The North Shore Estates LLC
Duluth, Minnesota · CCN 245483
21 surveys since 2011, 2 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 136
- Surveys
- 21
- Harm or worse
- 2
- Immediate jeopardy
- 1
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
- 70
- Ownership
- For profit - Partnership
- Chain
- MONARCH HEALTHCARE MANAGEMENT
- County
- St. Louis
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 4
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 27 for-profit facilities of 66–99 beds in Minnesota.
Last survey on record
Jul 8, 2026
124 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 | 3.15 | 3.64 |
| Registered-nurse hours per resident day | 0.62 | — |
| Annual nurse turnover | 32.1% | 41.7% |
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 | D1659.3% | E933.3% | F27.4% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8803×
Provide and implement an infection prevention and control program.
- F5542×
Allow residents to self-administer drugs if determined clinically appropriate.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F7612×
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.
In the surveyor’s words
From the most serious findings on record at The North Shore Estates LLC, in the surveyor’s own words.
- Immediate jeopardy, patternF880Jun 4, 2021
Based on observation, interview, and document review, the facility failed to follow the Centers for Disease Control (CDC) guidelines to prevent and/or minimize the transmission of COVID-19 related to the proper utilization of personal protective equipment (PPE) for 4 of 4 residents (R1, R2, R3, and R4) reviewed for infection control practices. This resulted in an immediate jeopardy (IJ) due to the increased risk for transmission of COVID-19. The IJ began on 5/25/21, when the facility failed to implement transmission-based precautions (TBP) utilizing all necessary personal protective equipment (PPE) including N95 respirators, for R1 who was newly diagnosed with COVID-19. The facility administrator and director of nursing (DON) were notified of the IJ on 6/3/21, at 5:05 p.m. […]
- No harm, potential for more than minimal, widespreadF880Feb 12, 2026
Based on observation, interview, and document review the facility failed to ensure the following infection prevention measures occurred: utilization of proper isolation signage, handwashing, appropriate utilization of personal protective equipment (PPE) by staff, proper handling of laundry to prevent bacteria growth, and proper hand sanitization during meal tray pass to residents in their rooms. These deficient practices had the potential to impact all residents who resided at the facility. Isolation Signage and PPE Usage R9's quarterly Minimum Data Set (MDS) dated [DATE], indicated R9 was cognitively intact with diagnoses of hypertension, acute kidney failure, bipolar, and schizophrenia. […]
- No harm, potential for more than minimal, widespreadF921Feb 1, 2024
Based on observation, interview, and document review, the facility failed to ensure kitchen equipment was kept in a clean and sanitary manner. This had the potential to affect all 54 residents, staff, and visitors who consumed food prepared in and/or served from the kitchen. Findings include: On 2/1/2024 at 8:30 a.m., kitchen tour with culinary service director (CSD) was completed. The small mixer in kitchen was under a plastic cover. Plastic cover was stuck to mixer by food residue. Small mixer observed to have light white-brown colored food remnants on sides and under the mixing head. Toaster was found to have a reddish brown grease-like substance on trim. Crumbs were around toaster on the countertop. Large mixer was under a plastic cover. […]
- No harm, potential for more than minimal, widespreadF812Feb 24, 2023
The facility failed to ensure food stored in the facility kitchen and in the unit fridges was properly dated and discarded when expired. In addition, the facility failed to ensure food was stored under sanitary conditions in the unit fridges and kitchen storage areas were maintained in a sanitary manner. This deficient practice had the potential to impact all residents who received food and drink in the facility. On [DATE], at 12:00 p.m. the facility had four large bins of cereal stored in the kitchen beverage and steam table area. The labels on the containers were: Flakes Open: ,d+[DATE] Expire [DATE]; rice crispies open: [DATE] no expired date filled in; corn flakes: [DATE] expire [DATE]; second Corn flakes open [DATE] expire [DATE]. […]
- No harm, potential for more than minimal, widespreadF755Sep 16, 2021
Based on observation, interview and document review, the facility failed to ensure medication was administered as ordered by the physician for 1 of 7 residents (R3) observed during medication administration. In addition, the facility failed to ensure narcotic emergency kit security tags were routinely tracked to prevent diversion. This had the potential to affect all 63 residents who resided in the facility. Findings include: R3's face sheet indicated R3's diagnoses included [CONDITION(S)], chronic pain syndrome, and gastro-[CONDITION(S)] reflux disease (GERD-acid reflux). R3's Order Summary Report dated 9/15/21, indicated R3's physician orders included [MEDICATION(S)] chewable tablet 500 mg, one tablet by mouth twice daily for GERD for 30 days, chew and swallow. On 9/15/21, at 7:33 a.m. […]
Read 22 findings in full →The most serious and the most recent: 22 of 136 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 8, 2026Complaint3 findings
- Feb 12, 2026Standard10 findings
- Mar 20, 2025Standard6 findings
- Feb 1, 2024Standard8 findings
- Feb 24, 2023Standard4 findings
- Sep 16, 2021Standard5 findings
- Jun 4, 2021Complaint1 finding · 1 harm
- Nov 20, 2020Complaint2 findings
Show the 13 earlier surveys
- Jul 2, 2020Complaint1 finding
- Nov 21, 2019Standard14 findings
- Jan 31, 2019Standard and complaint11 findings
- Apr 19, 2018Standard6 findings
- Jun 15, 2017Standard4 findings
- May 26, 2016Standard7 findings
- Jun 2, 2015Complaint1 finding
- Mar 26, 2015Standard4 findings
- Apr 3, 2014Standard8 findings
- May 17, 2013—12 findings
- Sep 14, 2012—11 findings · 1 harm
- Oct 26, 2011—1 finding
- Sep 1, 2011—17 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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