Nursing home
The North Shore Estates
7700 Grand Avenue, Duluth, MN 55807 · Map
For profit - Partnership · Part of Monarch Healthcare Management (45 facilities) · 70 certified beds
The North Shore Estates is a Medicare-certified nursing home in Duluth, Minnesota. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.25 hours per resident per day, below the Minnesota average of 4.23. Its most recent inspection on Mar 20, 2025 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The North Shore Estates compares
This facility vs. the Minnesota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Minnesota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.25 | 4.23 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.68 | 1.06 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.09 | 2.55 | 2.34 | below avg |
| Nursing staff turnover | 36.2% | 42.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 6.0 | 8.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at The North Shore Estates
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 12, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Mar 20, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 7700 Grand Avenue
Duluth, MN 55807 - CMS certification #
- 245483
- Ownership
- For profit - Partnership
- Certified beds
- 70
- Avg residents/day
- 63.4
- Provider type
- Medicare and Medicaid
- First certified
- 1987-05-01
- Chain
- Monarch Healthcare Management (45 facilities)
- Setting
- Urban
Part of Monarch Healthcare Management
Monarch Healthcare Management operates 45 nursing facilities across the United States. View all Monarch Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The North Shore Estates using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, transportation
- Workplace safety 1 OSHA workplace safety inspection since 2017, 2 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What The North Shore Estates says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
On-site 24/7 nursing care
(page, checked Oct 15, 2026) - Provides transportation.
Residents are also offered housekeeping services, scheduled transportation to and from appointments, apartment maintenance, and a selection of social and recreational events.
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private and semi-private room options
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Nov 9, 2017: programmed (planned) inspection, complete (safety). Case closed Dec 19, 2017. 2 violations cited (2 serious). Penalties: $1,800 proposed, $1,260 now. OSHA record. OSHA recorded the employer as 96349 - the North Shore Estates LLC.
Details
- Serious: Cited rule 182.6553(2). Penalty $1,200 proposed, $840 now. To be fixed by Dec 21, 2017.
- Serious: Cited rule 5205.860. Penalty $600 proposed, $420 now. To be fixed by Dec 21, 2017.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- St Marys Hospital Superior, Superior. 4.5 miles away, straight line.
- Nearest Medicare nursing home
- Dove Healthcare - Superior, Superior. 2.9 miles away, straight line.
- Nearest home health agency office
- Aveanna Home Health, Duluth. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 2.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55807 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Dialysis Services Of Spirit Valley, Duluth, 2.2 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Kidney Care Miller Hill, Hermantown, 8.2 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care - Cloquet, Cloquet, 12.7 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 55807.
Caringedge Hospice Hermantown, office in Hermantown, 6.1 miles away, straight line
Essentia Health St Mary'S Hospice & Palliative Care Services, office in Duluth, 6.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Aspirus St. Luke'S At Home-Hospice-Duluth, office in Duluth, 7.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- St Marys Hospital Of Superior, Superior. 4.5 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: inland flooding relatively low, coastal flooding very low, wildfire very low, tornado relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is The North Shore Estates a good nursing home?
CMS gives The North Shore Estates an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The North Shore Estates staffed?
The North Shore Estates reports 3.25 total nurse hours per resident per day, compared with the Minnesota average of 4.23.
Has The North Shore Estates had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does The North Shore Estates have?
The North Shore Estates is certified for 70 beds.