Pathstone Crossing.
Pathstone Crossing is Grade C, ranked in the top 45% of Minnesota memory care with 1 MDH citation on record; last inspected May 2025.
A large home, reviewed on public record.
Ranked against 142 Minnesota facilities.
ALF memory care · 36-month window. Higher percentile = better. Source: Minnesota Dept. of Health · Health Regulation Division.
FACILITY WATCH · BETA
Pathstone Crossing has 1 citation on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
1 deficiencie on record. Each bar is a month with a citation.
Finding distribution
1 total · 36 monthsScope × Severity (CMS A–L)
Questions to ask before you visit.
A short pre-tour checklist tailored to Pathstone Crossing's record and state requirements.
The most recent inspection on November 30, 2022, found zero deficiencies across 93 licensed beds — can you walk us through your internal quality assurance process and show documentation of how you monitor compliance between MDH inspections?
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One complaint was filed with the Minnesota Department of Health during the inspection period on file — was that complaint substantiated, and can you share the facility's written response or corrective action taken in response to the complaint?
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This community holds an Assisted Living Facility with Dementia Care license under Minnesota Statutes chapter 144G — can you provide a copy of your written dementia care program and explain how staff competency in dementia care is documented and verified?
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Every MDH visit, verbatim.
3 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-04-13Complaint InvestigationNo findings
Plain-language summary
The Minnesota Department of Health investigated a complaint that staff failed to ensure a resident took cardiac medications that were found at the bedside, but determined the allegation was not substantiated because although a medication error occurred, it was isolated and the resident's subsequent hospitalization for atrial fibrillation could not be linked to the missed doses. The facility conducted an internal investigation, re-educated staff on medication administration, and updated the care plan.
Full inspector notes
Finding: Not Substantiated Nature of Investigation: The Minnesota Department of Health investigated an allegation of maltreatment, in accordance with the Minnesota Reporting of Maltreatment of Vulnerable Adults Act, Minn. Stat. 626.557, and to evaluate compliance with applicable licensing standards for the provider type. Initial Investigation Allegation(s): The facility neglected the resident when a staff member discovered medications at the resident’s bedside that had not been taken as prescribed. The medications found included three Metoprolol ER 50 mg tablets and two Aspirin 81 mg tablets. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was not substantiated. Although a medication error occurred, it was an isolated incident. On the same day the error was discovered, the resident experienced a fall and was sent to the hospital for further evaluation. The resident was admitted due to atrial fibrillation. Therefore, it is unclear whether the hospitalization was related to the medication error or the resident’s underlying medical condition. The resident returned to the facility three days later and returned to her baseline health condition. The investigator conducted interviews with administrative staff. The investigation included review of the resident’s records, internal investigation documentation, incident reports, staff schedules, policies, and procedures. The resident resided in an assisted living facility. The resident’s diagnoses included cardiac dysrhythmia. The resident’s service plan included assistance with medication administration. A concern arose when a staff member discovered medications at the resident’s bedside that had not been taken as prescribed. The medications found included three Metoprolol ER 50 mg tablets and two Aspirin 81 mg tablets. According to the medication administration record, all the medications were administrated as prescribed. During an interview, the manager stated a staff member reported the incident to her. She said she spoke with the resident, who indicated she did not want to take the medications because they appeared unusual. The manager further stated she educated the resident the pharmacy may occasionally change suppliers, which can cause medications to look different, however they are the same medications. She encouraged the resident to ask questions and to take medications as prescribed. The manager also said later the same day, the resident tripped over a box and fell. The resident was subsequently sent to the hospital due to back pain and was admitted in relation to atrial fibrillation. Following the incident, an internal investigation was initiated, and staff were educated on ensuring residents take their medications as prescribed. During an interview, the resident stated she did not remember the incident and had no concerns regarding the care she received. In conclusion, the Minnesota Department of Health determined neglect was not substantiated. “Not Substantiated” means: An investigatory conclusion indicating the preponderance of evidence shows that an act meeting the definition of maltreatment did not occur. Neglect: Minnesota Statutes, section 626.5572, subdivision 17 “Neglect” means neglect by a caregiver or self-neglect. (a) "Caregiver neglect" means the failure or omission by a caregiver to supply a vulnerable adult with care or services, including but not limited to, food, clothing, shelter, health care, or supervision which is: (1) reasonable and necessary to obtain or maintain the vulnerable adult's physical or mental health or safety, considering the physical and mental capacity or dysfunction of the vulnerable adult; and (2) which is not the result of an accident or therapeutic conduct. Vulnerable Adult interviewed: Yes Family/Responsible Party interviewed: No, attempted but did not reach. Alleged Perpetrator interviewed: Not Applicable Action taken by facility: The facility initiated an internal investigation. The resident was sent to the hospital for further evaluation. All staffs were re-educated on medication administration, and the care plan was updated. Action taken by the Minnesota Department of Health: No further action taken at this time. cc: The Office of Ombudsman for Long Term Care The Office of Ombudsman for Mental Health and Developmental Disabilities PRINTED: 04/ 23/ 2026 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/ SUPPLIER/ CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ C B. WING _____________________________ 30425 02/ 19/ 2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 718 MOUND AVENUE PATHSTONE CROSSING MANKATO, MN 56001 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER' S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS- REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 000 Initial Comments 0 000 On February 19, 2026, the Minnesota Department of Health initiated an investigation of complaints #HL304251200M/ HL304255361C and #HL304258103C. No correction orders are issued. LABORATORY DIRECTOR' S OR PROVIDER/ SUPPLIER REPRESENTATIVE' S SIGNATURE TITLE (X6) DATE STATE FORM 6899 FHRC11 If continuation sheet 1 of 1
2025-05-16Annual Compliance VisitNo findings
Plain-language summary
A standard inspection was conducted at Pathstone Crossing from May 13-16, 2025, and state correction orders were issued for violations of Minnesota assisted living facility regulations. The facility had 74 residents at the time of inspection, with 71 receiving dementia care services. No immediate fines were assessed, but the facility must document actions taken to correct the identified violations within the timeframe specified on the state form.
Full inspector notes
correction orders and document the actions taken to comply in the facility's records. The Department reserves the right to return to the facility at any time should the Department receive a complaint or deem it necessary to ensure the health, safety, and welfare of residents in your care. STATE CORRECTION ORDERS The enclosed State Form documents the state correction orders. MDH documents state licensing correction orders using federal software. Tag numbers are assigned to Minnesota state statutes for Assisted Living Facilities. The assigned tag number appears in the far left column entitled "ID Prefix Tag." The state statute number and the corresponding text of the state statute out of compliance are listed in the "Summary Statement of Deficiencies" column. This column also includes the findings that are in violation of the state statute after the statement, "This MN Requirement is not met as evidenced by . . ." In accordance with Minn. Stat. § 144G.31 Subd. 4, MDH may assess fines based on the level and scope of the violations; h owever, no immediate fines are assessed for this survey of your facility. DOCUMENTATION OF ACTION TO COMPLY In accordance with Minn. Stat. § 144G.30, Subd. 5(c), the licensee must document actions taken to comply with the correction orders within the time period outlined on the state form; however, plans of correction are not required to be submitted for approval. The correction order documentation should include the following: Identify how the area(s) of noncompliance was corrected related to the An equal opportunity employer. Letter ID: IS7N REVISED 09/13/2021 Pathstone Crossing July 10, 2025 Page 2 resident(s)/employee(s) identified in the correction order. Identify how the area(s) of noncompliance was corrected for all of the provider’s resident(s)/employees that may be affected by the noncompliance. Identify what changes to your systems and practices were made to ensure compliance with the specific statute(s). CORRECTION ORDER RECONSIDERATION PROCESS In accordance with Minn. Stat. § 144G.32, Subd. 2, you may challenge the correction order(s) issued, including the level and scope, and any fine assessed through the correction order reconsideration process. The request for reconsideration must be in writing and received by MDH within 15 calendar days of the correction order receipt date. To submit a reconsideration request, please visit: https://forms.web.health.state.mn.us/form/HRDAppealsForm The MDH Health Regulation Division (HRD) values your feedback about your experience during the survey and/or investigation process. Please fill out this anonymous provider feedback questionnaire at your convenience at this link: h ttps://forms.office.com/g/Bm5uQEpHVa. Your input is important to us and will enable MDH to improve its processes and communication with providers. If you have any questions regarding the questionnaire, please contact Susan Winkelmann at susan.winkelmann@state.mn.us or call 651-201-5952. You are encouraged to retain this document for your records. It is your responsibility to share the information contained in the letter and state form with your organization’s Governing Body. If you have any questions, please contact me. Sincerely, Jodi Johnson, Supervisor State Evaluation Team Email: Jodi.Johnson@state.mn.us Telephone: 507-344-2730 Fax: 1 -866-890-9290 HHH PRINTED: 07/10/2025 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ B. WING _____________________________ 30425 05/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 718 MOUND AVENUE PATHSTONE CROSSING MANKATO, MN 56001 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 000 Initial Comments 0 000 ***ATTENTION*** Minnesota Department of Health is documenting the State Correction Orders ASSISTED LIVING PROVIDER LICENSING using federal software. Tag numbers have CORRECTION ORDER(S) been assigned to Minnesota State Statutes for Assisted Living Facilities. The In accordance with Minnesota Statutes, section assigned tag number appears in the 144G.08 to 144G.95, these correction orders are far-left column entitled "ID Prefix Tag." The issued pursuant to a survey. state Statute number and the corresponding text of the state Statute out Determination of whether violations are corrected of compliance is listed in the "Summary requires compliance with all requirements Statement of Deficiencies" column. This provided at the Statute number indicated below. column also includes the findings which When Minnesota Statute contains several items, are in violation of the state requirement failure to comply with any of the items will be after the statement, "This Minnesota considered lack of compliance. requirement is not met as evidenced by." Following the evaluators ' findings is the INITIAL COMMENTS: Time Period for Correction. SL30425016-0 PLEASE DISREGARD THE HEADING OF THE FOURTH COLUMN WHICH On May 13, 2025, through May 16, 2025, the STATES,"PROVIDER'S PLAN OF survey at the above provider and the following FEDERAL DEFICIENCIES ONLY. THIS correction orders are issued. At the time of the WILL APPEAR ON EACH PAGE. survey, there were 74 residents; 71 receiving services under the Assisted Living Facility with THERE IS NO REQUIREMENT TO Dementia Care license. SUBMIT A PLAN OF CORRECTION FOR VIOLATIONS OF MINNESOTA STATE STATUTES. THE LETTER IN THE LEFT COLUMN IS USED FOR TRACKING PURPOSES AND REFLECTS THE SCOPE AND LEVEL ISSUED PURSUANT TO 144G.31 SUBDIVISION 1-3. 0 480 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum 0 480 SS=F requirements; required food services LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 UCES11 If continuation sheet 1 of 13 PRINTED: 07/10/2025 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ B. WING _____________________________ 30425 05/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 718 MOUND AVENUE PATHSTONE CROSSING MANKATO, MN 56001 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 480 Continued From page 1 0 480 (a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. (b) For an assisted living facility with a licensed capacity of ten or fewer residents: (1) notwithstanding Minnesota Rules, part 4626.0033, item A, the facility may share a certified food protection manager (CFPM) with one other facility located within a 60-mile radius and under common management provided the CFPM is present at each facility frequently enough to effectively administer, manage, and supervise each facility's food service operation; (2) notwithstanding Minnesota Rules, part 4626.0545, item A, kick plates that are not removable or cannot be rotated open are allowed unless the facility has been issued repeated correction orders for violations of Minnesota Rules, part 4626.1565 or 4626.1570; (3) notwithstanding Minnesota Rules, part 4626.0685, item A, the facility is not required to provide integral drainboards, utensil racks, or tables large enough to accommodate soiled and clean items that may accumulate during hours of operation provided soiled items do not contaminate clean items, surfaces, or food, and clean equipment and dishes are air dried in a manner that prevents contamination before storage; (4) notwithstanding Minnesota Rules, part 4626.1070, item A, the facility is not required to install a dedicated handwashing sink in its existing kitchen provided it designates one well of a two-compartment sink for use only as a handwashing sink; (5) notwithstanding Minnesota Rules, parts 4626.1325, 4626.1335, and 4626.1360, item A, existing floor, wall, and ceiling finishes are STATE FORM 6899 UCES11 If continuation sheet 2 of 13 PRINTED: 07/10/2025 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ B. WING _____________________________ 30425 05/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 718 MOUND AVENUE PATHSTONE CROSSING MANKATO, MN 56001 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 480 Continued From page 2 0 480 allowed provided the facility keeps them clean and in good condition; (6) notwithstanding Minnesota Rules, part 4626.
2024-02-09Complaint Investigation1 · Substantiated Finding
Plain-language summary
A complaint investigation substantiated that two staff members left two residents with dementia on the floor overnight after finding them during rounds, failing to assist them up or notify nursing staff, and the residents remained there until the day shift arrived the next morning. Both staff members were terminated by the facility for this neglect. The residents' care plans required assistance with toileting and repositioning checks every two hours during night shifts.
“MDH substantiated maltreatment or licensing violation finding”
Full inspector notes
Finding: Substantiated, individual responsibility Nature of Investigation: The Minnesota Department of Health investigated an allegation of maltreatment, in accordance with the Minnesota Reporting of Maltreatment of Vulnerable Adults Act, Minn. Stat. 626.557, and to evaluate compliance with applicable licensing standards for the provider type. Initial Investigation Allegation(s): The alleged perpetrator #1 (AP #1) and the alleged perpetrator #2 (AP #2) neglected two residents by leaving them on the floor throughout the entire night after discovering them in that condition. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was substantiated. AP #1 and AP #2 were responsible for the maltreatment. While working the night shift, they found two residents on the floor during their rounds. The two APs did not assist either resident up off the floor, nor did they inform the nurse of the situation. The residents remained on the floor until morning when the dayshift caregivers were informed the residents were on the floor. The investigator conducted interviews with facility staff members, including administrative staff, nursing staff, and unlicensed staff. The investigation included review of the residents’ records, death record, hospital records, facility incident reports, personnel files and staff schedules. Also, the investigation included an onsite visit, observations, and interactions between residents and facility staff. Resident #1 resided in an assisted living memory care unit. Resident #1’s diagnoses include dementia. Resident #1’s service plan included assistance with hygiene, dressing, and toileting. The service plan also included repositioning schedule and safety checks every two hours on the night shift. Resident #2 resided in an assisted living memory care unit. Resident #2’s diagnoses include dementia. Resident’s #2’s service plan included assistance hygiene, dressing, and toileting. The service plan also included repositioning schedule every two hours on the night shift. During an interview, an unlicensed caregiver said she received a report from AP #1 and AP #2 the next morning. They informed her two residents had fallen on the floor, and when she asked if resident #1 had been helped off the floor, they said no, both residents were still on the floor. The unlicensed caregiver stated AP #2 said she changed resident #1's incontinence pad while he was lying face down on the floor. The unlicensed caregiver saw resident #1 lying face down on the floor appearing uncomfortable and there was urine on the floor. AP #2 told the unlicensed caregiver resident #1 was sleeping on the floor. The unlicensed caregiver stated that AP#1 and AP#2 started arguing and yelling at each other when they were asked why they did not assist the residents. The unlicensed caregiver confirmed that both resident #1 and resident #2 were left lying on the floor until morning. During an interview, a management staff member stated both residents had a service schedule every two hours at night. AP #1 and AP #2 reported to the day shift, two residents were on the floor. The day shift then checked on the residents, the nurse conducted assessments, and the two residents were assisted up off the floor. Neither resident had a history of sleeping on the floor. The manager stated the facility conducted an investigation and both APs were placed on leave. The manger stated both APs claimed they thought the other AP would assist the residents. The facility terminated both AP’s employment. During an interview, AP #1 stated she had just completed training and worked that night with AP #2. She explained she was on modified duty due to a foot injury and was restricted from heavy lifting. In the previous week, resident #1 fall, and staff members from another unit came to assist getting him up. On the night in question, AP #2 asked for help when she found resident #1 on the floor. AP #1 stated she went in the room and saw AP#2 changing resident #1’s incontinence pad. AP#2 left to get the Hoyer lift and AP #1 waited but AP#2 did not return. AP#1 stated she found AP#2 at the nursing stating and AP#2 said she already assisted resident #1, so AP#1 thought it was taken care of. AP#1 did not recall the time they found resident #1 on the floor. During an interview, AP #2 stated she worked with AP #1 that night. On the second check round, they found resident #1 and #2 on the floor in their respective rooms and attempted to assist them. AP#2 stated both residents did not look like they fell and were not in awkward or uncomfortable positions. Both residents appeared as though had purposely positioned themselves on the floor. AP #1 and AP #2 decided to check back on them later. AP#2 stated AP#1 told her she would get the residents off the floor, and AP#2 offered to assist if needed since AP#1 was had an injured ankle. AP #1 and AP #2 attempted to lift resident #1 off the floor, but they were unable to do so. AP #2 stated they found both residents on the floor around 2 a.m. AP #2 did not call the nurse because she thought it might be common for residents to sleep on the floor. In conclusion, the Minnesota Department of Health determined neglect was substantiated. Substantiated: Minnesota Statutes, section 626.5572, Subdivision 19. “Substantiated” means a preponderance of evidence shows that an act that meets the definition of maltreatment occurred. Neglect: Minnesota Statutes, section 626.5572, subdivision 17 “Neglect” means neglect by a caregiver or self-neglect. (a) "Caregiver neglect" means the failure or omission by a caregiver to supply a vulnerable adult with care or services, including but not limited to, food, clothing, shelter, health care, or supervision which is: (1) reasonable and necessary to obtain or maintain the vulnerable adult's physical or mental health or safety, considering the physical and mental capacity or dysfunction of the vulnerable adult; and (2) which is not the result of an accident or therapeutic conduct. Vulnerable Adult interviewed: no, resident #1 was not interviewable due to cognitive loss and resident #2 was deceased. Family/Responsible Party interviewed: No, attempts to reach families were unsuccessful Alleged Perpetrator interviewed: Yes. Action taken by facility: The facility investigated the incident and terminated AP #1 and AP #2. Action taken by the Minnesota Department of Health: The facility was issued a correction order regarding the vulnerable adult’s right to be free from maltreatment. You may also call 651-201-4200 to receive a copy via mail or email. The responsible party will be notified of their right to appeal the maltreatment finding. If the maltreatment is substantiated against an identified employee, this report will be submitted to the nurse aide registry for possible inclusion of the finding on the abuse registry and/or to the Minnesota Department of Human Services for possible disqualification in accordance with the provisions of the background study requirements under Minnesota 245C. cc: The Office of Ombudsman for Long Term Care The Office of Ombudsman for Mental Health and Developmental Disabilities Mankato County Attorney Mankato City Attorney Mankato Police Department PRINTED: 02/16/2024 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ C B. WING _____________________________ 30425 01/08/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 718 MOUND AVENUE PATHSTONE CROSSING MANKATO, MN 56001 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 000 Initial Comments 0 000 On January 8, 2023, the Minnesota Department Minnesota Department of Health is of Health initiated an investigation of complaint documenting the State Correction Orders HL304258104M HL304255160C, HL304258124M using federal software. Tag numbers have HL304255186C and HL304257165M been assigned to Minnesota State HL304253526C . Statutes for Assisted Living License Providers. The assigned tag number The following correction orders are issued appears in the far left column entitled "ID Prefix Tag." The state Statute number and For HL304258104M HL304255160C and the corresponding text of the state Statute HL304257165M HL304253526C: correction order out of compliance is listed in the identification 2360 . "Summary Statement of Deficiencies" column. This column also includes the For HL304258104M HL304255160C and findings which are in violation of the state HL304258124M HL304255186C: correction order requirement after the statement, "This identification 1480. Minnesota requirement is not met as evidenced by.
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