Cokato Manor
182 Sunset Avenue, Cokato, MN 55321 · Wright County · 56 certified beds · avg 52 residents/day · certified since Jan 1, 1987
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.26
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 10, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 10, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 14, 2024 | C · Minimal risk, facility-wide | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Feb 14, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | D |
| 2025 | 11 | 0 | E |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.26 | 4.83 | 3.95 | bottom 28% in Minnesota; top 30% in the U.S. |
| Registered Nurse hours | 0.80 | 1.22 | 0.69 | bottom 15% in Minnesota; top 27% in the U.S. |
| Weekend total nurse staffing | 3.86 | 4.27 | 3.50 | bottom 33% in Minnesota; top 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.51 | 0.69 | 0.48 | bottom 37% in Minnesota; top 32% in the U.S. |
| Total nursing staff turnover (%) | 44.2 | 42.2 | 45.8 | bottom 39% in Minnesota; top 48% in the U.S. |
| RN turnover (%) | 50.0 | 38.6 | 42.9 | bottom 32% in Minnesota; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.66, RN 0.69, weekend 3.31. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Anderson, Allan | Individual | Corporate Director | NOT APPLICABLE | 07/20/1990 |
| Bortnem, Peter | Individual | Corporate Director | NOT APPLICABLE | 10/01/2013 |
| Carlson, Jesse | Individual | Corporate Director | NOT APPLICABLE | 09/01/2021 |
| Carlson, Peggy | Individual | Corporate Director | NOT APPLICABLE | 06/01/1996 |
| Cates, Shay | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/20/2000 |
| Dixon, Brian | Individual | Contracted Managing Employee | NOT APPLICABLE | 12/06/2016 |
| Dixon, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2025 |
| Hanson, Steven | Individual | Corporate Director | NOT APPLICABLE | 07/20/1990 |
| Keith, Kate | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Luhman, Cindy | Individual | Corporate Director | NOT APPLICABLE | 09/01/2021 |
| Melquist, Tresha | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/08/2021 |
| Melquist, Tresha | Individual | Corporate Director | NOT APPLICABLE | 02/08/2021 |
| Melquist, Tresha | Individual | Corporate Officer | NOT APPLICABLE | 02/08/2021 |
| Melquist, Tresha | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2025 |
| Svela, Dean | Individual | Corporate Director | NOT APPLICABLE | 09/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What training does your staff have in dementia and behavioral health, and how many residents with these needs do you serve?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lakeside Generations Health Care Center | 5.1 mi | Dassel, MN | ★★★★☆ | 4/5 | |
| Good Samaritan Society - Howard Lake | 6.0 mi | Howard Lake, MN | ★★★★☆ | 3/5 | |
| The Gardens at Winsted LLC | 10.5 mi | Winsted, MN | ★★☆☆☆ | 2/5 | |
| Annandale Care Center INC | 13.4 mi | Annandale, MN | ★★★★★ | 5/5 | |
| Meeker Manor Rehablitation Center, LLC | 15.8 mi | Litchfield, MN | ★★★☆☆ | 3/5 | |
| The Estates at Delano LLC | 16.1 mi | Delano, MN | ★★★★☆ | 4/5 | |
| Lake Ridge Care Center of Buffalo, INC. | 16.7 mi | Buffalo, MN | ★★★★☆ | 4/5 | |
| Park View Health Care Center | 16.9 mi | Buffalo, MN | ★★★★★ | 5/5 | |
| Harmony River Living Center | 17.1 mi | Hutchinson, MN | ★★★★☆ | 3/5 | |
| Cura of Watkins | 19.6 mi | Watkins, MN | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245412.