North Star Manor
410 South McKinley Street, Warren, MN 56762 · Marshall County · (218) 745-5282
45 certified beds, about 38 residents a day · Government - City · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245550 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 7, 2025, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 7 health citations since September 2023, 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 5.04 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.97 of those hours.
54.5% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
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 30, 2026Complaint inspection · 1 citation
- G Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure care planned interventions were implemented for toileting, resulting in a fall for 1 of 3 residents (R1). This resulted in actual harm to R1 when he fell and sustained a pelvic fracture. The facility had implemented actions to prevent recurrence prior to the survey; therefore, the citation was issued at past non-compliance.
June 26, 2026Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the facility failed to provide care and supervision consistent with resident's needs, orders, and care plan to eliminate the risk of an accident during cares for 1 of 3 residents (R1) reviewed for falls. R1 needed increased monitoring for safety due to four previous falls at the facility, strict posterior hip precautions, and was unable to ambulate with nursing staff due to non-weight bearing status of right leg. This resulted in actual harm to R1 when RN-A was aware of the ambulation status, assisted R1 to the bathroom with walker and heard a popping sound during ambulation. This resulted in swelling of R1's right leg and complaints of increased pain. R1 was sent to the hospital for evaluation and required a closed reduction of the right hip related to dislocation. [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interviews and document review the facility failed to update the care plan and implement care plan interventions for 1 of 3 residents (R1) reviewed for care plan updates and implementation.
August 7, 2025Standard inspection · 0 citations
May 15, 2025Complaint inspection · 1 citation
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and document review the facility failed to ensure the clinician documented a clinical rationale for the continued dose of a PRN (as needed) medication for 1 of 1 residents reviewed who used PRN Lorazepam (used for the management of anxiety disorders, the short-term relief of symptoms of anxiety or anxiety associated with depression).
June 27, 2024Standard inspection · 2 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and document review, the facility failed to ensure registered nurse hours were submitted accurately on the payroll-based journal. This had the potential to affect all 30 residents residing in the facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure soiled and potentially contaminated laundry was sorted in a manner to reduce the risk of cross contamination and spread of infection. This had the potential to affect all 38 residents who utilized laundry services.
September 14, 2023Standard inspection · 1 citation
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, failed to implement timely transmission based precautions (TBP) and testing according to the Centers for Disease Control (CDC) for 2 of 2 residents (R6, R33, R27) who were displaying COVID-19 symptoms; and the facility failed to conduct COVID-19 outbreak testing was conducted according to CDC guidance for 13 staff (DA-B, C-A, C-B, HSK-A, BUS-A, BUS-B, SS-A, MED-A, NA-J, NA-K, NA-L, NA-M and NA-N) who worked without participating in outbreak testing; and failed to ensure surveillance tracking of infections was completed for staff and residents. This had the potential to affect all residents and staff.
Fire safety inspections
12 fire safety citations on file: 4 on August 7, 2025, 5 on June 27, 2024, 3 on September 14, 2023.
Every fire safety citation12 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Ensure proper usage of power strips and extension cords.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have restrictions on the use of highly flammable decorations.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Inspect, test, and maintain automatic sprinkler systems.
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) | 5.04 | 4.19 | 3.86 |
| Registered nurses | 0.97 | 1.06 | 0.69 |
| All nursing staff on weekends | 4.15 | 3.71 | 3.42 |
| Nurse aides | 3.13 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 54.5% | 42.2% | 45.8% |
| Registered nurse turnover | 33.3% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.49 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 5.41 on weekdays and 4.15 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 39.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.81 in April to June 2025 to 5.04 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 | 5.04 | 0.97 | 5.41 | 4.15 | 39.6% | 0 of 90 | 38 |
| Oct to Dec 2025 | 4.77 | 0.71 | 5.09 | 3.96 | 45.2% | 1 of 92 | 40 |
| Jul to Sep 2025 | 4.72 | 0.76 | 5.03 | 3.92 | 43.1% | 0 of 92 | 42 |
| Apr to Jun 2025 | 4.81 | 0.87 | 5.20 | 3.83 | 0.4% | 0 of 91 | 40 |
| 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 | 21.4 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.7 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.9 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 10.4 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.1 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.1 | 17.1 | 15.4 |
Owners and operators
Legal business name: NORTH STAR MANOR.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| City of Warren Mn | 5% or greater direct ownership interest | Organization | 100% | 12/01/2017 |
| City of Warren Mn | Operational/managerial control | Organization | 12/01/2017 | |
| Skeim, Morgan | Operational/managerial control | Individual | 10/17/2022 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 30, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 27, 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 1 problem in this area, most recently on June 26, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 15, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
Other nursing homes nearby
- Valley Senior Living on Columbia Grand Forks, 23.9 mi · 4 of 5 stars · 13 citations
- Woodside Village Grand Forks, 24.9 mi · 4 of 5 stars · 11 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 North Star Manor's Medicare star rating?
- CMS rates North Star Manor 4 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did North Star Manor get at its last inspection?
- 0 health deficiencies at the standard inspection on August 7, 2025. The Minnesota average is 7.1.
- Has North Star Manor been fined?
- CMS lists no fines in the last three years.
- Does North Star 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 North Star Manor?
- CMS lists 3 owners and managers. Legal business name: NORTH STAR MANOR.
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.