CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Minnesota. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
The North Shore Estates Llc is a 2-star Medicare and Medicaid certified nursing home in Duluth, Minnesota with 70 certified beds. It has been operating since 1987. Its overall CMS rating is 2 out of 5.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Allow residents to self-administer drugs if determined clinically appropriate.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Allow residents to self-administer drugs if determined clinically appropriate.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| HML LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 12% | Jul 1, 2016 |
| NIJ LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 14% | Jul 1, 2016 |
| SPARTAN HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 23% | Jul 1, 2016 |
| YAZOMA HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 23% | Jul 1, 2016 |
| AREM, JEFFREY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 14% | Jul 1, 2016 |
| STERN, WILLIAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 15% | Jul 1, 2016 |
| HALPERT, MARC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 23% | Jul 1, 2016 |
| JAFFA, NOAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 14% | Jul 1, 2016 |
| LEGUM, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 23% | Jul 1, 2016 |
| MUENCZ, JEFFREY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 12% | Jul 1, 2016 |
| LEGUM, JOSHUA | W-2 MANAGING EMPLOYEE | Individual | N/A | Jul 1, 2016 |
| HALPERT, MARC | CORPORATE DIRECTOR | Individual | N/A | Jul 1, 2016 |
| STERN, WILLIAM | CORPORATE OFFICER | Individual | N/A | Jul 1, 2016 |
| MONARCH HEALTHCARE OPERATING IV LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 1, 2016 |
Compare CMS ratings and recorded fines for The North Shore Estates Llc and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 45 facilities. View all →