RecordWell Data

Franciscan Health Center

Nursing home · 3910 MINNESOTA AVENUE, Duluth, MN 55802 · Saint Louis County

1★Medicare overall
66cited deficiencies
0harm or jeopardy level
0penalties

Prices

The Minnesota Department of Health publishes no prices or facility websites, so we show none. Ask the facility directly.

Facility

Type
Nursing home · Skilled Nursing Facility/Nursing Facilit · Nonprofit Corporation
Capacity
42
State license
425796
Medicare CCN
245258
Licensed entity
DULUTH HEALTH SERVICES
Chain
ST. FRANCIS HEALTH SERVICES
Ownership
Non profit - Corporation
Phone
(218) 727-8933
Nurse staffing
3.80 hours per resident per day; 46.2% nursing staff turnover
Medicare ratings
Inspections 2★ · Staffing 4★ · Quality 1★
Official record
Minnesota Department of Health provider directory
Official record
Medicare Care Compare

Other public records for this operator

Inspection findings

  1. Feb 27, 2026 Health · 19 findings
    • Not serious Scope/severity D

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0645 Resident Assessment and Care Planning Deficiencies

      PASARR screening for Mental disorders or Intellectual Disabilities

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0657 Resident Assessment and Care Planning Deficiencies

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

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

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

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity F

      F0725 Nursing and Physician Services Deficiencies

      Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0883 Infection Control Deficiencies

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

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0887 Infection Control Deficiencies

      Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

      Corrected Apr 28, 2026 · CMS health inspection

    • Not serious Scope/severity D

      K0221 Egress Deficiencies

      Provide rooms that can be unlocked from inside without a key.

      Corrected Apr 28, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Apr 28, 2026 · CMS fire safety

    • Not serious Scope/severity D

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected Apr 28, 2026 · CMS fire safety

    • Not serious Scope/severity D

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Apr 28, 2026 · CMS fire safety

    • Not serious Scope/severity F

      K0914 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      Corrected Apr 26, 2026 · CMS fire safety

    • Not serious Scope/severity D

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Apr 28, 2026 · CMS fire safety

  2. Jan 29, 2026 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Feb 27, 2026 · CMS health inspection

  3. Dec 31, 2025 MDH complaint investigation · 1 finding
    • Severity not stated

      H52582322C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

  4. Apr 25, 2025 MDH complaint investigation · 1 finding
    • Severity not stated

      H52583347C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

  5. Dec 12, 2024 Health · 16 findings
    • Not serious Scope/severity E

      F0574 Resident Rights Deficiencies

      The resident has the right to receive notices in a format and a language he or she understands.

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0655 Resident Assessment and Care Planning Deficiencies

      Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0698 Quality of Life and Care Deficiencies

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

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0725 Nursing and Physician Services Deficiencies

      Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0740 Quality of Life and Care Deficiencies

      Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0883 Infection Control Deficiencies

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

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0887 Infection Control Deficiencies

      Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0919 Environmental Deficiencies

      Make sure that a working call system is available in each resident's bathroom and bathing area.

      Corrected Jan 31, 2025 · CMS health inspection

    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Jan 31, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jan 31, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Jan 31, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Jan 31, 2025 · CMS fire safety

  6. Aug 14, 2024 MDH complaint investigation · 1 finding
    • Severity not stated

      H52586578C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

  7. Aug 9, 2024 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Sep 6, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Sep 6, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

      Corrected Sep 6, 2024 · CMS health inspection

  8. Mar 19, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Apr 15, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Apr 15, 2024 · CMS health inspection

  9. Oct 26, 2023 MDH complaint investigation · 1 finding
    • Severity not stated

      H52586661C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

  10. Oct 5, 2023 Health · 13 findings
    • Not serious Scope/severity D

      F0561 Resident Rights Deficiencies

      Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0568 Resident Rights Deficiencies

      Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0570 Resident Rights Deficiencies

      Assure the security of all personal funds of residents deposited with the facility.

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0636 Resident Assessment and Care Planning Deficiencies

      Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity B

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

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

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0757 Pharmacy Service Deficiencies

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

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0758 Pharmacy Service Deficiencies

      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.

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity D

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Nov 20, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Nov 20, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Nov 20, 2023 · CMS fire safety

  11. Sep 23, 2022 MDH complaint investigation · 1 finding
    • Severity not stated

      H52584449C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

  12. Jul 20, 2022 MDH complaint investigation · 1 finding
    • Severity not stated

      H52583149C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

  13. Jun 7, 2021 MDH complaint investigation · 2 findings
    • Severity not stated

      H5258045C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

    • Severity not stated

      H5258046C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

  14. May 11, 2021 MDH complaint investigation · 3 findings
    • Severity not stated

      H5258040C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

    • Severity not stated

      H5258041C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

    • Severity not stated

      H5258042C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

  15. Dec 18, 2020 MDH complaint investigation · 1 finding
    • Severity not stated

      H5258038C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

Owners and managers (as published by CMS)

Sources: the MDH Health Care Provider Directory, MDH's evaluation and complaint findings, and CMS's list of certified Minnesota nursing homes and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.