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Heritage Manor

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Heritage Manor is a non profit - church related facility in CHISHOLM, MN with 65 certified beds and a 1-star overall CMS rating. The facility has 25 deficiency records on file.

321 NORTHEAST SIXTH STREET, CHISHOLM, MN 55719

Phone: 2182545765

Overall Rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
245245
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
Beds
65
Residents
57
In Hospital
No
County
St. Louis
Last Inspection
Jun 26, 2025

Staffing Data

RN Hours
N/A (nat'l avg: 0.68)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.89)
PT Hours
N/A
Nursing Turnover
24.6%
RN Turnover
25.0%

What the CMS Record Reveals About Heritage Manor

Heritage Manor operates 65 certified beds in CHISHOLM, MN with approximately 57 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold.

Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Heritage Manor falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 24.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

E — Pattern - Minimal harm Jun 26, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 24, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 20, 2025

F — Widespread - Minimal harm Jun 26, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Aug 20, 2025

F — Widespread - Minimal harm Jun 26, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 24, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 20, 2025

G — Isolated - Actual harm Jun 26, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Aug 20, 2025

F — Widespread - Minimal harm Jun 26, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm May 16, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 1, 2024

F — Widespread - Minimal harm May 16, 2024 Tag: 0731

Request a waiver if it can't meet the nurse staffing requirements.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 16, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 16, 2024 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 16, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm Mar 9, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 17, 2023

D — Isolated - Minimal harm Mar 9, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 17, 2023

D — Isolated - Minimal harm Mar 9, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 17, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 8.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 30.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.8% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Heritage Manor?
Heritage Manor has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (2★).
What are the staffing levels at Heritage Manor?
Heritage Manor reports N/A total nursing hours per resident day (national average: 3.89). RN hours are N/A per resident day (national average: 0.68). Nursing staff turnover is 24.6%.
How many beds does Heritage Manor have?
Heritage Manor has 65 certified beds with approximately 57 residents. The facility is located at 321 NORTHEAST SIXTH STREET, CHISHOLM, MN 55719.
Does Heritage Manor have any deficiencies on record?
Yes, Heritage Manor has 25 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Heritage Manor received any fines or penalties?
No, Heritage Manor has no fines or penalties on record.
Who owns Heritage Manor?
Heritage Manor is classified as "Non profit - Church related" ownership. The facility type is "Medicare and Medicaid".
When was Heritage Manor last inspected?
The most recent health inspection for Heritage Manor was on Jun 26, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Heritage Manor?
Heritage Manor is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial