Elder Care Record

Minnesota › St. Louis County › Duluth

Franciscan Health Center

3910 Minnesota Avenue, Duluth, MN 55802

CCN 245258 · Non-profit, corporation · 47 certified beds · chain St. Francis Health Services

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Franciscan Health Center, in Duluth, Minnesota, is certified for 47 beds under non-profit, corporation ownership and belongs to the St. Francis Health Services chain.

CMS gives it 1 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 2, staffing 4 and quality measures 1.

Inspectors recorded 41 health deficiencies across the three most recent survey cycles (14, 15, 12 by cycle, most recent first), none at the actual-harm level. That is 87.2 per 100 beds, more than the state median of 30.0.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.8 hours per resident per day (1.2 RN), close to the Minnesota median of 4.2; nursing staff turnover is 46.2%.

41health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.8nurse hours per resident per daystate median 4.2
78%occupancy (residents ÷ beds)37 residents a day

Compared with county, state and nation

MeasureThis facilitySt. Louis Co. medianMinnesota medianUS average
Overall star rating1233.0
Health citations, 3 cycles41242028.7
Citations per 100 beds87.234.330.026.8
Total nurse hours per resident day3.83.74.23.9
RN hours per resident day1.21.01.00.7
Nursing staff turnover46.2%46.2%40.0%45.8%
Fines listed$0$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

Cycle 1 (latest)14
Cycle 215
Cycle 312

Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Feb 2026, 12 Dec 2024.

Severity mix: D ×29 E ×8 F ×3 B ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
27 Feb 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey28 Apr 2026
27 Feb 2026F0761Ensure 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.EStandard survey28 Apr 2026
27 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey28 Apr 2026
27 Feb 2026F0880Provide and implement an infection prevention and control program.EStandard survey28 Apr 2026
27 Feb 2026F0641Ensure each resident receives an accurate assessment.DStandard survey28 Apr 2026
27 Feb 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey28 Apr 2026
27 Feb 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey28 Apr 2026
27 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation28 Apr 2026
27 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Apr 2026
27 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey28 Apr 2026
27 Feb 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 Apr 2026
27 Feb 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey28 Apr 2026
27 Feb 2026F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey28 Apr 2026
29 Jan 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation27 Feb 2026
12 Dec 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey31 Jan 2025
12 Dec 2024F0761Ensure 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.FStandard survey31 Jan 2025
12 Dec 2024F0574The resident has the right to receive notices in a format and a language he or she understands.EStandard survey31 Jan 2025
12 Dec 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey31 Jan 2025
12 Dec 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey31 Jan 2025
12 Dec 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey31 Jan 2025
12 Dec 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey31 Jan 2025
12 Dec 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey31 Jan 2025
12 Dec 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey31 Jan 2025
12 Dec 2024F0880Provide and implement an infection prevention and control program.DStandard survey31 Jan 2025
12 Dec 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey31 Jan 2025
12 Dec 2024F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey31 Jan 2025
9 Aug 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation6 Sep 2024
9 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Sep 2024
9 Aug 2024F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint investigation6 Sep 2024
19 Mar 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation15 Apr 2024
19 Mar 2024F0610Respond appropriately to all alleged violations.DComplaint investigation15 Apr 2024
5 Oct 2023F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey22 Nov 2023
5 Oct 2023F0570Assure the security of all personal funds of residents deposited with the facility.EStandard survey22 Nov 2023
5 Oct 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey22 Nov 2023
5 Oct 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey22 Nov 2023
5 Oct 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey22 Nov 2023
5 Oct 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey22 Nov 2023
5 Oct 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey22 Nov 2023
5 Oct 2023F0758Implement 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.DStandard survey22 Nov 2023
5 Oct 2023F0880Provide and implement an infection prevention and control program.DStandard survey22 Nov 2023
5 Oct 2023F0641Ensure each resident receives an accurate assessment.BStandard survey22 Nov 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.8 h
Nurse aides2.22 h
LPN0.39 h
RN1.19 h
Weekend total3.26 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 46.2%, RNs 31.3%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMinnesota medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay30.5%18.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.6%1.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.5%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.4%3.7%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay31.4%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay9.5%4.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.5%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: non-profit, corporation. Legal business name: Duluth Health Services. Chain: St. Francis Health Services (14 facilities).

OrganisationRole in the CMS recordInterestSince
Big Stone Therapies, IncOperational/managerial controlNOT APPLICABLE02/03/2015
Eide Bailly LLPOperational/managerial controlNOT APPLICABLE01/03/2023
Big Stone Therapies, IncAdp of the snfNOT APPLICABLE10/22/2025
Eide Bailly LLPAdp of the snfNOT APPLICABLE10/22/2025

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Boundary Waters Care CenterEly385551128.9—16 Oct 2024
Ecumen LakeshoreDuluth6055523.3—7 Aug 2025
Essentia Health Northern Pines Medical CenterAurora33555515.2—25 Oct 2023
Essentia Health Virginia Care CentVirginia40545922.5—26 Mar 2026
Cook Hospital & Care CenterCook284441139.3—29 May 2026
Cornerstone VillaBuhl433342046.5$11K4 Dec 2025
Viewcrest Health CenterDuluth883342528.4$71K2 Jun 2026
Bayshore Residence and Rehabilitation CenterDuluth1402243726.4$132K26 Jun 2026

All 17 facilities in St. Louis County

Questions and answers

How many deficiencies has Franciscan Health Center been cited for?

41 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.

Has Franciscan Health Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Franciscan Health Center compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.

Who operates Franciscan Health Center?

It is part of the St. Francis Health Services chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Big Stone Therapies, Inc and Eide Bailly LLP. Individual owners and managers are not listed on this site.

When was Franciscan Health Center last inspected?

The most recent survey or investigation in the CMS record is dated 27 Feb 2026; the most recent standard health survey was 27 Feb 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.