Elder Care Record

Minnesota › Lake County › Two Harbors

The Waterview Shores LLC

402 - 13th Avenue, Two Harbors, MN 55616

CCN 245471 · For-profit, limited liability company · 44 certified beds · chain Monarch Healthcare Management

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.

The Waterview Shores LLC is a For-profit, limited liability company nursing home in Two Harbors, Minnesota, certified for 44 beds and caring for about 36 residents a day.

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

Inspectors recorded 26 health deficiencies across the three most recent survey cycles (10, 9, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 59.1 per 100 beds, more than the state median of 30.0.

CMS lists 1 penalty in the period covered: fines totalling $334K.

Reported nurse staffing is 3.3 hours per resident per day (0.7 RN), below the Minnesota median of 4.2; nursing staff turnover is 64.4%.

26health deficiencies, 3 survey cycles2 at actual harm or worse
$334Kfines listed by CMS1 penalty in period
3.3nurse hours per resident per daystate median 4.2
82%occupancy (residents ÷ beds)36 residents a day

Compared with county, state and nation

MeasureThis facilityLake Co. medianMinnesota medianUS average
Overall star rating1433.0
Health citations, 3 cycles26262028.7
Citations per 100 beds59.159.130.026.8
Total nurse hours per resident day3.35.04.23.9
RN hours per resident day0.71.61.00.7
Nursing staff turnover64.4%64.4%40.0%45.8%
Fines listed$334,488$334,488$0—

County and state figures are medians across facilities (2 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)10
Cycle 29
Cycle 37

Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 25 Apr 2024.

Severity mix: J ×1 G ×1 D ×19 E ×2 F ×3

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
4 May 2026F0760Ensure that residents are free from significant medication errors.JComplaint investigation1 May 2026
4 May 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation1 May 2026
11 Sep 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.GComplaint investigation29 Aug 2025
22 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation18 Sep 2025
5 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 Jul 2025
5 Jun 2025F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey3 Jul 2025
5 Jun 2025F0880Provide and implement an infection prevention and control program.FStandard survey3 Jul 2025
5 Jun 2025F0641Ensure each resident receives an accurate assessment.DStandard survey3 Jul 2025
5 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey3 Jul 2025
5 Jun 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey3 Jul 2025
6 Nov 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation2 Dec 2024
6 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation2 Dec 2024
25 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey21 May 2024
25 Apr 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey21 May 2024
25 Apr 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey21 May 2024
25 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey21 May 2024
25 Apr 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey21 May 2024
25 Apr 2024F0880Provide and implement an infection prevention and control program.DStandard survey21 May 2024
25 Apr 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey21 May 2024
25 Jan 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation2 Feb 2024
27 Jul 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey13 Sep 2023
27 Jul 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey13 Sep 2023
27 Jul 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey13 Sep 2023
27 Jul 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Sep 2023
27 Jul 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey13 Sep 2023
27 Jul 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey13 Sep 2023

Penalties

DateTypeAmountDetail
4 May 2026Fine$334,488

Staffing

Total nursing3.32 h
Nurse aides2.21 h
LPN0.37 h
RN0.74 h
Weekend total2.91 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 64.4%, RNs 55.6%; 1 administrator 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 Stay11.1%18.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%1.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.5%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.8%3.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.4%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.0%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.1%4.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay47.3%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. Chain: Monarch Healthcare Management (45 facilities).

OrganisationRole in the CMS recordInterestSince
Nij LLC5% or greater direct ownership interest10%06/01/2019
Spartan Healthcare LLC5% or greater direct ownership interest30%06/01/2019
Wbs Holdings LLC5% or greater direct ownership interest20%06/01/2019
Yazoma Holdings, LLC5% or greater direct ownership interest30%06/01/2019
Jca Holdings LLC5% or greater indirect ownership interest10%06/01/2019
Monarch Healthcare Operating Viii LLCOperational/managerial controlNOT APPLICABLE06/01/2019

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 Lake County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Minnesota Veterans Home Silver BaySilver Bay54444611.1—16 Apr 2026

All 2 facilities in Lake County

Questions and answers

How many deficiencies has The Waterview Shores LLC been cited for?

26 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.

Has The Waterview Shores LLC been fined?

Yes. CMS lists fines totalling $334K in the period covered.

How does staffing at The Waterview Shores LLC compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.

Who operates The Waterview Shores LLC?

It is part of the Monarch Healthcare Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Nij LLC, Spartan Healthcare LLC and Wbs Holdings LLC. Individual owners and managers are not listed on this site.

When was The Waterview Shores LLC last inspected?

The most recent survey or investigation in the CMS record is dated 4 May 2026; the most recent standard health survey was 5 Jun 2025.

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.