Heritage Manor
321 NORTHEAST SIXTH STREET
CHISHOLM, MN, 55719
2182545765
CCN: 245245
1
Overall1
Health1
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| GOODNOUGH, JENNIFER | CORPORATE DIRECTOR | NOT APPLICABLE |
| LETENDRE, PAUL | CORPORATE DIRECTOR | NOT APPLICABLE |
| LUETMER, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MEICHSNER, ELIZABETH | CORPORATE DIRECTOR | NOT APPLICABLE |
| NELSON, PATRICK | CORPORATE DIRECTOR | NOT APPLICABLE |
| RAW, CAROL | CORPORATE DIRECTOR | NOT APPLICABLE |
| RELCOSKY, JOAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| RENTZ, PAUL | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHNEIDER, TODD | CORPORATE DIRECTOR | NOT APPLICABLE |
| SEALES, JENNIFER | CORPORATE DIRECTOR | NOT APPLICABLE |
| SPERR, TAMELA | CORPORATE DIRECTOR | NOT APPLICABLE |
| THOOFT, ALYSSA | CORPORATE DIRECTOR | NOT APPLICABLE |
| WIESE, LORRAINE | CORPORATE DIRECTOR | NOT APPLICABLE |
| DRIPPS, DANIEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| PETERSON-DEVRIES, CAMILLA | CORPORATE OFFICER | NOT APPLICABLE |
| CHAMBERS, MARI | CORPORATE OFFICER | NOT APPLICABLE |
| PETERSON-DEVRIES, CAMILLA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RAW, CAROL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RYAN, GEOFFRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WAGNER, SHERRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ST. FRANCIS HEALTH SERVICES OF MORRIS, INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHAMBERS, MARI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHAMBERS, MARI | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| RAW, CAROL | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| RYAN, GEOFFRY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| WAGNER, SHERRY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| PETERSON-DEVRIES, CAMILLA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (25)
2025-06-26 · Health
E
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
F
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
G
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-05-16 · Health
F
F731 · Nursing and Physician Services Deficiencies
Request a waiver if it can't meet the nurse staffing requirements.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F693 · Quality of Life and Care Deficiencies
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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
2023-03-09 · Health
D
F761 · Pharmacy Service Deficiencies
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.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
No data
3.68RN Hrs/Resident/Day
No data
0.54LPN Hrs/Resident/Day
No data
0.81CNA Hrs/Resident/Day
No data
2.33PT Hrs/Resident/Day
No data
0.12Data as of 2026-03-01