The North Shore Estates LLC
Nursing home · 7700 GRAND AVENUE, Duluth, MN 55807 · Saint Louis County
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 · For-Profit Limited Liability Company
- Capacity
- 70
- State license
- 425700
- Medicare CCN
- 245483
- Licensed entity
- THE NORTH SHORE ESTATES LLC
- Chain
- MONARCH HEALTHCARE MANAGEMENT
- Ownership
- For profit - Partnership
- Phone
- (218) 628-2341
- Nurse staffing
- 3.15 hours per resident per day; 32.1% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 4★ · Quality 2★
- Official record
- Minnesota Department of Health provider directory
- Official record
- Medicare Care Compare
Inspection findings
-
Jul 13, 2026 MDH complaint investigation · 1 finding
-
Severity not stated
H54833157C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Feb 12, 2026 Health · 16 findings
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
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 Mar 18, 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 Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 18, 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 Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0809 Nutrition and Dietary Deficiencies
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.
Corrected Mar 18, 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 Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity F
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Mar 10, 2026 · CMS fire safety
-
Not serious
Scope/severity C
K0225 Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected Feb 10, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Mar 10, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0753 Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity D
-
Mar 20, 2025 Health · 14 findings
-
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 9, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0660 Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Corrected Apr 9, 2025 · 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 Apr 9, 2025 · 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 Apr 9, 2025 · 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 Apr 9, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 9, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Apr 4, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 8, 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 Apr 4, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected Apr 8, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Apr 4, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Apr 4, 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 Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Apr 4, 2025 · CMS fire safety
-
Not serious
Scope/severity D
-
Jul 18, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H54835072C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Feb 1, 2024 Health · 11 findings
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Feb 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Feb 22, 2024 · 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 Feb 22, 2024 · 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 Feb 22, 2024 · 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 Feb 22, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Feb 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Feb 22, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Feb 22, 2024 · CMS health inspection
-
Not serious
Scope/severity F
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Feb 22, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Feb 22, 2024 · 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 Mar 6, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Feb 28, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H5483061C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Dec 22, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5483060C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 11, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5483053C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 28, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5483047C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Dec 9, 2020 MDH complaint investigation · 1 finding
-
Severity not stated
H5483046C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Oct 29, 2020 MDH complaint investigation · 1 finding
-
Severity not stated
H5483045C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
Owners and managers (as published by CMS)
- AREM, JEFFREY — 5% or greater direct ownership interest, 14%, since 07/01/2016
- HALPERT, MARC — corporate director, NOT APPLICABLE, since 07/01/2016
- HALPERT, MARC — 5% or greater indirect ownership interest, 23%, since 07/01/2016
- JAFFA, NOAM — 5% or greater indirect ownership interest, 14%, since 07/01/2016
- LEGUM, JOSHUA — w-2 managing employee, NOT APPLICABLE, since 07/01/2016
- LEGUM, JOSHUA — 5% or greater indirect ownership interest, 23%, since 07/01/2016
- MUENCZ, JEFFREY — 5% or greater indirect ownership interest, 12%, since 07/01/2016
- STERN, WILLIAM — corporate officer, NOT APPLICABLE, since 07/01/2016
- STERN, WILLIAM — 5% or greater direct ownership interest, 15%, since 07/01/2016
- HML LLC — 5% or greater direct ownership interest, 12%, since 07/01/2016
- MONARCH HEALTHCARE OPERATING IV LLC — operational/managerial control, NOT APPLICABLE, since 07/01/2016
- NIJ LLC — 5% or greater direct ownership interest, 14%, since 07/01/2016
- SPARTAN HEALTHCARE LLC — 5% or greater direct ownership interest, 23%, since 07/01/2016
- YAZOMA HOLDINGS, LLC — 5% or greater direct ownership interest, 23%, since 07/01/2016
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.