Nursing homes › Minnesota › The Waterview Shores LLC
402 - 13Th Avenue, Two Harbors, MN 55616 · 2188348437 · 44 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: 3.32 (Minnesota median: 4.16). RN hours: 0.74. Weekend total: 2.91. Nursing staff turnover: 64%.
All-time on record: 26 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-04 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2026-05-01 |
| 2026-05-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-05-01 |
| 2025-09-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | complaint | corrected 2025-08-29 |
| 2025-08-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-09-18 |
| 2025-06-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-07-03 |
| 2025-06-05 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2025-07-03 |
| 2025-06-05 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-07-03 |
| 2025-06-05 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-07-03 |
| 2025-06-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-07-03 |
| 2025-06-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-07-03 |
| 2024-11-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-12-02 |
| 2024-11-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-12-02 |
| 2024-04-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-05-21 |
| 2024-04-25 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-05-21 |
| 2024-04-25 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-05-21 |
| 2024-04-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-05-21 |
| 2024-04-25 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-05-21 |
| 2024-04-25 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-05-21 |
| 2024-04-25 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2024-05-21 |
| 2024-01-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-02-02 |
| 2023-07-27 | 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 2023-09-13 |
| 2023-07-27 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-09-13 |
| 2023-07-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-09-13 |
| 2023-07-27 | 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 2023-09-13 |
| 2023-07-27 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2023-09-13 |
| 2023-07-27 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-09-13 |
| Date | Type | Amount |
|---|---|---|
| 2026-05-04 | Fine | $334,488 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NIJ LLC | 5% Or Greater Direct Ownership Interest | Organization | 10% | since 06/01/2019 |
| SPARTAN HEALTHCARE LLC | 5% Or Greater Direct Ownership Interest | Organization | 30% | since 06/01/2019 |
| WBS HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 20% | since 06/01/2019 |
| YAZOMA HOLDINGS, LLC | 5% Or Greater Direct Ownership Interest | Organization | 30% | since 06/01/2019 |
| JCA HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | 10% | since 06/01/2019 |
| HALPERT, MARC | 5% Or Greater Indirect Ownership Interest | Individual | 30% | since 06/01/2019 |
| JAFFA, NOAM | 5% Or Greater Indirect Ownership Interest | Individual | 10% | since 06/01/2019 |
| LEGUM, JOSHUA | 5% Or Greater Indirect Ownership Interest | Individual | 30% | since 06/01/2019 |
| STERN, WILLIAM | 5% Or Greater Indirect Ownership Interest | Individual | 20% | since 06/01/2019 |
| JAFFA, NOAM | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2019 |
| HALPERT, MARC | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2019 |
| STERN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2019 |
| MONARCH HEALTHCARE OPERATING VIII LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245471. Corrections: data@carerecords.org.