Franciscan Health Center
Duluth, Minnesota · CCN 245258
27 surveys since 2010. The first finding at harm level was recorded in 2018.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 136
- Surveys
- 27
- Harm or worse
- 5
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 47
- Ownership
- Non profit - Corporation
- Chain
- ST. FRANCIS HEALTH SERVICES
- County
- St. Louis
- Medicare-certified since
- 1983
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 4
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 123 not-for-profit facilities with fewer than 66 beds in Minnesota.
Last survey on record
Feb 27, 2026
255 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.80 | 4.22 |
| Registered-nurse hours per resident day | 1.19 | — |
| Annual nurse turnover | 46.2% | 42.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2970.7% | E819.5% | F37.3% |
| No harm, potential for minimal | A— | B12.4% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6093×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F8803×
Provide and implement an infection prevention and control program.
- F6412×
Ensure each resident receives an accurate assessment.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6862×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
In the surveyor’s words
From the most serious findings on record at Franciscan Health Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF602Feb 14, 2022
Based on interview and document review, the facility failed to ensure 3 of 5 residents (R1, R2, R3) reviewed for drug diversion were free from exploitation when a staff member took resident's narcotic pain medications for personal use. This resulted in an immediate jeopardy (IJ) when licensed practical nurse (LPN)-B diverted 134 [MEDICATION(S)] tablets, and 18 [MEDICATION(S)] tablets. The immediate jeopardy (IJ) began on [DATE], when registered nurse (RN)-B notified the administrator and the director of nursing (DON) via email with her concerns LPN-B was giving narcotics to residents when she was able to control their pain with Tylenol, thus diverting narcotics. […]
- Immediate jeopardy, isolatedF600Jun 1, 2021
Based on interview and document review, the facility failed to ensure residents were free from abuse by staff during rough, unsafe transfers for 2 of 4 residents (R1, R2) reviewed for an allegation of abuse. The facility's failure to protect residents resulted in an immediate jeopardy situation. This had the potential to affect all 27 residents residing in the facility who required assistance from staff for transfers. The IJ began on 3/26/21, when nursing assistant (NA)-F stated she had witnessed NA-A transfer residents in a rough and unsafe manner, she reported this to the DON and administrator, and the facility failed to ensure all residents residing in the facility who required assistance from staff for transfers were protected from NA-A, who was allowed to continue working at the… […]
- No harm, potential for more than minimal, widespreadF725Feb 27, 2026
Based on observation, interview, and document review the facility failed to ensure they provided sufficient staffing per their facility assessment. In addition, the facility failed to provide sufficient staff to complete timely cares and assistance with checking and changing for 1 of 1 resident (R8) reviewed for activities of daily living and who were dependent on staff for assistance. This had the ability to affect all 36 residents residing in the facility. Findings include: The facility assessment, Franciscan Health Center Staffing Plan Staffing dated 10/23/25, identified the following staffing needs with an average daily census of 39: Licensed nurses providing direct care, every day of the week for AM and PM shift there were two eight-hour positions, and the overnight (NOC) shift had… […]
- No harm, potential for more than minimal, widespreadF725Dec 12, 2024
Based on observation, interview and document review, the facility failed to ensure there were sufficient numbers of staff to ensure all resident cares were completed timely for 4 of 7 residents (R8, R23, R15, R22) who received their morning medications late, in addition for a resident with pressure ulcers needing assistance turning and repositioning for 1 of 3 residents (R25). This deficient practice had the potential to affect all 39 residents who resided in the facility. Findings include: Free of Medication errors of 5 percent or more see also F759 R8's quarterly Minimum Data Set (MDS) dated [DATE], identified R8 was moderately cognitively intact and had diagnoses which included, gastro-intestinal appliance, anxiety, depression, surgical aftercare following a surgery on the digestive… […]
- No harm, potential for more than minimal, widespreadF761Dec 12, 2024
Based on observation, interview, and document review the facility failed to ensure medications and supplies available for use in a the medication storage room were not expired. This had the potential to affect all 39 residents residing in the facility. Findings include: On 12/11/24 at 1:35 p.m., during an inspection of the locked medication room with the director of nursing (DON) the following observations were made: -lab cart for blood draws had nine yellow top blood tubes with an expiration date of 10/31/24 -all four respiratory viral panel swabs were expired -two bottles of hibiclens had expiration dates of 8/2024 and 11/2024 -two tubes of Bacitracin ointment with expiration dates of 11/2023 During an interview on 12/11/24 at 2:09 p.m., the DON stated would not want to use expired… […]
Read 25 findings in full →The most serious and the most recent: 25 of 136 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 27, 2026Standard and complaint13 findings
- Jan 29, 2026Complaint1 finding
- Dec 12, 2024Standard12 findings
- Aug 9, 2024Complaint3 findings
- Mar 19, 2024Complaint2 findings
- Oct 5, 2023Standard10 findings
- Mar 1, 2023Complaint1 finding
- Jan 6, 2023Standard8 findings
Show the 19 earlier surveys
- Sep 19, 2022Complaint1 finding
- Jul 13, 2022Complaint2 findings
- Feb 14, 2022Complaint1 finding · 1 harm
- Oct 29, 2021Standard7 findings
- Jun 1, 2021Complaint3 findings · 1 harm
- May 19, 2021Complaint6 findings
- Dec 9, 2020Complaint1 finding
- Feb 27, 2020Standard and complaint6 findings · 1 harm
- Apr 18, 2019Standard8 findings · 1 harm
- Mar 15, 2018Standard5 findings
- Feb 14, 2018Complaint1 finding · 1 harm
- Mar 31, 2016Standard4 findings
- Feb 27, 2015Standard7 findings
- Jan 16, 2014—9 findings
- Apr 23, 2013—2 findings
- Aug 30, 2012—2 findings
- Feb 3, 2012—11 findings
- Aug 12, 2011—2 findings
- Dec 23, 2010—8 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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