Essentia Health Northern Pines Medical Center

Inspection findings

1. Jan 28, 2026 Fire Safety · 5 findings
   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 13, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

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

     Corrected Feb 13, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Feb 13, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Feb 13, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0921 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure that testing and maintenance of electrical equipment is performed.

     Corrected Feb 13, 2026 · CMS fire safety

2. Sep 25, 2025 MDH complaint investigation · 1 finding
   • Severity not stated

     H54694920C 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)

3. Jan 30, 2025 Fire Safety · 8 findings
   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Jan 28, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0354 Smoke Deficiencies

     Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

     Corrected Jan 28, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Jan 28, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

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

     Corrected Feb 11, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jan 28, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0781 Miscellaneous Deficiencies

     Have restrictions on the use of portable space heaters.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Jan 28, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Jan 28, 2025 · CMS fire safety

4. Oct 25, 2023 Health · 9 findings
   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     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.

     Corrected Dec 4, 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 Dec 4, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Dec 4, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0851 Administration Deficiencies

     Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

     Corrected Dec 4, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

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

     Corrected Dec 4, 2023 · 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 Dec 4, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 4, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

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

     Corrected Dec 4, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Dec 4, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ARONSON NORR, NANCY — corporate director, NOT APPLICABLE, since 01/01/2025
• BACHAND, ADAM — corporate director, NOT APPLICABLE, since 01/01/2025
• BERGSTROM, AMY — corporate director, NOT APPLICABLE, since 01/01/2024
• BOREN, KEVIN — operational/managerial control, NOT APPLICABLE, since 07/01/2023
• BOREN, KEVIN — adp of the snf, NOT APPLICABLE, since 07/01/2023
• BOREN, KEVIN — corporate officer, NOT APPLICABLE, since 04/04/2022
• DUININCK, TROY — corporate director, NOT APPLICABLE, since 01/01/2023
• JAMAR, THOMAS — corporate director, NOT APPLICABLE, since 01/01/2023
• KALLBERG, DIANA — operational/managerial control, NOT APPLICABLE, since 07/01/2024
• KALLBERG, DIANA — adp of the snf, NOT APPLICABLE, since 07/01/2024
• LOBAN, GEORGE — corporate director, NOT APPLICABLE, since 01/01/2024
• SERTICH, ANTHONY — corporate director, NOT APPLICABLE, since 01/01/2021
• SKORUPA, KRISTA — corporate officer, NOT APPLICABLE, since 05/06/2024
• SMITH, BRUCE — corporate director, NOT APPLICABLE, since 01/01/2026
• TERCH, JUSTIN — corporate director, NOT APPLICABLE, since 10/22/2025
• URBANSKI, REBECCA — corporate director, NOT APPLICABLE, since 01/01/2025
• WATTERS, MICHAEL — corporate officer, NOT APPLICABLE, since 07/01/2023
• WHITING, CHRISTOPHER — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• WHITING, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 01/01/2024
• YUNG, ANTHONY — corporate director, NOT APPLICABLE, since 01/01/2023
• ESSENTIA HEALTH — 5% or greater direct ownership interest, 100%, since 07/01/2023
• ESSENTIA HEALTH — adp of the snf, NOT APPLICABLE, since 01/28/2025
• ST MARYS DULUTH CLINIC HEALTH SYSTEM — adp of the snf, NOT APPLICABLE, since 01/28/2025
• ST MARYS DULUTH CLINIC HEALTH SYSTEM — operational/managerial control, NOT APPLICABLE, since 07/01/2023