Home / Minnesota / Park Rapids
Heritage Living Center
619 West Sixth Street, Park Rapids, MN 56470 · Hubbard County · (218) 237-8312
48 certified beds, about 39 residents a day · Government - County · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245405 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 5, 2026, inspectors cited 5 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 8 health citations since September 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.87 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
48.9% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Vivie, an affiliated group of 5 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 8 health citations on file.
August 5, 2026Standard inspection · 5 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and document review, the facility failed to ensure a resident received ongoing nursing assessment and monitoring following an acute change in condition for 1 of 2 residents (R5) reviewed for changes in condition.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview, and document review, the facility failed to consistently implement and evaluate individualized interventions to address persistent expressions of distress for 1 of 1 resident (R31) reviewed for dementia care. This resulted in prolonged periods of R31 hollering without staff intervention and contributed to distress for another resident (R7), who had a known history of post-traumatic stress disorder (PTSD) with loud noises identified as a trigger.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure a resident was free from a significant medication error when a registered nurse (RN) administered 5 milligrams (mg) of morphine sulfate instead of the prescribed 2 mg dose for 1 of 1 resident (R43) reviewed for medication administration.
- 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.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure a medication label accurately reflected the current physician-ordered dose for 1 of 1 resident (R43) reviewed for medication labeling. The incorrect label contributed to R43 receiving 5 milligrams (mg) of morphine sulfate instead of the prescribed 2 mg dose.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and document review, the facility failed to maintain a facility-wide infection surveillance system that identified, collected, analyzed, and trended signs and symptoms of possible infections and communicable diseases, including those that did not result in antimicrobial treatment. This deficient practice had the potential to affect all 41 residents who resided in the facility. In addition, the facility failed to ensure enhanced barrier precautions (EBP) were implemented for 1 of 1 resident (R5) reviewed for assistance with activities of daily living (ADLs) and wound care.
February 9, 2026Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure fall prevention strategies were assessed and fall interventions were implemented to protect from accidents for 1 of 3 residents (R1) who was at risk for falls and had a fall with injuries. This resulted in actual harm to R1 who fell and sustained a scalp laceration, a tibial (shin bone) fracture, femur (the longest, strongest, and heaviest bone in the human body, extending from the hip to the knee) fracture and a bimalleolar (a severe, unstable ankle injury involving fractures to both the medial malleolus (inner tibia) and lateral malleolus (outer fibula) fracture of right lower leg. The facility implemented corrective action prior to the investigation, so the deficiency was issued at Past Noncompliance. Findings Include: R1's admission Record indicated she admitted to the facility on [DATE]. [...]
August 27, 2025Standard inspection · 1 citation
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on interview and document review, the facility failed to have a consent prior to administering a mood stabilizer ( mental health medication used to alter a person's mood) medication. This affect 1 of 5 (R36) residents reviewed for unnessary medications.
September 12, 2024Standard inspection · 1 citation
- 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 refrigerated food items were properly labeled and dated. Furthermore, the facility failed to ensure refrigerated food items were disposed of after expiration date. This deficient practice had the potential to harm any resident or visitor using facility refrigerators to store food.
Fire safety inspections
2 fire safety citations on file: 2 on September 12, 2024.
Every fire safety citation2 citations
- F Have horizontal exits used in accordance with safety requirements.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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) | 3.87 | 4.19 | 3.86 |
| Registered nurses | 0.59 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.50 | 3.71 | 3.42 |
| Nurse aides | 2.76 | ||
| Licensed practical nurses | 0.52 | ||
| Nursing staff turnover (share who left in a year) | 48.9% | 42.2% | 45.8% |
| Registered nurse turnover | 80.0% | 38.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.90 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 4.02 on weekdays and 3.50 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.12 in April to June 2025 to 3.87 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 | 3.87 | 0.59 | 4.02 | 3.50 | 2.0% | 0 of 90 | 39 |
| Oct to Dec 2025 | 4.04 | 0.50 | 4.21 | 3.60 | 3.3% | 0 of 92 | 42 |
| Jul to Sep 2025 | 3.68 | 0.43 | 3.88 | 3.17 | 3.7% | 0 of 92 | 42 |
| Apr to Jun 2025 | 4.12 | 0.50 | 4.37 | 3.48 | 1.3% | 0 of 91 | 42 |
| 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.
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.
Official wage estimates for Minnesota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Minnesota, all employers | |||
| CNAs (nursing assistants) | $22.44 | $19.39 to $23.72 | 29,120 |
| LPNs and LVNs | $30.65 | $28.83 to $34.26 | 12,840 |
| Registered nurses | $48.80 | $42.76 to $55.17 | 70,110 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 10.7 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.4 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.9 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.8 | 17.1 | 15.4 |
Owners and operators
Legal business name: HUBBARD COUNTY HERITAGE LIVING CENTER. CMS links this home to Vivie, a group of 5 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hubbard County | 5% or greater direct ownership interest | Organization | 100% | 01/06/2010 |
| Fairchild, Stephanie | Contracted managing employee | Individual | 09/28/2023 | |
| Leadbetter, Larry | Contracted managing employee | Individual | 01/01/2024 | |
| Bessler, Daryl | Corporate director | Individual | 01/01/2013 | |
| De La Hunt, David | Corporate director | Individual | 01/01/2020 | |
| Devine, Richard | Corporate director | Individual | 01/01/2001 | |
| Hendrickson, Alisha | Corporate director | Individual | 01/01/2023 | |
| Koppelman, Benjamin | Corporate director | Individual | 01/01/2012 | |
| Christensen, Char | Corporate officer | Individual | 01/01/2021 | |
| Knute Nelson | Operational/managerial control | Organization | 09/01/2023 | |
| Gugisberg, Marnie | Operational/managerial control | Individual | 09/01/2023 | |
| Urman, Angela | Operational/managerial control | Individual | 09/01/2023 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 5, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 5, 2026: "Ensure that residents are free from significant medication errors."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 5, 2026: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 27, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.50 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Green Pine Acres Nursing Home Menahga, 11.2 mi · 5 of 5 stars · 7 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 Heritage Living Center's Medicare star rating?
- CMS rates Heritage Living Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Living Center get at its last inspection?
- 5 health deficiencies at the standard inspection on August 5, 2026. The Minnesota average is 7.1.
- Has Heritage Living Center been fined?
- CMS lists no fines in the last three years.
- Does Heritage Living Center 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 Heritage Living Center?
- CMS lists 12 owners and managers, and links the home to Vivie. Legal business name: HUBBARD COUNTY HERITAGE LIVING 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.