77.5/100
Above average
7700 Grand Avenue, Duluth, MN 55807
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 12, 2026 (6 months ago).
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
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...
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
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 out...
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, potential for more than minimal harm
Part of MONARCH HEALTHCARE MANAGEMENT, which operates 45 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| LEGUM, JOSHUA | Individual | W-2 MANAGING EMPLOYEE | — |
| HALPERT, MARC | Individual | CORPORATE DIRECTOR | — |
| STERN, WILLIAM | Individual | CORPORATE OFFICER | — |
| MONARCH HEALTHCARE OPERATING IV LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| SPARTAN HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| YAZOMA HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| HALPERT, MARC | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| LEGUM, JOSHUA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| STERN, WILLIAM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| NIJ LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| AREM, JEFFREY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| JAFFA, NOAM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
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The North Shore Estates Llc holds an ElderGrade of B (77.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.15 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 24 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, The North Shore Estates Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.