
Individual
indirect ownership interest2022-05-18
Bergstrom, Susan
Individual
indirect ownership interest2025-02-25
Boles, Amy
Individual
indirect ownership interest2021-10-01
Bresser, Heather
Individual
indirect ownership interest2022-11-29
Conlin, Jan
Individual
indirect ownership interest2024-01-09
Frey, Mary
Individual
indirect ownership interest2024-08-21
Gamst, Blaine
Individual
indirect ownership interest2024-10-04
Getaweh, Sharlene
Individual
indirect ownership interest2025-02-25
Haas, Jennifer
Individual
indirect ownership interest2005-06-27
Haley, Tami
Individual
indirect ownership interest2012-10-01
Harrison, Douglas
Individual
indirect ownership interest2024-09-03
Hauschild, Rachel
Individual
indirect ownership interest2006-08-09
Horvath, Brian
Individual
indirect ownership interest2012-07-09
Iserman, Brent
Individual
indirect ownership interest2025-02-25
Keller, Kerri
Individual
indirect ownership interest2013-03-06
Kendrick, Shelley
Individual
indirect ownership interest2013-05-22
Krolak, Jr., Thomas
Individual
indirect ownership interest2025-02-24
Kull, Marcia
Individual
indirect ownership interest2022-01-01
Larson, Jana
Individual
indirect ownership interest2023-10-30
Lawton, Noelle
Individual
indirect ownership interest2024-08-19
Laxdal Sommer, Emily
Individual
indirect ownership interest2024-05-22
Leffner, Jacqueline
Individual
indirect ownership interest2022-03-28
Lewison, Bridget
Individual
indirect ownership interest2025-03-24
Mcalpine, James
Individual
indirect ownership interest2021-02-08
Meyer, Jodi
Individual
indirect ownership interest2024-11-11
Mrosla, Danielle
Individual
indirect ownership interest2024-11-01
Olson, Amy
Individual
indirect ownership interest2024-09-23
Olson, Annika
Individual
indirect ownership interest2024-08-09
Osman, Amal
Individual
indirect ownership interest1995-11-14
Palmer, Tina
Individual
indirect ownership interest2024-02-29
Petraborg, John
Individual
indirect ownership interest2013-02-21
Plamann, Joy
Individual
indirect ownership interest2024-05-22
Roath, Alvin
Individual
indirect ownership interest2017-04-12
Rudenick, Terry
Individual
indirect ownership interest2020-01-22
Schowalter, James
Individual
indirect ownership interest2024-05-22
Schuh, Susan
Individual
indirect ownership interest2016-02-16
Schuna, Peter
Individual
indirect ownership interest2024-05-22
Slette, Katlyn
Individual
indirect ownership interest2023-10-30
Snyder, Nils
Individual
indirect ownership interest2024-08-21
Spearman, Jessica
Individual
indirect ownership interest2013-06-27
Stevens, Angela
Individual
indirect ownership interest2010-06-14
Thom, Jamie
Individual
indirect ownership interest2001-01-22
Titus, Martha
Individual
indirect ownership interest2012-09-13
Vang, Kou
Individual
indirect ownership interest2020-10-05
Williams, Emily
Individual
indirect ownership interest2024-07-04
Augustson, Jeanette
Individual
managing control - governing body2025-05-21
Conlin, Jan
Individual
managing control - governing body2025-05-21
Harrison, Douglas
Individual
managing control - governing body2025-01-16
Kendrick, Shelley
Individual
managing control - governing body2019-02-04
Kull, Marcia
Individual
managing control - governing body2025-05-21
Laxdal Sommer, Emily
Individual
managing control - governing body2024-05-22
Petraborg, John
Individual
managing control - governing body2023-05-24
Schowalter, James
Individual
managing control - governing body2025-05-21
Ackerman, Kendra
Individual
operational/managerial control2024-07-12
Andresen, Angelica
Individual
operational/managerial control2023-05-24
Anzel, Joseph
Individual
operational/managerial control2019-11-12
Augustson, Jeanette
Individual
operational/managerial control2022-05-18
Bergstrom, Susan
Individual
operational/managerial control2025-02-25
Boles, Amy
Individual
operational/managerial control2021-10-01
Bresser, Heather
Individual
operational/managerial control2022-11-29
Conlin, Jan
Individual
operational/managerial control2024-01-09
Frey, Mary
Individual
operational/managerial control2024-08-21
Gamst, Blaine
Individual
operational/managerial control2024-10-04
Getaweh, Sharlene
Individual
operational/managerial control2025-02-25
Haley, Tami
Individual
operational/managerial control2012-10-01
Harrison, Douglas
Individual
operational/managerial control2024-09-03
Hauschild, Rachel
Individual
operational/managerial control2006-08-09
Horvath, Brian
Individual
operational/managerial control2012-07-09
Iserman, Brent
Individual
operational/managerial control2025-02-25
Keller, Kerri
Individual
operational/managerial control2013-03-06
Kendrick, Shelley
Individual
operational/managerial control2013-05-22
Krolak, Jr., Thomas
Individual
operational/managerial control2025-02-24
Kull, Marcia
Individual
operational/managerial control2022-01-01
Larson, Jana
Individual
operational/managerial control2023-10-30
Lawton, Noelle
Individual
operational/managerial control2024-08-19
Laxdal Sommer, Emily
Individual
operational/managerial control2024-05-22
Leffner, Jacqueline
Individual
operational/managerial control2022-03-28
Lewison, Bridget
Individual
operational/managerial control2025-03-24
Mcalpine, James
Individual
operational/managerial control2021-02-08
Meyer, Jodi
Individual
operational/managerial control2024-11-11
Mrosla, Danielle
Individual
operational/managerial control2024-11-01
Olson, Amy
Individual
operational/managerial control2024-09-23
Olson, Annika
Individual
operational/managerial control2024-08-09
Osman, Amal
Individual
operational/managerial control1995-11-14
Palmer, Tina
Individual
operational/managerial control2024-02-29
Petraborg, John
Individual
operational/managerial control2013-02-21
Plamann, Joy
Individual
operational/managerial control2024-05-22
Roath, Alvin
Individual
operational/managerial control2017-04-12
Rudenick, Terry
Individual
operational/managerial control2020-01-22
Schowalter, James
Individual
operational/managerial control2024-05-22
Schuh, Susan
Individual
operational/managerial control2016-02-16
Schuna, Peter
Individual
operational/managerial control2024-05-22
Slette, Katlyn
Individual
operational/managerial control2023-10-30
Snyder, Nils
Individual
operational/managerial control2024-08-21
Spearman, Jessica
Individual
operational/managerial control2013-06-27
Stevens, Angela
Individual
operational/managerial control2010-06-14
Thom, Jamie
Individual
operational/managerial control2001-01-22
Titus, Martha
Individual
operational/managerial control2012-09-13
Vang, Kou
Individual
operational/managerial control2020-10-05
Williams, Emily
Individual
operational/managerial control2024-07-04

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Blue Earth County.