Nursing homes › Minnesota › Bayshore Residence and Rehabilitation Center
1601 St Louis Avenue, Duluth, MN 55802 · 2187278651 · 140 certified beds
Per CMS filings, this facility is affiliated with Ephram Lahasky, a group operating 23 facilities in 10 states. Group record: average rating 1.7/5, 4 abuse citation icons, 7 facilities on the Special Focus list, $2,517,532 in federal fines. This facility rates below its group average (1.7/5).
Total nurse staffing: 3.56 (Minnesota median: 4.16). RN hours: 0.83. Weekend total: 3.12. Nursing staff turnover: 58%.
All-time on record: 37 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-04 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-12-16 |
| 2025-12-04 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2025-12-16 |
| 2025-04-17 | 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. | E | Health | corrected 2025-05-20 |
| 2025-04-17 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | 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. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Health | corrected 2025-05-20 |
| 2025-04-17 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Health | corrected 2025-05-20 |
| 2024-06-27 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2024-07-06 |
| 2024-05-28 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | J | Health | corrected 2024-06-21 |
| 2024-05-28 | Honor the resident's right to manage his or her financial affairs. | E | Health | corrected 2024-06-21 |
| 2024-05-28 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Health | corrected 2024-06-21 |
| 2024-05-28 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-06-21 |
| 2024-05-28 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-06-21 |
| 2024-05-28 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-06-21 |
| 2024-05-28 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-06-21 |
| 2024-05-28 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-06-21 |
| 2024-05-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-06-21 |
| 2024-05-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-06-21 |
| 2024-04-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-04-16 |
| 2023-07-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-08-18 |
| 2023-06-23 | Honor the resident's right to manage his or her financial affairs. | E | Health | corrected 2023-08-18 |
| 2023-06-23 | 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. | E | Health | corrected 2023-08-18 |
| 2023-06-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-08-18 |
| 2023-06-23 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-08-18 |
| 2023-06-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-08-18 |
| 2023-06-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-08-18 |
| 2023-06-23 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-08-18 |
| 2023-06-23 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-08-18 |
| 2023-06-23 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2023-08-18 |
| Date | Type | Amount |
|---|---|---|
| 2024-05-28 | Fine | $122,175 |
| 2024-05-28 | Payment Denial | 10 days payment denial |
| 2024-04-20 | Fine | $10,223 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CBAY BAYSHORE HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 13% | since 03/31/2016 |
| MB DULUTH HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 21% | since 03/31/2016 |
| KATZ, ABE | 5% Or Greater Direct Ownership Interest | Individual | 21% | since 03/31/2016 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245227. Corrections: data@carerecords.org.