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Cokato Manor

182 Sunset Avenue, Cokato, MN 55321 · Wright County · (320) 286-2158

56 certified beds, about 52 residents a day · Non profit - Corporation · Medicare and Medicaid since 1987

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245412 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 10, 2026, inspectors cited 2 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 18 health citations since February 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.66 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

44.2% of nursing staff left within the year CMS measured (Minnesota average 42.2%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
2E
0F
Potential for minimal harm
0A
0B
2C
June 10, 2026Standard inspection · 2 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on interview and document review, the facility failed to provide routine care conferences to allow for resident participation for 1 of 4 residents (R40) reviewed for care conferences.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure medications were appropriately labeled with an opened-on date to prevent expired medications from being administered in 2 of 2 medications carts and 1 of 1 medication rooms reviewed for medication labeling and storage.
April 25, 2025Standard inspection · 11 citations
  1. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on record review and interviews the facility failed to ensure care conferences were conducted to include input of the resident or resident representatives for 5 of 11 (R10, R19, R20, R21, and R43) residents reviewed for care conferences.
  2. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure target behaviors were consistently monitored for 5 of 5 residents (R7, R28, R30, R46, R1) reviewed for unnecessary psychotropic medication use.
  3. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview, and document review the facility failed to ensure advanced directives for emergency treatment were accurately reflected in all areas of the medical record to ensure the residents wishes would be implemented correctly in an emergent situation for 1 of 1 (R45) residents reviewed for inconsistent advanced directives.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview and document review, the facility failed to notify the attending physician of a change in condition for 1 of 1 residents (R46) reviewed for new onset of tardive dyskinesia symptoms (repetitive, involuntary movements) often caused by antipsychotic medications.
  5. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview, and document review, the facility failed to ensure a level ll preadmission screening and resident review (PASARR) was completed for 1 of 2 residents (R5) reviewed for PASARR's. Findings Include: R5's quarterly Minimum Data Set (MDS) dated [DATE] indicated R5 was admitted to the facility on [DATE], and had the following diagnoses: Schizophrenia, arthritis, and diabetes. R5's Level 1 PASARR dated 4/30/24, indicated the screening was completed on 4/30/24 and prior to admission, R5 required a level ll PASARR screening to be completed. No level ll PASARR was found or provided. On 4/23/25 at 8:39 a.m., the social services director (SS)-A stated R5 had come from another facility, and they had used the other facilities completed PASARR for R5's admission. However, they were unaware a Level ll PASARR was required until the survey team arrived onsite. [...]
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a comprehensive care plan was developed and maintained to ensure proper interventions were in place to prevent falls/lessen the likelihood of injury for 1 of 2 residents (R8) reviewed for falls.
  7. D
    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
    F741 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview, and document review, the facility failed to ensure non-pharmacological interventions were attempted prior to the administration of psychotropic medications (mood altering medications) for 1 of 1 residents (R7) reviewed for as needed (PRN) psychotropic medications.
  8. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure consulting pharmacist (PharmD) identified the facility's lack of target behavior monitoring in the monthly medication regimen review (MRR) for 1 of 5 residents (R46) reviewed for unnecessary psychotropic medications.
  9. D
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on document review, and interview the facility failed to ensure Quality Assurance Performance Improvement (QAPI) meetings were held on a quarterly basis. This practice had the potential to affect all 53 residents residing in the facility.
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, and interview the facility failed to conduct appropriate hand hygiene during medication administration for 1 of 3 staff members observed during medication administration. This had the potential to affect at 53 residents in residence at the facility.
  11. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure prescribed antibiotics met criteria for antibiotic use. Further, the facility failed to assess for continued need of the antibiotics to help reduce unnecessary antibiotic use and reduce potential drug resistance were completed for 1 of 1 residents (R31) reviewed for antibiotic use. This had the potential to affect any of the 53 residents who resided in the facility who might use antibiotics.
February 14, 2024Standard inspection · 5 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on observation, interview and document review the facility failed to ensure a resident was treated with dignity by allowing them to dress in a manner of her choosing for 1 of 1 residents (R29) reviewed for dignity.
  2. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on observation, interview and document review the facility failed ensure residents were free from physical restraints that preventing access to one's own body and to provide ongoing monitoring of restraint use for 1 of 1 residents (R29) reviewed for restraints.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on document review, and interview the facility failed to ensure written notification of transfer and/or discharge was sent to the office of the Ombudsman for 1 of 1 resident (R52) upon discharge.
  4. C
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on record review, and interview the facility failed to organize a resident council group over the previous six months and after requested by resident. This had the potential to affect all 47 residents in the facility.
  5. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure accurate staffing information was posted daily. This had the potential to affect all residents residing in the facility, staff and visitors who may wish to view this information.

Fire safety inspections

14 fire safety citations on file: 3 on June 10, 2026, 7 on April 25, 2025, 4 on February 14, 2024.

Every fire safety citation14 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 10, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 10, 2026 · Corrected (the home has a date of correction)
  3. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · June 10, 2026 · Corrected (the home has a date of correction)
  4. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · April 25, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 25, 2025 · Corrected (the home has a date of correction)
  6. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · April 25, 2025 · Corrected (the home has a date of correction)
  7. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 25, 2025 · Corrected (the home has a date of correction)
  8. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 25, 2025 · Corrected (the home has a date of correction)
  9. E
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · April 25, 2025 · Corrected (the home has a date of correction)
  10. D
    Have simulated fire drills held at unexpected times.
    K 712 · April 25, 2025 · Corrected (the home has a date of correction)
  11. F
    Implement emergency and standby power systems.
    E 41 · February 14, 2024 · Corrected (the home has a date of correction)
  12. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 14, 2024 · Corrected (the home has a date of correction)
  13. D
    Provide properly protected cooking facilities.
    K 324 · February 14, 2024 · Corrected (the home has a date of correction)
  14. C
    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
    K 901 · February 14, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)3.664.193.86
Registered nurses0.691.060.69
All nursing staff on weekends3.313.713.42
Nurse aides2.69
Licensed practical nurses0.29
Nursing staff turnover (share who left in a year)44.2%42.2%45.8%
Registered nurse turnover50.0%38.6%42.9%
Administrators who left0

CMS expects 3.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.80 on weekdays and 3.31 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.66 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.660.693.803.31 7.8%0 of 9052
Oct to Dec 20253.890.734.063.45 9.7%0 of 9250
Jul to Sep 20253.650.643.833.20 12.0%0 of 9254
Apr to Jun 20253.800.654.003.30 10.9%0 of 9154
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%0.8% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Minnesota

JobMedianMiddle halfEmployed
Minnesota, all employers
CNAs (nursing assistants)$22.44$19.39 to $23.7229,120
LPNs and LVNs$30.65$28.83 to $34.2612,840
Registered nurses$48.80$42.76 to $55.1770,110
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Cokato Manor. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.818.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.51.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.02.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.04.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.220.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.45.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.417.115.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Cokato Manor's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Minnesota: 66 better, 14 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 23 eligible stays.

Potentially preventable readmissions

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 10.7% · Minnesota: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 23 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Minnesota: 2 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 10 eligible stays.

Self-care and mobility at discharge

45.0% this home

Median of homes: Minnesota57.8% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 20 residents counted.

Falls with major injury

0.0% this home

Median of homes: Minnesota0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 20 residents counted.

New or worsened pressure ulcers

9.1% this home

Median of homes: Minnesota2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 20 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Minnesota98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 3 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: COKATO CHARITABLE TRUST.

NameRoleTypeShareSince
Dixon, BrianContracted managing employeeIndividual12/06/2016
Cates, ShayW-2 managing employeeIndividual06/20/2000
Melquist, TreshaW-2 managing employeeIndividual02/08/2021
Anderson, AllanCorporate directorIndividual07/20/1990
Bortnem, PeterCorporate directorIndividual10/01/2013
Carlson, JesseCorporate directorIndividual09/01/2021
Carlson, PeggyCorporate directorIndividual06/01/1996
Hanson, StevenCorporate directorIndividual07/20/1990
Keith, KateCorporate directorIndividual01/01/2023
Luhman, CindyCorporate directorIndividual09/01/2021
Melquist, TreshaCorporate directorIndividual02/08/2021
Svela, DeanCorporate directorIndividual09/01/2021
Melquist, TreshaCorporate officerIndividual02/08/2021
Dixon, BrianAdp of the SNFIndividual01/02/2025
Melquist, TreshaAdp of the SNFIndividual01/02/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on April 25, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 10, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 10, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 25, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.31 hours per resident per day, below the Minnesota average of 3.71.

Other nursing homes nearby

Minnesota contacts for a concern about a nursing home

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Common questions

What is Cokato Manor's Medicare star rating?
CMS rates Cokato Manor 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cokato Manor get at its last inspection?
2 health deficiencies at the standard inspection on June 10, 2026. The Minnesota average is 7.1.
Has Cokato Manor been fined?
CMS lists no fines in the last three years.
Does Cokato Manor accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Cokato Manor?
CMS lists 15 owners and managers. Legal business name: COKATO CHARITABLE TRUST.

Sources

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