Elder Care Record

Minnesota › Cook County › Grand Marais

North Shore Health

515 - 5th Avenue West, Grand Marais, MN 55604

CCN 245384 · Government, hospital district · 37 certified beds

Located in a hospital
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.

Certified for 37 beds, North Shore Health serves Grand Marais in Cook County, Minnesota and has taken Medicare and Medicaid residents since 1987.

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

Inspectors recorded 8 health deficiencies across the three most recent survey cycles (2, 4, 2 by cycle, most recent first), none at the actual-harm level. That is 21.6 per 100 beds, fewer 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 4.6 hours per resident per day (1.9 RN), close to the Minnesota median of 4.2; nursing staff turnover is 71.8%.

8health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.6nurse hours per resident per daystate median 4.2
75%occupancy (residents ÷ beds)28 residents a day

Compared with county, state and nation

MeasureThis facilityCook Co. medianMinnesota medianUS average
Overall star rating4433.0
Health citations, 3 cycles882028.7
Citations per 100 beds21.621.630.026.8
Total nurse hours per resident day4.64.64.23.9
RN hours per resident day1.91.91.00.7
Nursing staff turnover71.8%71.8%40.0%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 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)2
Cycle 24
Cycle 32

Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 May 2026, 31 Jul 2025.

Severity mix: D ×6 E ×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)
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 May 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey19 Jun 2026
27 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey19 Jun 2026
31 Jul 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey19 Sep 2025
31 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey2 Sep 2025
31 Jul 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey19 Sep 2025
31 Jul 2025F0880Provide and implement an infection prevention and control program.CStandard survey3 Sep 2025
1 Aug 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey30 Aug 2024
1 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey30 Aug 2024

Penalties

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

Staffing

Total nursing4.59 h
Nurse aides2.52 h
LPN0.15 h
RN1.92 h
Weekend total3.92 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 71.8%, RNs 61.5%; 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 Stay29.6%18.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%1.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.6%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.7%3.7%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.2%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.5%4.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay13.4%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: government, hospital district. Legal business name: Cook County Hospital District.

OrganisationRole in the CMS recordInterestSince
Cook County Hospital DistrictOperational/managerial controlNOT APPLICABLE01/01/1987
River of Life RehabAdp of the snfNOT APPLICABLE04/09/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has North Shore Health been cited for?

8 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 North Shore Health been fined?

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

How does staffing at North Shore Health compare?

Reported total nurse staffing is 4.6 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.

Who operates North Shore Health?

Ownership type is government, hospital district. Organisations in the CMS ownership record include Cook County Hospital District. Individual owners and managers are not listed on this site.

When was North Shore Health last inspected?

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