The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Heritage Manor
CHISHOLM, MN · Medicare-certified · 65 beds
Needs attention
Non-profitChain member
1 of 5 overall
Heritage Manor in Chisholm, MN has a 1 out of 5 overall rating, with 1-star health inspection and quality ratings, despite a 4-star staffing rating. Reported nursing staffing is 3.43 hours per resident per day, below the federal benchmark of 4.1, and it has no fines in the last 24 months; recent inspection citations included care and treatment, staffing coverage, and pharmaceutical services.
Facility ratings
Health inspections
Staffing
3.4327 hrs/resident/day
Quality measures
Last inspection: June 26, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4327.
Staffing detail
- Registered nurses
- 0.87
- Licensed practical nurses
- 0.78
- Nurse aides
- 1.79
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.2%Improving
Residents with a fall causing major injury
7.4%Worsening
Residents with pressure ulcers (bedsores)
5.8%Worsening
Residents with a urinary tract infection
7.6%Improving
Residents who lost too much weight
9.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
24%Improving
Residents whose ability to walk got worse
34.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.7%Improving
Short-stay residents newly given an antipsychotic
3.4%Improving
Residents with a long-term catheter
3.2%Improving
Residents with new or worsening incontinence
33.6%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
97.1%Steady
Short-stay residents given the pneumonia vaccine
98.7%Steady
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure it had enough nursing staff to meet required care needs. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 731 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Chain
- Part of ST. FRANCIS HEALTH SERVICES · 14 homes · 2.6 stars avg
- Occupancy
- 57.3 residents on an average day (88% of 65 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 43 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.