Minnesota › St. Louis County › Duluth
Bayshore Residence and Rehabilitation Center
1601 St Louis Avenue, Duluth, MN 55802
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Bayshore Residence and Rehabilitation Center is a For-profit, limited liability company nursing home in Duluth, Minnesota, certified for 140 beds and caring for about 98 residents a day.
CMS gives it 2 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 2, staffing 4 and quality measures 2.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (12, 13, 12 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 26.4 per 100 beds, about the same as the state median of 30.0.
CMS lists 3 penalties in the period covered: fines totalling $132K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.8 RN), close to the Minnesota median of 4.2; nursing staff turnover is 58.0%.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 24 | 20 | 28.7 |
| Citations per 100 beds | 26.4 | 34.3 | 30.0 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.7 | 4.2 | 3.9 |
| RN hours per resident day | 0.8 | 1.0 | 1.0 | 0.7 |
| Nursing staff turnover | 58.0% | 46.2% | 40.0% | 45.8% |
| Fines listed | $132,398 | $0 | $0 | — |
County and state figures are medians across facilities (17 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Jun 2026, 17 Apr 2025.
Severity mix: J ×2 K ×1 D ×25 E ×7 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2026 | F0761 | 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. | E | Standard survey | 7 Aug 2026 |
| 26 Jun 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 7 Aug 2026 |
| 26 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Aug 2026 |
| 26 Jun 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 7 Aug 2026 |
| 26 Jun 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 7 Aug 2026 |
| 26 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Aug 2026 |
| 26 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Aug 2026 |
| 26 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Aug 2026 |
| 26 Jun 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 7 Aug 2026 |
| 26 Jun 2026 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | B | Standard survey | 7 Aug 2026 |
| 4 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Dec 2025 |
| 4 Dec 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 16 Dec 2025 |
| 17 Apr 2025 | F0761 | 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. | E | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 20 May 2025 |
| 17 Apr 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 20 May 2025 |
| 27 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 6 Jul 2024 |
| 28 May 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | J | Standard survey | 21 Jun 2024 |
| 28 May 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 21 Jun 2024 |
| 28 May 2024 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Standard survey | 21 Jun 2024 |
| 28 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Jun 2024 |
| 28 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 21 Jun 2024 |
| 28 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 21 Jun 2024 |
| 28 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 21 Jun 2024 |
| 28 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 Jun 2024 |
| 28 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Jun 2024 |
| 28 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Jun 2024 |
| 20 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 May 2024 | Payment denial | — | 10 days |
| 28 May 2024 | Fine | $122,175 | |
| 20 Apr 2024 | Fine | $10,223 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 58.0%, RNs 30.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.3% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.2% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.8% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.0% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. CMS groups this facility with 22 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Duluth Nursing And Rehabilitation Center Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cbay Bayshore Holdings LLC | 5% or greater direct ownership interest | 13% | 03/31/2016 |
| Mb Duluth Holdings LLC | 5% or greater direct ownership interest | 21% | 03/31/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Boundary Waters Care Center | Ely | 38 | 5 | 5 | 5 | 11 | 28.9 | — | 16 Oct 2024 |
| Ecumen Lakeshore | Duluth | 60 | 5 | 5 | 5 | 2 | 3.3 | — | 7 Aug 2025 |
| Essentia Health Northern Pines Medical Center | Aurora | 33 | 5 | 5 | 5 | 5 | 15.2 | — | 25 Oct 2023 |
| Essentia Health Virginia Care Cent | Virginia | 40 | 5 | 4 | 5 | 9 | 22.5 | — | 26 Mar 2026 |
| Cook Hospital & Care Center | Cook | 28 | 4 | 4 | 4 | 11 | 39.3 | — | 29 May 2026 |
| Cornerstone Villa | Buhl | 43 | 3 | 3 | 4 | 20 | 46.5 | $11K | 4 Dec 2025 |
| Viewcrest Health Center | Duluth | 88 | 3 | 3 | 4 | 25 | 28.4 | $71K | 2 Jun 2026 |
| Guardian Angels Health & Rehab Center | Hibbing | 65 | 2 | 1 | 5 | 41 | 63.1 | $26K | 20 Aug 2025 |
All 17 facilities in St. Louis County
Questions and answers
How many deficiencies has Bayshore Residence and Rehabilitation Center been cited for?
37 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Bayshore Residence and Rehabilitation Center been fined?
Yes. CMS lists fines totalling $132K in the period covered, plus 1 payment denial.
How does staffing at Bayshore Residence and Rehabilitation Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Bayshore Residence and Rehabilitation Center?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cbay Bayshore Holdings LLC and Mb Duluth Holdings LLC. Individual owners and managers are not listed on this site.
When was Bayshore Residence and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 26 Jun 2026; the most recent standard health survey was 26 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.