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Heritage Manor

321 Northeast Sixth Street, Chisholm, MN 55719 · St. Louis County · (218) 254-5765

65 certified beds, about 57 residents a day · Non profit - Corporation · Medicare and Medicaid since 1982

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245245 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 31, 2026, inspectors cited 19 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

Of 41 health citations since May 2024, 2 were 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 3.41 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.96 of those hours.

31.0% of nursing staff left within the year CMS measured (Minnesota average 42.2%).

CMS links it to St. Francis Health Services, an affiliated group of 14 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.

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 41 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
30D
5E
4F
Potential for minimal harm
0A
0B
0C
July 31, 2026Standard inspection, Complaint inspection · 19 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on interviews and document review, the facility failed to protect a resident's right to be free from mental abuse for 1 of 4 residents (R71) reviewed for abuse. This led to psychosocial harm when the resident barricaded herself into her room and caused her to discharge early from the facility prior to reaching her maximal level with therapy services.
  2. E
    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, pattern · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were provided with the current Combined Federal and State [NAME] of Rights. This had the potential to affect all 62 residents and their representatives who resided in the facility.
  3. 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 · Not yet corrected
    Inspectors wroteBased on observation, interview, and document review, the facility failed to review and revise the care plan to reflect the resident's current needs for 4 of 4 residents (R25, R48, R3, R5) reviewed for care planning.
  4. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to consistently educate, offer, or administer influenza and pneumococcal immunizations for 3 of 5 residents (R14, R48, R54) reviewed for immunizations.
  5. E
    Have a Compliance and Ethics Program.
    F895 · Administration · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to implement an effective compliance and ethics program with sufficient monitoring and auditing mechanisms to detect and prevent potential violations and ensure the integrity of the data reported to the Centers for Medicare and Medicaid services (CMS). The facility further failed to ensure employees could report, without fear of retaliation, a high-level personnel's suspected violations. These failures resulted in documentation and minimum data set (MDS) irregularities with unsupported or inconsistently reported diagnosis for 4 of 4 residents (R31, R39, R40, R61) reviewed.
  6. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to ensure residents were informed of and consented to medications prescribed and given for mental health intervention for 2 of 5 residents (R7, R33) reviewed for unnecessary medications.
  7. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on observation, interview, and document review the facility failed to follow a self-administration of medication (SAM) form which indicated the resident should not self-administer medications. This affected 1 of 1 (R54) residents reviewed for self-administration of medications.
  8. 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 · Not yet corrected
    Inspectors wroteBased on interview and document review the facility failed to ensure 1 of 1 resident's (R5) Provider Orders for Life Sustaining Treatment (POLST) was completed timely.
  9. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to ensure residents received notice of Medicare non-coverage for 1 of 4 residents (R78) reviewed for beneficiary denials.
  10. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to immediately report incidents of potential resident-to-resident abuse to the state agency (SA) within two hours, as required for 1 of 1 residents (R71) reviewed for abuse. In addition, the facility failed to ensure potential sexual abuse were reported to the state agency (SA), within 2 hours, for a resident with unexplained laceration of perineum for 1 of 1 resident (R43) reviewed for injuries of unknown cause.
  11. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to conduct a formal investigation into the allegations of resident-on-resident mental abuse for 1 of 4 residents reviewed (R71) for abuse. The facility also failed to investigate a possible sexual abuse when a resident had unexplained laceration of perineum. This affected 1 of 4 residents (R43) reviewed for abuse.
  12. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to provide the required written notices before a transfer to the hospital for 1 of 1 resident (R7) reviewed for hospitalization.
  13. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to ensure the minimum data sets (MDS) was completed accurately and timely for 1 of 3 residents (R25) reviewed for activities of daily living, and 1 of 4 residents (R69) reviewed for quality of care and 1 of 1 resident (R43) for oral/dental. In addition, the facility failed to ensure the integrity of MDS data submitted to the Centers for Medicare and Medicaid Services (CMS) for 4 of 4 residents (R31, R39, R40, R61) reviewed for MDS accuracy.
  14. 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 · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to include dialysis to a resident's comprehensive care plan, who received dialysis while in the facility. This affected 1 of 1 (R2) residents reviewed for comprehensive care plans.
  15. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to ensure orders were followed as written for 1 of 1 resident (R28) reviewed for quality of care.
  16. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure safe ambulation interventions were followed for 2 of 2 residents (R14, R75) reviewed. In addition, the facility failed to ensure resident equipment concerns were addressed in a timely manner to help prevent accidents for 1 of 5 residents (R9) reviewed for accident and safety concerns.
  17. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure the tube feeding bottle was dated and timed when opened for 1 of 1 resident (R3) reviewed for tube feeding cares.
  18. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on observation and interview, the facility failed to provide hygienic care of oxygen and nebulizer equipment for 1 of 1 resident (R7) reviewed for respiratory care.
  19. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure staff consistently used personal protective equipment (PPE) in resident rooms where precautions were in place to help prevent the spread of bacteria and potential for illness for 2 of 4 residents (R1, R2) reviewed for infection control. This deficient practice had the potential to cause illness for residents, staff, and visitors. In addition, the facility failed to ensure hygienic laundry practices to help minimize potential for bacteria growth.
June 26, 2025Standard inspection, Complaint inspection · 17 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on interview and document review, the facility failed to track and report lack of bowel movements to provider for 2 of 2 residents (R16, R52) reviewed for bowel tracking. This resulted in actual harm when R16 was hospitalized for constipation and subsequently taken to the operating room for disimpaction. In addition, the facility failed to monitor vital signs and complete weights as ordered for 1 of 1 resident (R52) and follow orders for blood glucose monitoring and insulin administration for 1 of 1 resident (R37).
  2. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview and document review the facility failed to ensure there were sufficient numbers of staff to ensure all resident cares including getting residents out of bed when requested for 1 of 2 resident (R36) reviewed for choices, monitoring for and treating constipation for 1 of 2 (R16) and monitoring residents receiving dialysis for 1 of 1 resident (R111) reviewed for dialysis care. This had the potential to affect all residents residing in the facility.
  3. F
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 24, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to maintain controlled medication accounting for facility stock medication and for 1 of 1 resident (R262) reviewed for medication side effects. The facility failed to ensure residents were free from medication errors for 1 of 1 resident (R262) who didn't receive their medication as ordered. In addition, the facility failed to remove expired facility stock medication which had to potential to affect any resident needing facility stock medication.
  4. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and document review the facility failed to ensure food was stored in accordance with professional standards for food service safety by failing to maintain safe food storage temperatures. This practice had the potential to affect all residents consuming food at the facility. OR Based on observation, interview, and record review, the facility failed to ensure beverages including milk were maintained and served at a safe temperature of less than 41 degrees Fahrenheit (F). In addition, the facility failed to ensure dishwasher temperatures were maintained for proper sanitization of dishes. These deficient practices had the potential to impact all residents residing at the facility
  5. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure resident call lights were within reach from the bathroom floor in resident bathrooms for 4 of 4 residents (R36, R47, R111, R6) reviewed for call light accessibility.
  6. 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) August 20, 2025
    Inspectors wroteBased on observation, interview and document review the facility failed to get 1 of 2 residents (R36) out of bed when requested.
  7. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed ensure residents were comprehensively assessed for self-administration of medications for 1 of 2 residents (R20) reviewed for self-administration of medication.
  8. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure bathing preferences were honored for 1 of 1 resident (R10) reviewed for choices.
  9. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the us of as-needed (PRN) psychotropic medication was limited to 14 days or extended to a certain date with supporting rationale provided by the medical provider for 1 of 5 residents (R20) reviewed for unnecessary medication use.
  10. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on interview and record review the baseline care plan did not cover the required elements for 1 of 2 residents (R110) reviewed for care plans.
  11. 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) August 20, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure to develop a comprehensive care plan for 2 of 6 residents (R13, R33) reviewed for care planning.
  12. 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) August 20, 2025
    Inspectors wroteBased on interview and document review, the facility failed to revise the care plans to reflect current care needs for 2 of 6 residents (R37, R52) reviewed for care planning.
  13. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure oxygen tubing and supplies were properly managed for 1 of 1 resident (R211) who was reviewed for oxygen use.
  14. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview and document review the facility failed to follow dialysis orders for 1 of 1 resident (R111) reviewed for dialysis care.
  15. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure medications were administered in accordance with physician orders for 2 of 4 residents (R37, R48) observed to receive medication. A total of three errors out of 34 opportunities were identified resulting in a facility error rate of 8%.
  16. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation and interview, the facility failed to maintain the hospice medical record for 1 of 1 resident (R37) reviewed for hospice care.
  17. 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) September 24, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to have infection control measures in place for a resident colonized with a multi-drug-resistant bacteria (MDRO, bacteria resistant to one or more classes of antimicrobial agents) for 1 of 1 resident (R41) reviewed for infection control.
May 16, 2024Standard inspection, Complaint inspection · 5 citations
  1. F
    Request a waiver if it can't meet the nurse staffing requirements.
    F731 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide licensed nursing staff on a 24 hour basis for 8 days in the first quarter of fiscal year 2024.
  2. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to perform an elopement risk assessment for 1 of 1 (R1) resident reviewed for elopement.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to implement occupational therapy (OT) orders for proper wheelchair positioning for 1 or 2 residents (R31) reviewed for positioning.
  4. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain safe positioning for a resident with a feeding tube, while the tube feeding was running for 1 of 1 resident (R37) reviewed for tube feeding care.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure oxygen tubing was changed in a timely manner for 1 of 1 residents (R17) reviewed for respiratory care.

Fire safety inspections

30 fire safety citations on file: 10 on July 31, 2026, 9 on June 26, 2025, 11 on May 16, 2024.

Every fire safety citation30 citations
  1. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · July 31, 2026 · Not yet corrected
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 31, 2026 · Not yet corrected
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 31, 2026 · Not yet corrected
  4. D
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · July 31, 2026 · Not yet corrected
  5. D
    Provide properly protected cooking facilities.
    K 324 · July 31, 2026 · Not yet corrected
  6. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 31, 2026 · Not yet corrected
  7. D
    Install corridor and hallway doors that block smoke.
    K 363 · July 31, 2026 · Not yet corrected
  8. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 31, 2026 · Not yet corrected
  9. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 31, 2026 · Not yet corrected
  10. D
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 31, 2026 · Not yet corrected
  11. F
    Have horizontal exits used in accordance with safety requirements.
    K 226 · June 26, 2025 · Corrected (the home has a date of correction)
  12. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 26, 2025 · Corrected (the home has a date of correction)
  13. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 26, 2025 · Corrected (the home has a date of correction)
  14. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · June 26, 2025 · Corrected (the home has a date of correction)
  15. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · June 26, 2025 · Corrected (the home has a date of correction)
  16. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · June 26, 2025 · Corrected (the home has a date of correction)
  17. D
    Provide properly protected cooking facilities.
    K 324 · June 26, 2025 · Corrected (the home has a date of correction)
  18. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 26, 2025 · Corrected (the home has a date of correction)
  19. D
    Ensure proper usage of power strips and extension cords.
    K 920 · June 26, 2025 · Corrected (the home has a date of correction)
  20. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · May 16, 2024 · Corrected (the home has a date of correction)
  21. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 16, 2024 · Corrected (the home has a date of correction)
  22. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · May 16, 2024 · Corrected (the home has a date of correction)
  23. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 16, 2024 · Corrected (the home has a date of correction)
  24. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 16, 2024 · Corrected (the home has a date of correction)
  25. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 16, 2024 · Corrected (the home has a date of correction)
  26. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 16, 2024 · Corrected (the home has a date of correction)
  27. D
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · May 16, 2024 · Corrected (the home has a date of correction)
  28. D
    Install properly constructed and protected linen or trash chutes.
    K 541 · May 16, 2024 · Corrected (the home has a date of correction)
  29. D
    Have power receptacles that are properly grounded.
    K 912 · May 16, 2024 · Corrected (the home has a date of correction)
  30. D
    Ensure proper usage of power strips and extension cords.
    K 920 · May 16, 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)3.414.193.86
Registered nurses0.961.060.69
All nursing staff on weekends2.923.713.42
Nurse aides1.80
Licensed practical nurses0.65
Nursing staff turnover (share who left in a year)31.0%42.2%45.8%
Registered nurse turnover25.0%38.6%42.9%
Administrators who leftnot reported

CMS expects 3.17 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 3.61 on weekdays and 2.92 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.41 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.410.963.612.92 1.2%0 of 9057
Oct to Dec 20253.430.873.593.03 1.8%0 of 9257
Jul to Sep 20253.480.893.722.89 0.0%0 of 9257
Apr to Jun 20253.620.863.833.09 0.2%0 of 9157
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.

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.

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
25.218.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.61.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.62.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.04.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
31.820.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.75.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
19.417.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.923.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
21.314.812.0

Owners and operators

Legal business name: CHISHOLM HEALTH CENTER. CMS links this home to St. Francis Health Services, a group of 14 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Bach, CurtisCorporate directorIndividual08/28/2024
Dripps, DanielCorporate directorIndividual01/01/2016
Ehlers, DouglasCorporate directorIndividual01/01/2023
Goodnough, JenniferCorporate directorIndividual01/01/2021
Gramm, TimothyCorporate directorIndividual01/01/2023
Lair, MichaelCorporate directorIndividual01/01/2025
Lienemann, StevenCorporate directorIndividual01/01/2025
Luetmer, JohnCorporate directorIndividual01/01/2021
Nelson, PatrickCorporate directorIndividual01/01/2020
Peterson-Devries, CamiCorporate directorIndividual05/08/2022
Raw, CarolCorporate directorIndividual08/16/2005
Rentz, LauraCorporate directorIndividual01/01/2024
Rentz, PaulCorporate directorIndividual01/01/2021
Schneider, ToddCorporate directorIndividual07/01/2013
Wiese, LorraineCorporate directorIndividual07/25/2017
Bach, CurtisCorporate officerIndividual08/28/2024
Peterson-Devries, CamiCorporate officerIndividual05/08/2022
Raw, CarolCorporate officerIndividual08/16/2005
Big Stone Therapies, IncOperational/managerial controlOrganization02/03/2015
Eide Bailly LLPOperational/managerial controlOrganization01/03/2023
St. Francis Health Services of Morris, IncOperational/managerial controlOrganization05/10/2002
Anderson, EmilyOperational/managerial controlIndividual06/02/2017
Bach, CurtisOperational/managerial controlIndividual08/28/2024
Bay, EsaOperational/managerial controlIndividual08/07/2025
Blevins, RosanneOperational/managerial controlIndividual05/18/2018
Burrows, AmandaOperational/managerial controlIndividual01/02/2024
Caspers, MeganOperational/managerial controlIndividual12/29/2014
Copeman, JeffreyOperational/managerial controlIndividual01/01/2025
Dripps, DanielOperational/managerial controlIndividual01/01/2016
Ehlers, DouglasOperational/managerial controlIndividual01/01/2023
Goodnough, JenniferOperational/managerial controlIndividual01/01/2021
Gramm, TimothyOperational/managerial controlIndividual01/01/2023
Hanneken, MichelleOperational/managerial controlIndividual07/20/2022
Hejhal, RoxanneOperational/managerial controlIndividual04/10/2023
Hofmann, ReedOperational/managerial controlIndividual05/08/2023
Incontro, ElisabethOperational/managerial controlIndividual04/17/2013
Just, MatthewOperational/managerial controlIndividual01/01/2025
Lair, MichaelOperational/managerial controlIndividual01/01/2025
Lienemann, StevenOperational/managerial controlIndividual01/01/2025
Luetmer, JohnOperational/managerial controlIndividual01/01/2021
Marlow, JinaOperational/managerial controlIndividual06/06/2022
McGraw, CindyOperational/managerial controlIndividual03/15/1988
Nelson, PatrickOperational/managerial controlIndividual01/01/2020
Peterson-Devries, CamiOperational/managerial controlIndividual05/08/2022
Raw, CarolOperational/managerial controlIndividual08/16/2005
Rentz, LauraOperational/managerial controlIndividual01/01/2024
Rentz, MarkOperational/managerial controlIndividual04/22/2024
Rentz, PaulOperational/managerial controlIndividual01/01/2021
Roche, ShaneOperational/managerial controlIndividual05/08/2017
Ryan, BenOperational/managerial controlIndividual12/27/2012
Ryan, GeoffreyOperational/managerial controlIndividual01/12/1998
Schneider, ToddOperational/managerial controlIndividual07/01/2013
Stock, KelseyOperational/managerial controlIndividual06/01/2022
Thompson, ReneeOperational/managerial controlIndividual10/10/2018
Tomoson, AprilOperational/managerial controlIndividual07/12/2021
Townley, GlendaOperational/managerial controlIndividual02/08/1999
Walker, AmyOperational/managerial controlIndividual05/13/2024
Wiese, LorraineOperational/managerial controlIndividual07/25/2017
Big Stone Therapies, IncAdp of the SNFOrganization10/22/2025
Eide Bailly LLPAdp of the SNFOrganization10/22/2025
St. Francis Health Services of Morris, IncAdp of the SNFOrganization12/01/2025
Anderson, EmilyAdp of the SNFIndividual06/02/2017
Bach, CurtisAdp of the SNFIndividual08/28/2024
Barnard, ShelleyAdp of the SNFIndividual03/31/2025
Bay, EsaAdp of the SNFIndividual08/07/2025
Blevins, RosanneAdp of the SNFIndividual05/18/2018
Burrows, AmandaAdp of the SNFIndividual01/02/2024
Caspers, MeganAdp of the SNFIndividual12/29/2014
Copeman, JeffreyAdp of the SNFIndividual01/01/2025
Dripps, DanielAdp of the SNFIndividual01/01/2016
Ehlers, DouglasAdp of the SNFIndividual01/01/2023
Goodnough, JenniferAdp of the SNFIndividual01/01/2021
Gramm, TimothyAdp of the SNFIndividual01/01/2023
Hanneken, MichelleAdp of the SNFIndividual07/20/2022
Hejhal, RoxanneAdp of the SNFIndividual04/10/2023
Hofmann, ReedAdp of the SNFIndividual05/08/2023
Incontro, ElisabethAdp of the SNFIndividual04/17/2013
Just, MatthewAdp of the SNFIndividual01/01/2025
Lair, MichaelAdp of the SNFIndividual01/01/2025
Lienemann, StevenAdp of the SNFIndividual01/01/2025
Luetmer, JohnAdp of the SNFIndividual01/01/2021
Marlow, JinaAdp of the SNFIndividual06/06/2022
McGraw, CindyAdp of the SNFIndividual03/15/1988
Nelson, PatrickAdp of the SNFIndividual01/01/2020
Peterson-Devries, CamiAdp of the SNFIndividual05/08/2022
Rausch, AmyAdp of the SNFIndividual04/22/2025
Raw, CarolAdp of the SNFIndividual08/16/2005
Rentz, LauraAdp of the SNFIndividual01/01/2024
Rentz, MarkAdp of the SNFIndividual04/22/2024
Rentz, PaulAdp of the SNFIndividual01/01/2021
Roche, ShaneAdp of the SNFIndividual05/08/2017
Ryan, BenAdp of the SNFIndividual12/27/2012
Ryan, GeoffreyAdp of the SNFIndividual01/12/1998
Schneider, ToddAdp of the SNFIndividual07/01/2013
Stock, KelseyAdp of the SNFIndividual06/01/2022
Thompson, ReneeAdp of the SNFIndividual10/10/2018
Tomoson, AprilAdp of the SNFIndividual07/12/2021
Townley, GlendaAdp of the SNFIndividual02/08/1999
Walker, AmyAdp of the SNFIndividual05/13/2024
Wiese, LorraineAdp of the SNFIndividual07/25/2017

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on July 31, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on July 31, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on July 31, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on July 31, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.92 hours per resident per day, below the Minnesota average of 3.71.

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Common questions

What is Heritage Manor's Medicare star rating?
CMS rates Heritage Manor 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Heritage Manor get at its last inspection?
19 health deficiencies at the standard inspection on July 31, 2026. The Minnesota average is 7.1.
Has Heritage Manor been fined?
CMS lists no fines in the last three years.
Does Heritage 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 Heritage Manor?
CMS lists 100 owners and managers, and links the home to St. Francis Health Services. Legal business name: CHISHOLM HEALTH CENTER.

Sources

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