C

The North Shore Estates Llc

7700 GRAND AVENUE, DULUTH, MN 55807
Score: 61 / 100

The North Shore Estates Llc is an average performer in CMS ratings, earning a C grade with a score of 61/100. Located in Duluth, Minnesota, the facility meets baseline standards across most quality metrics.

Staffing levels are a potential concern at The North Shore Estates Llc, with 3.25 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 18 deficiencies at The North Shore Estates Llc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.25 3.8 Below Average
Registered Nurses (RN) 0.68 0.7 Average
Licensed Practical Nurses (LPN) 0.48 0.7 Below Average
Certified Nursing Assistants (CNA) 2.09 2.4 Below Average
Weekend Total Nursing 2.95 3.8 Below Average
Weekend RN Hours 0.44 0.7 Below Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Mar 19, 2025
Most Recent Inspection
🟠 18 Moderate
View recent deficiencies (5 shown)
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Mar 19, 2025 · Infection Control Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Mar 19, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0660 Severity D
    Plan the resident's discharge to meet the resident's goals and needs.
    Mar 19, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Mar 19, 2025 · Quality of Life and Care Deficiencies
  • Tag 0757 Severity D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    Mar 19, 2025 · Pharmacy Service 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 8.7% 4.5% Worse
Falls with major injury 2.3% 3.0% Better
On antipsychotic medication 16.9% 14.5% Worse
Urinary tract infections 2.3% 2.5% Average
ADL decline (daily activities) 18.2% 14.0% Worse
Excessive weight loss 3.8% 7.5% Better
New/worsened incontinence 29.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 61 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Partnership
Certified Beds
70
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 19, 2025
Deficiencies (Cycle 1)
6