Minnesota › St. Louis County › Duluth
The North Shore Estates LLC
7700 Grand Avenue, Duluth, MN 55807
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.
The North Shore Estates LLC is a For-profit, partnership nursing home in Duluth, Minnesota, certified for 70 beds and caring for about 64 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 24 health deficiencies across the three most recent survey cycles (10, 6, 8 by cycle, most recent first), none at the actual-harm level. That is 34.3 per 100 beds, about the same as the state median of 30.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.2 hours per resident per day (0.6 RN), below the Minnesota median of 4.2; nursing staff turnover is 32.1%.
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 | 24 | 24 | 20 | 28.7 |
| Citations per 100 beds | 34.3 | 34.3 | 30.0 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.7 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 1.0 | 1.0 | 0.7 |
| Nursing staff turnover | 32.1% | 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
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Feb 2026, 20 Mar 2025.
Severity mix: D ×13 E ×9 F ×2
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 |
|---|---|---|---|---|---|
| 12 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 18 Mar 2026 |
| 12 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 18 Mar 2026 |
| 12 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 18 Mar 2026 |
| 12 Feb 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 | 18 Mar 2026 |
| 12 Feb 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 18 Mar 2026 |
| 12 Feb 2026 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 18 Mar 2026 |
| 12 Feb 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 | 18 Mar 2026 |
| 12 Feb 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 18 Mar 2026 |
| 12 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 Mar 2026 |
| 12 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Mar 2026 |
| 20 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Apr 2025 |
| 20 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 9 Apr 2025 |
| 20 Mar 2025 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 9 Apr 2025 |
| 20 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Apr 2025 |
| 20 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 9 Apr 2025 |
| 20 Mar 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 | 9 Apr 2025 |
| 1 Feb 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 22 Feb 2024 |
| 1 Feb 2024 | 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 | 22 Feb 2024 |
| 1 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Feb 2024 |
| 1 Feb 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 22 Feb 2024 |
| 1 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 Feb 2024 |
| 1 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Feb 2024 |
| 1 Feb 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 22 Feb 2024 |
| 1 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 Feb 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 32.1%, 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 | 16.4% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 7.5% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.4% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 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 | 26.0% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.2% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.8% | 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, partnership. Chain: Monarch Healthcare Management (45 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hml LLC | 5% or greater direct ownership interest | 12% | 07/01/2016 |
| Nij LLC | 5% or greater direct ownership interest | 14% | 07/01/2016 |
| Spartan Healthcare LLC | 5% or greater direct ownership interest | 23% | 07/01/2016 |
| Yazoma Holdings, LLC | 5% or greater direct ownership interest | 23% | 07/01/2016 |
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 |
| Bayshore Residence and Rehabilitation Center | Duluth | 140 | 2 | 2 | 4 | 37 | 26.4 | $132K | 26 Jun 2026 |
All 17 facilities in St. Louis County
Questions and answers
How many deficiencies has The North Shore Estates LLC been cited for?
24 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 The North Shore Estates LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The North Shore Estates LLC compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates The North Shore Estates LLC?
It is part of the Monarch Healthcare Management chain. Ownership type is for-profit, partnership. Organisations in the CMS ownership record include Hml LLC, Nij LLC and Spartan Healthcare LLC. Individual owners and managers are not listed on this site.
When was The North Shore Estates LLC last inspected?
The most recent survey or investigation in the CMS record is dated 12 Feb 2026; the most recent standard health survey was 12 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.