Inspection Reports for Mankato Lodge Senior Living

1360 Adams St, Mankato, MN 56001, United States, MN, 56001

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Inspection Report Annual Inspection Census: 65 Capacity: 25 Deficiencies: 10 Sep 18, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for an assisted living facility.
Findings
The survey identified multiple deficiencies including failure to post staffing schedules, food code violations, fire safety code violations, inadequate staff training and competency related to a resident fall with injury, incomplete resident assessments and service plans, medication management errors including failure to administer newly ordered pain medication, and lack of proper treatment and therapy management documentation.
Severity Breakdown
Level 1: 1 Level 2: 7 Level 3: 1 Level 4: 1
Deficiencies (10)
DescriptionSeverity
Failed to post daily staffing schedule as required by Minnesota Rules Chapter 4659.0180 Subp. 4.Level 1
Food was not prepared and served according to Minnesota Food Code; specific violations documented in Food and Beverage Establishment Inspection Report dated 9/15/2025.Level 2
Failed to comply with Minnesota Fire Code; fire rated doors were not maintained to automatically close and latch as designed.Level 2
Failed to ensure staff training and competency related to change of condition with notification to RN for resident who fell and sustained a hip fracture.Level 3
Failed to complete resident reassessments within required 90-day timeframe for two residents.Level 2
Resident service plans lacked identification of staff responsible for specific services and did not include assistance with TED stockings.Level 2
Failed to conduct face-to-face medication management assessment including review of all medications and interventions to prevent diversion for one resident prior to providing medication management services.Level 2
Failed to administer medication as prescribed and failed to follow up on medication administration when newly ordered pain medication was not filled for seven days, resulting in inadequate pain management for resident with hip fracture.Level 4
Failed to develop and implement treatment or therapy management plan including procedures for notifying RN when problems arise for resident receiving treatment (TED stockings).Level 2
Failed to maintain up-to-date written or electronic orders for treatments (TED stockings) for one resident.Level 2
Report Facts
Residents present: 65 Licensed capacity: 25 Fine amount: 4500 Medication error days: 7 Assessment interval days: 94 Assessment interval days: 96
Employees Mentioned
NameTitleContext
Jodi JohnsonSupervisor, State Evaluation TeamSigned cover letter for the inspection report
Barry AhlCertified Food Protection ManagerNamed on Food & Beverage Inspection Report
Ryan MillerPublic Health Sanitarian 3Conducted Food & Beverage Inspection
LPN-CLicensed Practical NurseNamed in medication management and resident care findings
ALDIR-AAssisted Living Director in ResidenceNamed in multiple findings including staffing and resident care
RDHS-BRegional Director of Health ServicesNamed in resident care and nursing oversight findings
ULP-DUnlicensed PersonnelNamed in resident care and medication administration findings
FM-LFamily member of resident involved in fall and care concerns

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