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Complaint Investigation

Hillcrest Care & Rehabilitation Center

August 14, 2025 · Mankato, MN · 714 Southbend Avenue
Citations 1
CMS Rating 2/5
Beds 95
Provider ID 245507
Healthcare Facility
Hillcrest Care & Rehabilitation Center
Mankato, MN  ·  View full profile →
Inspection Summary

Hillcrest Care & Rehabilitation Center in MANKATO, MN — inspection on August 14, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an observation and interview on 8/11/25 at 6:37 p.m., in R52's room observed a white standing fan in operation about two three feet in front of R52's recliner where she had been sitting and where she also slept.

Observed a significant amount of fuzzy whitish/gray material on the back grate of the fan and heavy dark material on edges of the fan blades. R52 stated she did not think it had ever been cleaned.During an observation on 8/12/25 at 8:40 a.m., in R21's room observed a standing white fan in operation about three feet from R21's bed as he sat on the side of the bed.

The fan had a buildup of fuzzy grayish material on the front and back grates and dark material on the edges of the fan blades. R21 stated he hadn't noticed and that he thinks he brought the fan from home.

During an interview and observation on 8/12/25 at 12:11 p.m., along with housekeeping manager-in-training (HM)-B and housekeeping regional supervisor (HS)-C looked at the fan in R52's room. HS-C stated housekeeping was responsible for cleaning fans, adding it was not done on a routine basis, just when housekeeping noticed them needing to be cleaned. HS-C stated they were behind on some routine work due to staffing but would make sure to address fans.

Together also looked at the fans in R21 and R2's rooms.

Both HM-B and HS-C acknowledged potential health concerns for residents with dirty fans blowing air in their rooms.

During an interview on 8/13/25 at 8:07 a.m., registered nurse (RN)-E, who was also the assistant director of nursing and infection preventionist in training was informed of dirty fans. RN-E stated dirty fans were not good for anyone, but in particular not good for residents with allergies, respiratory issues or asthma due to the potential particles in the air getting in their respiratory tract. RN-E stated she was not aware of dirty fans and would expect housekeeping to monitor and clean the fans.

Facility policy was requested for maintaining clean fans in resident rooms. On 8/13/25 at 3:33 p.m., the administrator provided a deep cleaning list that including cleaning fans, but no policy regarding regular/routine cleaning of fans.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MANKATO, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Hillcrest Care & Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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