Heartwood

Inspection findings

1. Jul 23, 2025 Health · 3 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0699 Quality of Life and Care Deficiencies

     Provide care or services that was trauma informed and/or culturally competent.

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0226 Egress Deficiencies

     Have horizontal exits used in accordance with safety requirements.

     Corrected Aug 21, 2025 · CMS fire safety

2. Aug 7, 2024 Health · 11 findings
   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Sep 4, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Sep 4, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 4, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Sep 4, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Aug 13, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Aug 13, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Aug 13, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Aug 13, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0751 Miscellaneous Deficiencies

     Have restrictions on the use of flammable curtains.

     Corrected Aug 13, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0914 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

     Corrected Aug 13, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Aug 13, 2024 · CMS fire safety

3. Jul 19, 2023 Health · 5 findings
   • Not serious Scope/severity E

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Aug 25, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0281 Egress Deficiencies

     Install proper backup exit lighting.

     Corrected Sep 25, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 25, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Aug 25, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Aug 24, 2023 · CMS fire safety

4. Jun 15, 2022 MDH complaint investigation · 1 finding
   • Severity not stated

     H52322045C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

5. May 12, 2021 MDH complaint investigation · 2 findings
   • Severity not stated

     H5232048C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

   • Severity not stated

     H5232049C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

6. Aug 14, 2020 MDH complaint investigation · 2 findings
   • Severity not stated

     H5232044C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

   • Severity not stated

     H5232046C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

7. Aug 3, 2020 MDH complaint investigation · 1 finding
   • Severity not stated

     H5232047C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

Owners and managers (as published by CMS)

• BERG, KATIE — corporate officer, NOT APPLICABLE, since 05/17/2023
• BERG, KATIE — adp of the snf, NOT APPLICABLE, since 01/08/2025
• BERG, KATIE — operational/managerial control, NOT APPLICABLE, since 01/02/2025
• BERG, KATIE — corporate director, NOT APPLICABLE, since 05/17/2023
• BLANK, KIMBERLY — operational/managerial control, NOT APPLICABLE, since 01/02/2025
• BLANK, KIMBERLY — corporate director, NOT APPLICABLE, since 05/17/2023
• BLANK, KIMBERLY — adp of the snf, NOT APPLICABLE, since 01/08/2025
• BURGSTALER, LORI — adp of the snf, NOT APPLICABLE, since 01/08/2025
• GOODWIN, DAVID — corporate director, NOT APPLICABLE, since 05/17/2023
• GOODWIN, DAVID — adp of the snf, NOT APPLICABLE, since 01/08/2025
• GRAMS, JENNIFER — adp of the snf, NOT APPLICABLE, since 01/08/2025
• GRAMS, JENNIFER — operational/managerial control, NOT APPLICABLE, since 01/08/2025
• HALL, MICHAEL — adp of the snf, NOT APPLICABLE, since 01/02/2025
• HART, AMY — adp of the snf, NOT APPLICABLE, since 01/02/2025
• HART, AMY — operational/managerial control, NOT APPLICABLE, since 01/02/2025
• HART, AMY — corporate director, NOT APPLICABLE, since 05/17/2023
• HART, AMY — corporate officer, NOT APPLICABLE, since 05/17/2023
• HOLMGREN, PAIGE — adp of the snf, NOT APPLICABLE, since 01/02/2025
• HOROWITZ, JOSHUA — adp of the snf, NOT APPLICABLE, since 01/02/2025
• KAUPHUSMAN, DAVID — adp of the snf, NOT APPLICABLE, since 01/02/2025
• LARSON, DUANE — corporate director, NOT APPLICABLE, since 05/17/2023
• LARSON, DUANE — operational/managerial control, NOT APPLICABLE, since 01/02/2025
• LINDH, DANIEL — corporate officer, NOT APPLICABLE, since 05/17/2023
• LINDH, DANIEL — corporate director, NOT APPLICABLE, since 05/17/2023
• LINDH, DANIEL — adp of the snf, NOT APPLICABLE, since 01/02/2025
• LINDH, DANIEL — operational/managerial control, NOT APPLICABLE, since 01/02/2025
• MEYER, MARK — corporate director, NOT APPLICABLE, since 11/09/2022
• MEYER, MARK — adp of the snf, NOT APPLICABLE, since 01/08/2025
• MEYER, MARK — operational/managerial control, NOT APPLICABLE, since 01/02/2025
• MEYER, MARK — corporate officer, NOT APPLICABLE, since 11/09/2022
• PEDERSON, MARK — adp of the snf, NOT APPLICABLE, since 01/08/2025
• ROGERS, GRETCHEN — adp of the snf, NOT APPLICABLE, since 01/14/2025
• SKJEVELAND, JAMIE — adp of the snf, NOT APPLICABLE, since 01/02/2025
• TAYLOR, BART — adp of the snf, NOT APPLICABLE, since 01/14/2025
• TWIGG, ROGER — adp of the snf, NOT APPLICABLE, since 01/02/2025
• CROSBY SENIOR SERVICES — 5% or greater direct ownership interest, since 11/09/2022
• CROSBY SENIOR SERVICES — adp of the snf, NOT APPLICABLE, since 01/02/2025
• CUYUNA RANGE HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 01/22/2025
• CUYUNA REGIONAL MEDICAL CENTER — 5% or greater direct ownership interest, since 11/09/2022
• CUYUNA REGIONAL MEDICAL CENTER — operational/managerial control, NOT APPLICABLE, since 05/17/2023
• CUYUNA REGIONAL MEDICAL CENTER — adp of the snf, NOT APPLICABLE, since 01/02/2025
• PHS MANAGEMENT, LLC — operational/managerial control, NOT APPLICABLE, since 05/17/2023
• PHS MANAGEMENT, LLC — adp of the snf, NOT APPLICABLE, since 01/07/2025
• PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. — adp of the snf, NOT APPLICABLE, since 01/07/2025
• PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. — 5% or greater direct ownership interest, since 11/09/2022
• PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. — operational/managerial control, NOT APPLICABLE, since 01/02/2025
• U.S. BANK — 5% or greater security interest, NOT APPLICABLE, since 05/17/2023
• U.S. BANK — 5% or greater mortgage interest, NOT APPLICABLE, since 05/17/2023