nursing home in Duluth, MN
The North Shore Estates LLC
7700 Grand Avenue, Duluth, MN 55807 · (218) 628-2341
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The North Shore Estates LLC at a glance
The North Shore Estates LLC is a 70-bed for-profit nursing home in Duluth, Minnesota (St. Louis County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Minnesota average of 3.2.
Residents receive about 3.2 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (February 12, 2026) found 13 health citations. The Minnesota average is 7.1.
It has not received a federal fine in the past three years.
Nursing staff turnover is 32.1% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 70
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Monarch Healthcare Management
- Medicare-certified since
- May 1, 1987
- Resident/family council
- Resident
- County
- St. Louis County
- CMS Certification Number
- 245483
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 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) | 3.15 hrs | 4.19 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.62 hrs | 1.06 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.06 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.83 hrs | 3.71 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 32.1% | 42.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 30% | 38.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 73 | 63.9 | 80.6 | Better |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $24,507 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 70 | 71 | 107 | |
| Average residents per day | 64 | 60 | 86 | |
| Occupancy | 92% | 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) | 2.3% | 4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.2% | 5.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 14.8% | 17.1% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 2.4% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 7.5% | 1.9% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 16.4% | 18.2% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 26% | 20.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.1% | 4.1% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 6.6% | 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) | 22.7% | 12.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 28.7% | 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) | 99.5% | 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) | 96.1% | 82.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 27 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 8, 2026 Complaint | 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 July 24, 2026 |
| July 8, 2026 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 July 24, 2026 |
| July 8, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 24, 2026 |
| February 12, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected March 10, 2026 |
| February 12, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected March 18, 2026 |
| February 12, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected March 18, 2026 |
| February 12, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 12, 2026 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected March 18, 2026 |
| February 12, 2026 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | C No harm, widespread | Corrected February 10, 2026 |
| February 12, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 18, 2026 |
| February 12, 2026 Standard | 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 | E Potential harm, pattern | Corrected March 18, 2026 |
| February 12, 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 | Corrected March 18, 2026 |
| February 12, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected March 18, 2026 |
| February 12, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected March 18, 2026 |
| February 12, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 18, 2026 |
| February 12, 2026 Standard | 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 | E Potential harm, pattern | Corrected March 18, 2026 |
| February 12, 2026 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 March 18, 2026 |
| February 12, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected March 18, 2026 |
| February 12, 2026 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 March 18, 2026 |
| March 20, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 4, 2025 |
| March 20, 2025 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | F Potential harm, widespread | Corrected April 8, 2025 |
| March 20, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 8, 2025 |
| March 20, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected April 4, 2025 |
| March 20, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 18, 2025 |
| March 20, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected April 4, 2025 |
| March 20, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected April 4, 2025 |
| March 20, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected April 4, 2025 |
| March 20, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 9, 2025 |
| March 20, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 20, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 20, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 20, 2025 Standard | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Tag F0660 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 20, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 9, 2025 |
| February 1, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 22, 2024 |
| February 1, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected February 22, 2024 |
| February 1, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 6, 2024 |
| February 1, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected February 22, 2024 |
| February 1, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected February 22, 2024 |
| February 1, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 22, 2024 |
| February 1, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 22, 2024 |
| February 1, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected February 22, 2024 |
| February 1, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected February 22, 2024 |
| February 1, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected February 22, 2024 |
| February 1, 2024 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 February 22, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AREM, JEFFREY Individual | 5% or greater direct ownership interest | 14% | 07/01/2016 |
| HML LLC Organization | 5% or greater direct ownership interest | 12% | 07/01/2016 |
| NIJ LLC Organization | 5% or greater direct ownership interest | 14% | 07/01/2016 |
| SPARTAN HEALTHCARE LLC Organization | 5% or greater direct ownership interest | 23% | 07/01/2016 |
| STERN, WILLIAM Individual | 5% or greater direct ownership interest | 15% | 07/01/2016 |
| YAZOMA HOLDINGS, LLC Organization | 5% or greater direct ownership interest | 23% | 07/01/2016 |
| HALPERT, MARC Individual | 5% or greater indirect ownership interest | 23% | 07/01/2016 |
| JAFFA, NOAM Individual | 5% or greater indirect ownership interest | 14% | 07/01/2016 |
| LEGUM, JOSHUA Individual | 5% or greater indirect ownership interest | 23% | 07/01/2016 |
| MUENCZ, JEFFREY Individual | 5% or greater indirect ownership interest | 12% | 07/01/2016 |
| HALPERT, MARC Individual | corporate director | NOT APPLICABLE | 07/01/2016 |
| STERN, WILLIAM Individual | corporate officer | NOT APPLICABLE | 07/01/2016 |
| MONARCH HEALTHCARE OPERATING IV LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2016 |
| LEGUM, JOSHUA Individual | w-2 managing employee | NOT APPLICABLE | 07/01/2016 |
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Frequently asked questions
What is The North Shore Estates LLC's rating?
The North Shore Estates LLC has 2 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 North Shore Estates LLC receive?
Its most recent standard health inspection found 13 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does The North Shore Estates 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 North Shore Estates 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 North Shore Estates LLC and how do I contact it?
The North Shore Estates LLC is at 7700 Grand Avenue, Duluth, MN 55807. Phone: (218) 628-2341.
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.