Heartwood
503 Heartwood Drive, Crosby, MN 56441 · Crow Wing County · (218) 545-8500
54 certified beds, about 49 residents a day · Non profit - Corporation · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245232 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 23, 2025, inspectors cited 2 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 7 health citations since July 2023 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 4.30 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.45 of those hours.
46.3% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Presbyterian Homes & Services, an affiliated group of 21 nursing homes.
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.
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 7 health citations on file.
July 23, 2025Standard inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure the medications section of the Minimum Data Set (MDS) was accurately coded for 1 of 5 resident (R6) reviewed for unnecessary medications.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interview and document review, the facility failed to comprehensively assess for trauma informed care and identify potential triggers, to avoid potential re-traumatization for 1 of 1 resident (R6) reviewed for trauma informed care.
August 7, 2024Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure a unit refrigerator maintained a safe temperature for storage of food. This had the potential to affect all residents who received food from unit refrigerator.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and document review, the facility failed to perform ongoing monitoring and wound care, as ordered, for a chronic reoccurring wound for 1 of 2 residents (R34) reviewed for wound care.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to implement enhanced barrier precautions (EBP) for 1 of 2 residents (R34) reviewed for chronic wounds.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to provide and document the most recent Centers for Disease Control (CDC) education regarding the potential risks and benefits of the pneumococcal vaccine for 3 of 5 residents (R20, R39, R42) reviewed for immunizations.
July 19, 2023Standard inspection · 1 citation
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to provide pneumococcal conjugate vaccine 20 variant (PVC20) education as directed by the Centers for Disease Control (CDC) for 5 of 5 residents (R11, R28, R36, R37, R42) reviewed for immunizations.
Fire safety inspections
12 fire safety citations on file: 1 on July 23, 2025, 7 on August 7, 2024, 4 on July 19, 2023.
Every fire safety citation12 citations
- E Have horizontal exits used in accordance with safety requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- D Provide properly protected cooking facilities.
- D Have restrictions on the use of flammable curtains.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Install proper backup exit lighting.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have simulated fire drills held at unexpected times.
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.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.30 | 4.19 | 3.86 |
| Registered nurses | 1.45 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.77 | 3.71 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.40 | ||
| Nursing staff turnover (share who left in a year) | 46.3% | 42.2% | 45.8% |
| Registered nurse turnover | 12.5% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.35 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 4.52 on weekdays and 3.77 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.07 in April to June 2025 to 4.30 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.30 | 1.45 | 4.52 | 3.77 | 9.0% | 0 of 90 | 49 |
| Oct to Dec 2025 | 4.54 | 1.40 | 4.79 | 3.93 | 8.9% | 0 of 92 | 46 |
| Jul to Sep 2025 | 4.43 | 1.40 | 4.75 | 3.62 | 0.0% | 0 of 92 | 42 |
| Apr to Jun 2025 | 5.07 | 1.49 | 5.37 | 4.32 | 14.8% | 0 of 91 | 38 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.0 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.0 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 38.8 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.2 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.0 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 27.2 | 14.8 | 12.0 |
Owners and operators
Legal business name: CROSBY SENIOR SERVICES CARE CENTER. CMS links this home to Presbyterian Homes & Services, a group of 21 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Crosby Senior Services | 5% or greater direct ownership interest | Organization | 11/09/2022 | |
| Cuyuna Regional Medical Center | 5% or greater direct ownership interest | Organization | 11/09/2022 | |
| Presbyterian Homes Housing and Assisted Living, Inc. | 5% or greater direct ownership interest | Organization | 11/09/2022 | |
| U.s. Bank | 5% or greater mortgage interest | Organization | 05/17/2023 | |
| U.s. Bank | 5% or greater security interest | Organization | 05/17/2023 | |
| Berg, Katie | Corporate director | Individual | 05/17/2023 | |
| Blank, Kimberly | Corporate director | Individual | 05/17/2023 | |
| Goodwin, David | Corporate director | Individual | 05/17/2023 | |
| Hart, Amy | Corporate director | Individual | 05/17/2023 | |
| Larson, Duane | Corporate director | Individual | 05/17/2023 | |
| Lindh, Daniel | Corporate director | Individual | 05/17/2023 | |
| Meyer, Mark | Corporate director | Individual | 11/09/2022 | |
| Berg, Katie | Corporate officer | Individual | 05/17/2023 | |
| Hart, Amy | Corporate officer | Individual | 05/17/2023 | |
| Lindh, Daniel | Corporate officer | Individual | 05/17/2023 | |
| Meyer, Mark | Corporate officer | Individual | 11/09/2022 | |
| Cuyuna Regional Medical Center | Operational/managerial control | Organization | 05/17/2023 | |
| Phs Management, LLC | Operational/managerial control | Organization | 05/17/2023 | |
| Presbyterian Homes Housing and Assisted Living, Inc. | Operational/managerial control | Organization | 01/02/2025 | |
| Berg, Katie | Operational/managerial control | Individual | 01/02/2025 | |
| Blank, Kimberly | Operational/managerial control | Individual | 01/02/2025 | |
| Grams, Jennifer | Operational/managerial control | Individual | 01/08/2025 | |
| Hart, Amy | Operational/managerial control | Individual | 01/02/2025 | |
| Larson, Duane | Operational/managerial control | Individual | 01/02/2025 | |
| Lindh, Daniel | Operational/managerial control | Individual | 01/02/2025 | |
| Meyer, Mark | Operational/managerial control | Individual | 01/02/2025 | |
| Crosby Senior Services | Adp of the SNF | Organization | 01/02/2025 | |
| Cuyuna Range Hospital District | Adp of the SNF | Organization | 01/22/2025 | |
| Cuyuna Regional Medical Center | Adp of the SNF | Organization | 01/02/2025 | |
| Phs Management, LLC | Adp of the SNF | Organization | 01/07/2025 | |
| Presbyterian Homes Housing and Assisted Living, Inc. | Adp of the SNF | Organization | 01/07/2025 | |
| Berg, Katie | Adp of the SNF | Individual | 01/08/2025 | |
| Blank, Kimberly | Adp of the SNF | Individual | 01/08/2025 | |
| Burgstaler, Lori | Adp of the SNF | Individual | 01/08/2025 | |
| Goodwin, David | Adp of the SNF | Individual | 01/08/2025 | |
| Grams, Jennifer | Adp of the SNF | Individual | 01/08/2025 | |
| Hall, Michael | Adp of the SNF | Individual | 01/02/2025 | |
| Hart, Amy | Adp of the SNF | Individual | 01/02/2025 | |
| Holmgren, Paige | Adp of the SNF | Individual | 01/02/2025 | |
| Horowitz, Joshua | Adp of the SNF | Individual | 01/02/2025 | |
| Kauphusman, David | Adp of the SNF | Individual | 01/02/2025 | |
| Lindh, Daniel | Adp of the SNF | Individual | 01/02/2025 | |
| Meyer, Mark | Adp of the SNF | Individual | 01/08/2025 | |
| Pederson, Mark | Adp of the SNF | Individual | 01/08/2025 | |
| Rogers, Gretchen | Adp of the SNF | Individual | 01/14/2025 | |
| Skjeveland, Jamie | Adp of the SNF | Individual | 01/02/2025 | |
| Taylor, Bart | Adp of the SNF | Individual | 01/14/2025 | |
| Twigg, Roger | Adp of the SNF | Individual | 01/02/2025 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on August 7, 2024: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 23, 2025: "Provide care or services that was trauma informed and/or culturally competent."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 23, 2025: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 7, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Aicota Health Care Center Aitkin, 10.6 mi · 2 of 5 stars · 19 citations
- Aitkin Health Services Aitkin, 11.3 mi · 2 of 5 stars · 34 citations
- Good Samaritan Society - Bethany Brainerd, 16.2 mi · 5 of 5 stars · 15 citations
- Good Samaritan Society - Woodland Brainerd, 16.8 mi · 5 of 5 stars · 3 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Heartwood's Medicare star rating?
- CMS rates Heartwood 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heartwood get at its last inspection?
- 2 health deficiencies at the standard inspection on July 23, 2025. The Minnesota average is 7.1.
- Has Heartwood been fined?
- CMS lists no fines in the last three years.
- Does Heartwood 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 Heartwood?
- CMS lists 48 owners and managers, and links the home to Presbyterian Homes & Services. Legal business name: CROSBY SENIOR SERVICES CARE CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.