The North Shore Estates LLC

Nursing Home · Duluth, MN

CMS overall rating 2/5 For profit - Partnership

CMS certification number245483

Contact & location

7700 Grand Avenue
Duluth, MN 55807
St. Louis County
Phone
(218) 628-2341
ZIP code
55807 – all care providers

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Facility details

Certified beds
70
Residents per day
64.4 (92% occupied)
Ownership
For profit - Partnership
Chain
Monarch Healthcare Management (45 facilities, avg 2.2★)
Medicare certified since
May 1, 1987
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 4.1
Quality measures★★★★★ 2/5
State avg 3.1
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.15 (state 4.19 · U.S. 3.86)
Registered nurses (RN)
0.62 (state 1.06 · U.S. 0.69)
Licensed practical nurses
0.47 (state 0.61 · U.S. 0.86)
Nurse aides
2.06 (state 2.52 · U.S. 2.32)
Weekend total
2.83 (state 3.71 · U.S. 3.42)
Nursing staff turnover
32.1 (state 42.2 · U.S. 45.8)%
RN turnover
30.0 (state 38.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 12, 2026
Health deficiencies (last cycle)
10.0 (state 7.0 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
24 health · 17 fire safety
DateCitationSeverityStatus
2026-02-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2026-02-12 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2026-02-12 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2026-02-12 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2026-02-12 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2026-02-12 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.
F0809 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2026-02-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2026-02-12 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2026-02-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2026-02-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-18
2025-03-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-09
2025-03-20 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-09
2025-03-20 Plan the resident's discharge to meet the resident's goals and needs.
F0660 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-09
2025-03-20 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-09
2025-03-20 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-09
2025-03-20 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-09
2024-02-01 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-02-22
2024-02-01 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-22
2024-02-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-22
2024-02-01 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-22
2024-02-01 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-22
2024-02-01 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-22
2024-02-01 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-22
2024-02-01 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-22

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Arem, Jeffrey (individual)5%+ Direct Ownership Interest · 14%
HML LLC (organization)5%+ Direct Ownership Interest · 12%
Nij LLC (organization)5%+ Direct Ownership Interest · 14%
Spartan Healthcare LLC (organization)5%+ Direct Ownership Interest · 23%
Stern, William (individual)5%+ Direct Ownership Interest · 15%
Yazoma Holdings, LLC (organization)5%+ Direct Ownership Interest · 23%
Halpert, Marc (individual)5%+ Indirect Ownership Interest · 23%
Jaffa, Noam (individual)5%+ Indirect Ownership Interest · 14%
Legum, Joshua (individual)5%+ Indirect Ownership Interest · 23%
Muencz, Jeffrey (individual)5%+ Indirect Ownership Interest · 12%
Halpert, Marc (individual)Corporate Director · NOT APPLICABLE
Stern, William (individual)Corporate Officer · NOT APPLICABLE
Monarch Healthcare Operating IV LLC (organization)Operational/managerial Control · NOT APPLICABLE
Legum, Joshua (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of The North Shore Estates LLC?

The North Shore Estates LLC has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.

How many beds does The North Shore Estates LLC have?

It has 70 certified beds and cares for about 64 residents per day.

Has The North Shore Estates LLC been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns The North Shore Estates LLC?

It is part of Monarch Healthcare Management and is classified as for profit - partnership. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The North Shore Estates LLC?

(218) 628-2341. The facility is located at 7700 Grand Avenue, Duluth, MN 55807.

Other nursing homes in Duluth

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.