nursing home in Two Harbors, MN
The Waterview Shores LLC
402 - 13th Avenue, Two Harbors, MN 55616 · (218) 834-8437
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Waterview Shores LLC at a glance
The Waterview Shores LLC is a 44-bed for-profit nursing home in Two Harbors, Minnesota (Lake County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Minnesota average of 3.2.
Residents receive about 3.3 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (July 23, 2026) found 5 health citations. The Minnesota average is 7.1.
Federal regulators fined it 1 time in the past three years, totaling $334,488.
Nursing staff turnover is 64.4% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 44
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Monarch Healthcare Management
- Medicare-certified since
- May 1, 1987
- Resident/family council
- Resident
- County
- Lake County
- CMS Certification Number
- 245471
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 4.1 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.9 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.32 hrs | 4.19 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.74 hrs | 1.06 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.21 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.91 hrs | 3.71 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 64.4% | 42.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 38.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 103.3 | 63.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $334,488 | $24,507 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 44 | 71 | 107 | |
| Average residents per day | 36 | 60 | 86 | |
| Occupancy | 81.6% | 84.1% | 80.9% |
Long-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.8% | 4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.1% | 5.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 47.3% | 17.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.5% | 2.6% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.1% | 18.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8% | 20.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.1% | 4.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 4.4% | 4.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 4.3% | 12.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 27.6% | 24.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 97.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.9% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 83% | 82.7% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.6% | 88.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 23, 2026 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | F Potential harm, widespread | Corrected July 27, 2026 |
| July 23, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 17, 2026 |
| July 23, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | D Potential harm, isolated | Corrected September 2, 2026 |
| July 23, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected July 28, 2026 |
| July 23, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 23, 2026 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 4, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected May 1, 2026 |
| May 4, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 1, 2026 |
| September 11, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | G Actual harm, isolated | Corrected August 29, 2025 |
| August 22, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected September 18, 2025 |
| June 5, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected July 14, 2025 |
| June 5, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 5, 2025 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected July 3, 2025 |
| June 5, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 3, 2025 |
| June 5, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 3, 2025 |
| June 5, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 5, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 5, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 3, 2025 |
| November 6, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 2, 2024 |
| November 6, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 2, 2024 |
| April 25, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 21, 2024 |
| April 25, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected May 21, 2024 |
| April 25, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected May 21, 2024 |
| April 25, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected May 21, 2024 |
| April 25, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 21, 2024 |
| April 25, 2024 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected May 21, 2024 |
| April 25, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected May 21, 2024 |
| April 25, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected May 21, 2024 |
| April 25, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 21, 2024 |
| April 25, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 21, 2024 |
| January 25, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 2, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $334,488 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 4, 2026 | Fine | $334,488 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| NIJ LLC Organization | 5% or greater direct ownership interest | 10% | 06/01/2019 |
| SPARTAN HEALTHCARE LLC Organization | 5% or greater direct ownership interest | 30% | 06/01/2019 |
| WBS HOLDINGS LLC Organization | 5% or greater direct ownership interest | 20% | 06/01/2019 |
| YAZOMA HOLDINGS, LLC Organization | 5% or greater direct ownership interest | 30% | 06/01/2019 |
| HALPERT, MARC Individual | 5% or greater indirect ownership interest | 30% | 06/01/2019 |
| JAFFA, NOAM Individual | 5% or greater indirect ownership interest | 10% | 06/01/2019 |
| JCA HOLDINGS LLC Organization | 5% or greater indirect ownership interest | 10% | 06/01/2019 |
| LEGUM, JOSHUA Individual | 5% or greater indirect ownership interest | 30% | 06/01/2019 |
| STERN, WILLIAM Individual | 5% or greater indirect ownership interest | 20% | 06/01/2019 |
| LEGUM, JOSHUA Individual | contracted managing employee | NOT APPLICABLE | 06/01/2019 |
| JAFFA, NOAM Individual | corporate director | NOT APPLICABLE | 06/01/2019 |
| HALPERT, MARC Individual | corporate officer | NOT APPLICABLE | 06/01/2019 |
| STERN, WILLIAM Individual | corporate officer | NOT APPLICABLE | 06/01/2019 |
| MONARCH HEALTHCARE OPERATING VIII LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2019 |
Other nursing homes near The Waterview Shores LLC
Ecumen Lakeshore
4002 London Road, Duluth, MN 55804 · 22.8 mi
Non-profit · 60 beds · Part of Ecumen
- CMS high performer
★★★★★5Much above average- ★★★★★1Much below average
Benedictine Health Center
935 Kenwood Avenue, Duluth, MN 55811 · 25.4 mi
Non-profit · 96 beds · Part of Benedictine Health System
- Abuse citation
★★★★★1Much below averageHilltop Healthcare Rehabilitation and Skilled Nurs
2501 Rice Lake Road, Duluth, MN 55811 · 26.2 mi
For-profit · 140 beds
★★★★★2Below average- ★★★★★4Above average
Bayshore Residence and Rehabilitation Center
1601 St Louis Avenue, Duluth, MN 55802 · 26.9 mi
For-profit · 140 beds · Part of Ephram Lahasky
★★★★★2Below average
Frequently asked questions
What is The Waterview Shores LLC's rating?
The Waterview Shores LLC has 1 out of 5 stars on the CMS overall star rating. The average for Minnesota nursing homes is 3.2 stars.
How many inspection citations did The Waterview Shores LLC receive?
Its most recent standard health inspection found 5 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does The Waterview Shores LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Waterview Shores LLC?
It is for profit - partnership and part of Monarch Healthcare Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Waterview Shores LLC and how do I contact it?
The Waterview Shores LLC is at 402 - 13th Avenue, Two Harbors, MN 55616. Phone: (218) 834-8437.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.