Who We Are.
Meet Ecumen’s caring and committed professionals

Hayley Fast
Executive Director – Prairie Hill & Sand Prairie
As the Executive Director, Hayley is responsible for supporting day-to-day operations and building strong relationships with residents, their families, and her team members in all areas of service across the Pathstone campus. In her role, Hayley also works with team members to help individuals and families navigate their options, process the many emotions that come with a transition to senior living, prepare for the move, and welcome everyone on their move-in day. She enjoys being part of the continuous effort to create the best possible experience for everyone in the community. Born and raised in Mankato, Hayley heard about Ecumen from friends and acquaintances who always spoke admirably about the organization, the living spaces, and the people. She joined Pathstone in 2024, bringing her individual talent, interests, and leadership to our growing community.
Hayley’s favorite local place to visit is Minneopa Falls, where she and her husband bring their two boys to explore the trails, walk down to the falls, and stop by the Bison range to look for the newest baby additions to the herd.
Away from work, Hayley is always on the go with her family as they spend a lot of time outdoors—at the lake, biking, hiking, and exploring new parks.

Nathan Duitsman, RN
Clinical Director – Prairie Hill & Sand Prairie
Nate serves as the Clinical Director for Ecumen Sand Prairie and Prairie Hill, where he oversees the nursing staff and resident assistants while working closely with residents receiving nursing care. He is dedicated to fostering a supportive, person-centered environment and values the meaningful connections he builds with residents and team members alike.
Nate began his professional journey by earning an associate’s degree from Alexandria Technical and Community College. He later joined the Minnesota Army National Guard, where he proudly served for 11 years, including two deployments. In 2011, he was deployed as a gunner on convoy missions during Operation New Dawn in Iraq. In 2016, he spent 10 months in Sinai, Egypt, providing base security for the Multinational Force and Observers (MFO).
Transitioning to the medical field, Nate began as a Direct Support Professional in Mankato, working with individuals with disabilities. In 2018, he pursued a degree in nursing and joined Ecumen Pathstone as a Trained Medical Aide. After passing his boards, Nate became a Registered Nurse and gained valuable experience in both short-term rehabilitation and long-term care. He later expanded his clinical expertise in the medical-surgical and emergency departments at a local hospital.
Nate returned to Ecumen as the Nurse Manager at Sand Prairie and now leads as Clinical Director for both campuses. He remains committed to delivering compassionate care and supporting the well-being of both residents and staff.