Bayshore Residence And Rehabilitation Center has received an F grade based on CMS data, with a score of 15/100 — placing it among the lowest-rated nursing facilities in Minnesota. Families considering this Duluth facility should carefully review its inspection history and quality metrics.
Staffing at Bayshore Residence And Rehabilitation Center is near the national average, with 3.80 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 39 deficiencies at Bayshore Residence And Rehabilitation Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.80 | 3.8 | Average |
| Registered Nurses (RN) | 0.90 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.24 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.67 | 2.4 | Above Average |
| Weekend Total Nursing | 3.19 | 3.8 | Below Average |
| Weekend RN Hours | 0.54 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Dec 3, 2025 · Resident Rights Deficiencies
- Tag 0627 Severity DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Dec 3, 2025 · Resident Rights Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiApr 16, 2025 · Pharmacy Service Deficiencies
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Apr 16, 2025 · Resident Rights Deficiencies
- Tag 0557 Severity DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Apr 16, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.5% | 4.5% | Worse |
| Falls with major injury | 2.1% | 3.0% | Better |
| On antipsychotic medication | 33.5% | 14.5% | Worse |
| Urinary tract infections | 1.5% | 2.5% | Better |
| ADL decline (daily activities) | 8.3% | 14.0% | Better |
| Excessive weight loss | 1.3% | 7.5% | Better |
| New/worsened incontinence | 22.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $132,398
How This Grade Was Calculated
This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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