Heritage Manor
321 Northeast Sixth Street, Chisholm, MN 55719
Heritage Manor is a nursing home in Chisholm, Minnesota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (218) 254-5765
- Last standard health inspection
- July 31, 2026 (3 months ago)
- Certified beds
- 65
- Residents per day, on average
- 59.9
- Ownership type
- Non profit - Corporation
- Legal business name
- Chisholm Health Center
- Chain
- St. Francis Health Services
- Takes part in
- Medicare and Medicaid
More health citations than the Minnesota average (41 vs 23).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
CMS abuse icon
CMS added its abuse icon to this home.
19 citations
Health inspection on July 31, 2026
CMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
53 of 337 Minnesota homes (16%) got a citation at the actual harm level in 2026.
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on September 14, 2026.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for F0550 2 times since 2025.
Citation F0657. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for F0657 2 times since 2025.
Citation F0883. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on September 14, 2026.
Citation F0895. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have a Compliance and Ethics Program.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 14, 2026.
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on September 14, 2026.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for F0554 2 times since 2025.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 14, 2026.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on September 14, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on September 14, 2026.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on September 14, 2026.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on September 14, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on September 14, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for F0656 2 times since 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for F0684 3 times since 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on September 14, 2026.
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for F0693 2 times since 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for F0695 3 times since 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for F0880 2 times since 2025.
10 citations
Fire safety inspection on July 31, 2026
CMS lists this as a standard inspection.
Citation K0223. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for K0223 3 times since 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for K0353 2 times since 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for K0712 3 times since 2024.
Citation K0225. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for K0225 2 times since 2024.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for K0324 2 times since 2025.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for K0355 2 times since 2024.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for K0363 2 times since 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 14, 2026.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for K0920 3 times since 2024.
Citation K0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on September 14, 2026.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5.
17 citations
Health inspection on June 26, 2025
CMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
68 of 337 Minnesota homes (20%) got a citation at the actual harm level in 2025.
Citation F0684. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 20, 2025.
Citation F0725. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on August 20, 2025.
Citation F0755. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on September 24, 2025.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 20, 2025.
Citation F0919. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on August 20, 2025.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on August 20, 2025.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on August 20, 2025.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on August 20, 2025.
Citation F0605. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on August 20, 2025.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on August 20, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on August 20, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on August 20, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 20, 2025.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on August 20, 2025.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on August 20, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on August 20, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 24, 2025.
9 citations
Fire safety inspection on June 26, 2025
CMS lists this as a standard inspection.
Citation K0226. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have horizontal exits used in accordance with safety requirements.
CMS lists it as corrected on August 20, 2025.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on August 20, 2025.
CMS has cited this home for K0372 2 times since 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on August 20, 2025.
Citation K0741. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on August 20, 2025.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on August 20, 2025.
Citation K0223. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on August 20, 2025.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on August 20, 2025.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on August 20, 2025.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on August 20, 2025.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
5 citations
Health inspection on May 16, 2024
CMS lists this as a standard inspection and a complaint inspection.
Citation F0731. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Request a waiver if it can't meet the nurse staffing requirements.
CMS lists it as corrected on July 1, 2024.
Citation F0636. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on July 1, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on July 1, 2024.
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 1, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 1, 2024.
11 citations
Fire safety inspection on May 16, 2024
CMS lists this as a standard inspection.
Citation K0223. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on July 1, 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on July 1, 2024.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on July 1, 2024.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on July 1, 2024.
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on July 1, 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on July 1, 2024.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on July 1, 2024.
Citation K0225. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on July 1, 2024.
Citation K0541. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install properly constructed and protected linen or trash chutes.
CMS lists it as corrected on July 1, 2024.
Citation K0912. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have power receptacles that are properly grounded.
CMS lists it as corrected on July 1, 2024.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on July 1, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 1 of 5.
Ownership
CMS lists this home under a new chain.
Staffing
Total nurse staffing reported to CMS went from 4.0 to 3.0 hours per resident per day.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- BIG STONE THERAPIES, INCOperational/managerial control · not applicable · since 02/03/2015
- EIDE BAILLY LLPOperational/managerial control · not applicable · since 01/03/2023
- ST. FRANCIS HEALTH SERVICES OF MORRIS, INCOperational/managerial control · not applicable · since 05/10/2002
- ANDERSON, EMILYOperational/managerial control · not applicable · since 06/02/2017
- BACH, CURTISOperational/managerial control · not applicable · since 08/28/2024
- BAY, ESAOperational/managerial control · not applicable · since 08/07/2025
- BLEVINS, ROSANNEOperational/managerial control · not applicable · since 05/18/2018
- BURROWS, AMANDAOperational/managerial control · not applicable · since 01/02/2024
- CASPERS, MEGANOperational/managerial control · not applicable · since 12/29/2014
- COPEMAN, JEFFREYOperational/managerial control · not applicable · since 01/01/2025
- DRIPPS, DANIELOperational/managerial control · not applicable · since 01/01/2016
- EHLERS, DOUGLASOperational/managerial control · not applicable · since 01/01/2023
- GOODNOUGH, JENNIFEROperational/managerial control · not applicable · since 01/01/2021
- GRAMM, TIMOTHYOperational/managerial control · not applicable · since 01/01/2023
- HANNEKEN, MICHELLEOperational/managerial control · not applicable · since 07/20/2022
- HEJHAL, ROXANNEOperational/managerial control · not applicable · since 04/10/2023
- HOFMANN, REEDOperational/managerial control · not applicable · since 05/08/2023
- INCONTRO, ELISABETHOperational/managerial control · not applicable · since 04/17/2013
- JUST, MATTHEWOperational/managerial control · not applicable · since 01/01/2025
- LAIR, MICHAELOperational/managerial control · not applicable · since 01/01/2025
- LIENEMANN, STEVENOperational/managerial control · not applicable · since 01/01/2025
- LUETMER, JOHNOperational/managerial control · not applicable · since 01/01/2021
- MARLOW, JINAOperational/managerial control · not applicable · since 06/06/2022
- MCGRAW, CINDYOperational/managerial control · not applicable · since 03/15/1988
- NELSON, PATRICKOperational/managerial control · not applicable · since 01/01/2020
- PETERSON-DEVRIES, CAMIOperational/managerial control · not applicable · since 05/08/2022
- RAW, CAROLOperational/managerial control · not applicable · since 08/16/2005
- RENTZ, LAURAOperational/managerial control · not applicable · since 01/01/2024
- RENTZ, MARKOperational/managerial control · not applicable · since 04/22/2024
- RENTZ, PAULOperational/managerial control · not applicable · since 01/01/2021
- ROCHE, SHANEOperational/managerial control · not applicable · since 05/08/2017
- RYAN, BENOperational/managerial control · not applicable · since 12/27/2012
- RYAN, GEOFFREYOperational/managerial control · not applicable · since 01/12/1998
- SCHNEIDER, TODDOperational/managerial control · not applicable · since 07/01/2013
- STOCK, KELSEYOperational/managerial control · not applicable · since 06/01/2022
- THOMPSON, RENEEOperational/managerial control · not applicable · since 10/10/2018
- TOMOSON, APRILOperational/managerial control · not applicable · since 07/12/2021
- TOWNLEY, GLENDAOperational/managerial control · not applicable · since 02/08/1999
- WALKER, AMYOperational/managerial control · not applicable · since 05/13/2024
- WIESE, LORRAINEOperational/managerial control · not applicable · since 07/25/2017
Questions
When was Heritage Manor last inspected?
CMS lists July 31, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Heritage Manor have?
CMS lists 41 health citations since May 16, 2024. CMS also calls these deficiencies.
Has Heritage Manor been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Heritage Manor?
Its CMS overall star rating is 1 of 5.
Is Heritage Manor a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.