Nursing homes › Minnesota › The North Shore Estates LLC
7700 Grand Avenue, Duluth, MN 55807 · 2186282341 · 70 certified beds
Per CMS filings, this facility is affiliated with Monarch Healthcare Management, a group operating 45 facilities in 1 states. Group record: average rating 2.3/5, 5 abuse citation icons, 0 facilities on the Special Focus list, $1,559,048 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.15 (Minnesota median: 4.16). RN hours: 0.62. Weekend total: 2.83. Nursing staff turnover: 32%.
All-time on record: 24 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-12 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-03-18 |
| 2026-02-12 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Health | corrected 2026-03-18 |
| 2026-02-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2026-03-18 |
| 2026-02-12 | 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 2026-03-18 |
| 2026-02-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-03-18 |
| 2026-02-12 | 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. | E | Health | corrected 2026-03-18 |
| 2026-02-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-03-18 |
| 2026-02-12 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2026-03-18 |
| 2026-02-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-03-18 |
| 2026-02-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-03-18 |
| 2025-03-20 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-09 |
| 2025-03-20 | 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 2025-04-09 |
| 2025-03-20 | Plan the resident's discharge to meet the resident's goals and needs. | D | Health | corrected 2025-04-09 |
| 2025-03-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-04-09 |
| 2025-03-20 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-04-09 |
| 2025-03-20 | 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 2025-04-09 |
| 2024-02-01 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Health | corrected 2024-02-22 |
| 2024-02-01 | 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 2024-02-22 |
| 2024-02-01 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-02-22 |
| 2024-02-01 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-02-22 |
| 2024-02-01 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-02-22 |
| 2024-02-01 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-02-22 |
| 2024-02-01 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-02-22 |
| 2024-02-01 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-02-22 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HML LLC | 5% Or Greater Direct Ownership Interest | Organization | 12% | since 07/01/2016 |
| NIJ LLC | 5% Or Greater Direct Ownership Interest | Organization | 14% | since 07/01/2016 |
| SPARTAN HEALTHCARE LLC | 5% Or Greater Direct Ownership Interest | Organization | 23% | since 07/01/2016 |
| YAZOMA HOLDINGS, LLC | 5% Or Greater Direct Ownership Interest | Organization | 23% | since 07/01/2016 |
| AREM, JEFFREY | 5% Or Greater Direct Ownership Interest | Individual | 14% | since 07/01/2016 |
| STERN, WILLIAM | 5% Or Greater Direct Ownership Interest | Individual | 15% | since 07/01/2016 |
| HALPERT, MARC | 5% Or Greater Indirect Ownership Interest | Individual | 23% | since 07/01/2016 |
| JAFFA, NOAM | 5% Or Greater Indirect Ownership Interest | Individual | 14% | since 07/01/2016 |
| LEGUM, JOSHUA | 5% Or Greater Indirect Ownership Interest | Individual | 23% | since 07/01/2016 |
| MUENCZ, JEFFREY | 5% Or Greater Indirect Ownership Interest | Individual | 12% | since 07/01/2016 |
| HALPERT, MARC | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| STERN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2016 |
| MONARCH HEALTHCARE OPERATING IV LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2016 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245483. Corrections: data@carerecords.org.