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No fines or payment denials in the published 3-year window.
935 Kenwood Avenue, Duluth, MN 55811 (opens Google Maps) · St. Louis County · (218) 522-8900· 96 certified beds · avg 91 residents/day · certified since Nov 17, 1980 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Abuse citation flag (CMS)
Part of chain: BENEDICTINE HEALTH SYSTEM (23 facilities, chain avg rating 2.8★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Immediate jeopardy, pattern · Dec 19, 2025 · F-0880
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 20, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Nov 25, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. F-0761
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 27, 2026 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Dec 19, 2025 | ▲ K · Immediate jeopardy, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Dec 19, 2025 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Dec 19, 2025 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Dec 19, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Dec 19, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Dec 19, 2025 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Dec 19, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive. · F-0659 |
| Dec 19, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Dec 19, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Dec 19, 2025 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Nov 25, 2025 | ▲ J · Immediate jeopardy, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| May 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Dec 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Oct 19, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2025 | 12 | 2 | K ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.31 | 4.83 | 3.95 | bottom 30% in Minnesota; top 29% in the U.S. |
| Registered Nurse hours | 0.87 | 1.22 | 0.69 | bottom 19% in Minnesota; top 22% in the U.S. |
| Weekend total nurse staffing | 3.74 | 4.27 | 3.50 | bottom 27% in Minnesota; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.69 | 0.48 | bottom 27% in Minnesota; top 41% in the U.S. |
| Total nursing staff turnover (%) | 51.8 | 42.2 | 45.8 | bottom 23% in Minnesota; bottom 32% in the U.S. |
| RN turnover (%) | 45.0 | 38.6 | 42.9 | bottom 36% in Minnesota; bottom 44% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.94, RN 0.80, weekend 3.42.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.94 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Benedictine Health Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Benedictine Health System | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/05/1985 |
| Bergien, Tricia | Individual | Corporate Officer | NOT APPLICABLE | 05/04/2020 |
| Bowe, Tia | Individual | Corporate Director | NOT APPLICABLE | 04/30/2019 |
| Carley, Gerald | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2018 |
| Eckes, Lois | Individual | Corporate Director | NOT APPLICABLE | 10/01/2015 |
| Fedora, Todd | Individual | Corporate Director | NOT APPLICABLE | 12/01/2015 |
| Hansen, Greg | Individual | Corporate Director | NOT APPLICABLE | 12/01/2013 |
| King, Dorene | Individual | Corporate Director | NOT APPLICABLE | 10/01/2011 |
| Kolar, John | Individual | Corporate Director | NOT APPLICABLE | 01/29/2019 |
| Kruchowski, Ramona | Individual | Corporate Director | NOT APPLICABLE | 01/29/2019 |
| McCumber, Sara | Individual | Corporate Director | NOT APPLICABLE | 12/01/2014 |
| Palmolea, Nathan | Individual | Corporate Director | NOT APPLICABLE | 04/01/2017 |
| Pattock, Brian | Individual | Contracted Managing Employee | NOT APPLICABLE | 11/02/2017 |
| Pionk, Karen | Individual | Corporate Director | NOT APPLICABLE | 11/30/2017 |
| Rymanowski, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2008 |
| Spinler, Theresa | Individual | Corporate Director | NOT APPLICABLE | 10/01/2009 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Benedictine Health System — 23 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 22 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Aftenro Home | 0.4 mi | Duluth, MN | ★☆☆☆☆ | 1/5 | |
| Hilltop Healthcare Rehabilitation and Skilled Nurs | 1.3 mi | Duluth, MN | ★★☆☆☆ | 2/5 | |
| Ecumen Lakeshore | 2.8 mi | Duluth, MN | ★★★★★ | 5/5 | |
| Bayshore Residence and Rehabilitation Center | 3.2 mi | Duluth, MN | ★★☆☆☆ | 2/5 | |
| Viewcrest Health Center | 3.5 mi | Duluth, MN | ★★★☆☆ | 3/5 | |
| Franciscan Health Center | 5.2 mi | Duluth, MN | ★☆☆☆☆ | 2/5 | |
| Dove Healthcare - Superior | 6.8 mi | Superior, WI | ★★☆☆☆ | 2/5 | |
| Villa Marina Health and Rehabilitation Center | 7.5 mi | Superior, WI | ★★★★☆ | 3/5 | |
| The North Shore Estates LLC | 7.7 mi | Duluth, MN | ★★☆☆☆ | 2/5 | |
| Twin Ports Health Services | 8.2 mi | Superior, WI | ★★★★★ | 4/5 | |
| Interfaith Care Center | 18.2 mi | Carlton, MN | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
CMS records place this facility in St. Louis, MN — 17 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 245236.
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