51.9/100
Below average
402 - 13Th Avenue, Two Harbors, MN 55616
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$334,488 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 64%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
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.
Grade ceiling applied
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: June 5, 2025 (1 year ago).
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Immediate jeopardy to resident health or safety
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
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Actual harm to a resident
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 | CONTRACTED MANAGING EMPLOYEE | — |
| JAFFA, NOAM | Individual | CORPORATE DIRECTOR | — |
| HALPERT, MARC | Individual | CORPORATE OFFICER | — |
| STERN, WILLIAM | Individual | CORPORATE OFFICER | — |
| MONARCH HEALTHCARE OPERATING VIII 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 | — |
| WBS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| STERN, WILLIAM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| NIJ LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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The Waterview Shores Llc holds an ElderGrade of D (51.9 out of 100), which we describe as "below 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 3.32 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 26 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, The Waterview Shores 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.