The North Shore Estates Llc

DULUTH, MN · 70 beds · For profit - Partnership

59 Trust Score
Grade: C MEDIUM Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star staffing rating

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
6
0.8x state avg
Deficiencies
$38,242
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

March 19, 2025

12 deficiencyies
F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0660 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Plan the resident's discharge to meet the resident's goals and needs.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0660 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Plan the resident's discharge to meet the resident's goals and needs.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide care and assistance to perform activities of daily living for any resident who is unable.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

January 31, 2024

8 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0921 Potential Harm Scope/Severity: F

Environmental Deficiencies

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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

See full violation history →

Staffing

0.81
RN hrs/res/day
0.56
LPN hrs/res/day
2.47
CNA hrs/res/day
3.49
Weekend hrs/res/day
36%
Total nurse turnover
18%
RN turnover

A nurse checks on each resident roughly every 6.3 hours on average.

Fines & Penalties

  • Fine Feb 23, 2023
    $38,242
Total $38,242

Ownership

For profit - Partnership Chain: MONARCH HEALTHCARE MANAGEMENT
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  • STERN, WILLIAM

    5% OR GREATER DIRECT OWNERSHIP INTEREST

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    15% Individual
  • HALPERT, MARC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

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    23% Individual
  • JAFFA, NOAM

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

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    14% Individual
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    5% OR GREATER INDIRECT OWNERSHIP INTEREST

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    23% Individual
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    Since since 07/01/2016

    12% Individual
  • MONARCH HEALTHCARE OPERATING IV LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2016

    Organization
  • HALPERT, MARC

    CORPORATE DIRECTOR

    Since since 07/01/2016

    Individual
  • STERN, WILLIAM

    CORPORATE OFFICER

    Since since 07/01/2016

    Individual
  • LEGUM, JOSHUA

    W-2 MANAGING EMPLOYEE

    Since since 07/01/2016

    Individual

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