The North Shore Estates LLC
7700 Grand Avenue, Duluth, MN 55807 · St. Louis County · 70 certified beds · avg 64 residents/day · certified since May 1, 1987
Part of chain: MONARCH HEALTHCARE MANAGEMENT (45 facilities, chain avg rating 2.2★)
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.89
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 self-reported quality measures.
All citations in the current public record (24)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 12, 2026 | F · Potential for harm, facility-wide | 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. |
| Feb 12, 2026 | E · Potential for harm, repeated | 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. |
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 12, 2026 | E · Potential for harm, repeated | 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. |
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 20, 2025 | E · Potential for harm, repeated | 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. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Mar 20, 2025 | D · Potential for harm, one-off | 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. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 1, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 1, 2024 | E · Potential for harm, repeated | 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. |
| Feb 1, 2024 | E · Potential for harm, repeated | 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. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 8 | 0 | F |
| 2025 | 6 | 0 | E |
| 2026 | 10 | 0 | F |
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.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.89 | 4.83 | 3.95 | bottom 11% in Minnesota; top 44% in the U.S. |
| Registered Nurse hours | 0.77 | 1.22 | 0.69 | bottom 9% in Minnesota; top 30% in the U.S. |
| Weekend total nurse staffing | 3.49 | 4.27 | 3.50 | bottom 14% in Minnesota; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.69 | 0.48 | bottom 18% in Minnesota; top 49% in the U.S. |
| Total nursing staff turnover (%) | 32.1 | 42.2 | 45.8 | top 27% in Minnesota; top 18% in the U.S. |
| RN turnover (%) | 30.0 | 38.6 | 42.9 | top 40% in Minnesota; top 29% in the U.S. |
Hours are per resident per day, 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 3.15, RN 0.62, weekend 2.83. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arem, Jeffrey | Individual | 5% or Greater Direct Ownership Interest | 14% | 07/01/2016 |
| Halpert, Marc | Individual | 5% or Greater Indirect Ownership Interest | 23% | 07/01/2016 |
| HML LLC | Organization | 5% or Greater Direct Ownership Interest | 12% | 07/01/2016 |
| Jaffa, Noam | Individual | 5% or Greater Indirect Ownership Interest | 14% | 07/01/2016 |
| Legum, Joshua | Individual | 5% or Greater Indirect Ownership Interest | 23% | 07/01/2016 |
| Muencz, Jeffrey | Individual | 5% or Greater Indirect Ownership Interest | 12% | 07/01/2016 |
| Nij LLC | Organization | 5% or Greater Direct Ownership Interest | 14% | 07/01/2016 |
| Spartan Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 23% | 07/01/2016 |
| Stern, William | Individual | 5% or Greater Direct Ownership Interest | 15% | 07/01/2016 |
| Yazoma Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 23% | 07/01/2016 |
| Halpert, Marc | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
| Legum, Joshua | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2016 |
| Monarch Healthcare Operating IV LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| Stern, William | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Dove Healthcare - Superior | 2.9 mi | Superior, WI | ★★☆☆☆ | 2/5 | |
| Viewcrest Health Center | 4.6 mi | Duluth, MN | ★★★☆☆ | 3/5 | |
| Twin Ports Health Services | 4.7 mi | Superior, WI | ★★★★★ | 4/5 | |
| Villa Marina Health and Rehabilitation Center | 5.6 mi | Superior, WI | ★★★★☆ | 3/5 | |
| Bayshore Residence and Rehabilitation Center | 5.9 mi | Duluth, MN | ★★☆☆☆ | 2/5 | |
| Franciscan Health Center | 6.3 mi | Duluth, MN | ★☆☆☆☆ | 2/5 | |
| Hilltop Healthcare Rehabilitation and Skilled Nurs | 7.4 mi | Duluth, MN | ★★☆☆☆ | 2/5 | |
| Benedictine Health Center | 7.7 mi | Duluth, MN | ★☆☆☆☆ | 1/5 | abuse |
| Aftenro Home | 8.0 mi | Duluth, MN | ★☆☆☆☆ | 1/5 | |
| Ecumen Lakeshore | 9.9 mi | Duluth, MN | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245483.