Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HERITAGE MANOR

CHISHOLM, MN · 65 certified beds · Last Life Safety survey July 31, 2026

CMS Certification Number 245245 · first certified September 1982

Ownership

Operated by ST. FRANCIS HEALTH SERVICES · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MN

30 citations — more than 96% of the 337 certified nursing homes in MN. Compared within MN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in CMS's current file.

The latest survey found 10 citations; the earlier surveys on file averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 8 months from now. This facility’s last Life Safety survey was July 2026. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 641 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 30 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations in CMS's current file

Compared with the median facility in MN, and nationally. Surveyors differ markedly between states, so the MN figure is the meaningful one.

Citations in CMS's current file, compared
Measure	Citations
This facility	30
Median facility in MN	12
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
May 16, 2024	11
June 26, 2025	9
July 31, 2026	10

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	3	2026-07-31
K-0920	Ensure proper usage of power strips and extension cords.	3	2026-07-31
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	3	2026-07-31
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	2	2026-07-31
K-0324	Provide properly protected cooking facilities.	2	2026-07-31
K-0363	Install corridor and hallway doors that block smoke.	2	2026-07-31
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-07-31
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	2	2026-07-31

What the citations cover

Citations by CMS category

Smoke Deficiencies 10
Egress Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 6
Miscellaneous Deficiencies 5
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	10
Egress Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	6
Miscellaneous Deficiencies	5
Services Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 31, 2026 — 10 citations

Citations issued on July 31, 2026
Tag	What the surveyor checks	Status
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (September 14, 2026)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (September 14, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (September 14, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (September 14, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (September 14, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 14, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (September 14, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 14, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (September 14, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (September 14, 2026)

June 26, 2025 — 9 citations

Citations issued on June 26, 2025
Tag	What the surveyor checks	Status
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (August 20, 2025)
K-0226	Have horizontal exits used in accordance with safety requirements.	Deficient, Provider has date of correction (August 20, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 20, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 20, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (August 20, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 20, 2025)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (August 20, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 20, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (August 20, 2025)

May 16, 2024 — 11 citations

Citations issued on May 16, 2024
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (July 1, 2024)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (July 1, 2024)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (July 1, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 1, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (July 1, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (July 1, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (July 1, 2024)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (July 1, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (July 1, 2024)
K-0912	Have power receptacles that are properly grounded.	Deficient, Provider has date of correction (July 1, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (July 1, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.