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Ecumen Lakeshore

4002 London Road, Duluth, MN 55804 · St. Louis County · (218) 625-7100

60 certified beds, about 49 residents a day · Non profit - Corporation · Medicare and Medicaid since 1977

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245215 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 21, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 2 health citations since June 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.29 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.71 of those hours.

46.3% of nursing staff left within the year CMS measured (Minnesota average 42.2%).

CMS links it to Ecumen, an affiliated group of 5 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 2 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
0E
1F
Potential for minimal harm
0A
0B
0C
May 21, 2026Standard inspection · 0 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
August 7, 2025Standard inspection · 1 citation
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on interview and document review, the facility failed to accurately code the Minimum Data Set (MDS) for 1 of 1 resident (R8) reviewed for MDS accuracy.
June 13, 2024Standard inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 25, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to ensure dishwasher temperatures were maintained or implement other strategies to effectively sanitize dishware and utensils to reduce the risk of foodborne illness. This had potential to affect 56 residents residing in the nursing home along with staff and visitors who consume meals from the main production kitchen.

Fire safety inspections

21 fire safety citations on file: 8 on May 21, 2026, 7 on August 7, 2025, 6 on June 13, 2024.

Every fire safety citation21 citations
  1. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 21, 2026 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 21, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure proper usage of power strips and extension cords.
    K 920 · May 21, 2026 · Corrected (the home has a date of correction)
  4. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 21, 2026 · Corrected (the home has a date of correction)
  5. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 21, 2026 · Corrected (the home has a date of correction)
  6. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 21, 2026 · Corrected (the home has a date of correction)
  7. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · May 21, 2026 · Corrected (the home has a date of correction)
  8. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 21, 2026 · Corrected (the home has a date of correction)
  9. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 7, 2025 · Corrected (the home has a date of correction)
  10. F
    Install properly constructed and protected linen or trash chutes.
    K 541 · August 7, 2025 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 7, 2025 · Corrected (the home has a date of correction)
  12. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 7, 2025 · Corrected (the home has a date of correction)
  13. D
    Provide properly protected cooking facilities.
    K 324 · August 7, 2025 · Corrected (the home has a date of correction)
  14. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 7, 2025 · Corrected (the home has a date of correction)
  15. D
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · August 7, 2025 · Corrected (the home has a date of correction)
  16. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 13, 2024 · Corrected (the home has a date of correction)
  17. F
    Install properly constructed and protected linen or trash chutes.
    K 541 · June 13, 2024 · Corrected (the home has a date of correction)
  18. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · June 13, 2024 · Corrected (the home has a date of correction)
  19. F
    Ensure proper usage of power strips and extension cords.
    K 920 · June 13, 2024 · Corrected (the home has a date of correction)
  20. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 13, 2024 · Corrected (the home has a date of correction)
  21. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 13, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)5.294.193.86
Registered nurses1.711.060.69
All nursing staff on weekends4.743.713.42
Nurse aides2.99
Licensed practical nurses0.59
Nursing staff turnover (share who left in a year)46.3%42.2%45.8%
Registered nurse turnover25.0%38.6%42.9%
Administrators who left1

CMS expects 3.80 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.51 on weekdays and 4.74 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.45 in April to June 2025 to 5.29 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.291.715.514.74 4.4%0 of 9049
Oct to Dec 20255.421.785.694.73 12.9%0 of 9248
Jul to Sep 20254.881.705.124.29 8.2%0 of 9252
Apr to Jun 20255.451.925.814.56 5.7%0 of 9151
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%0.8% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Minnesota

JobMedianMiddle halfEmployed
Minnesota, all employers
CNAs (nursing assistants)$22.44$19.39 to $23.7229,120
LPNs and LVNs$30.65$28.83 to $34.2612,840
Registered nurses$48.80$42.76 to $55.1770,110
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMinnesotaUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.91.91.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.423.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.214.812.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Ecumen Lakeshore's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (70.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

70.2% this home

Better than the national rate

US median of homes 51.5% · Minnesota: 66 better, 14 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 385 eligible stays.

Potentially preventable readmissions

10.3% this home

No different from the national rate

US median of homes 10.7% · Minnesota: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 413 eligible stays.

Infections that led to a hospital stay

7.1% this home

No different from the national rate

US median of homes 7.1% · Minnesota: 2 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 238 eligible stays.

Self-care and mobility at discharge

72.5% this home

Median of homes: Minnesota57.8% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 473 residents counted.

Falls with major injury

0.7% this home

Median of homes: Minnesota0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 555 residents counted.

New or worsened pressure ulcers

2.1% this home

Median of homes: Minnesota2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 554 residents counted.

Medication list given at discharge

98.0% this home

Median of homes: Minnesota98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 100 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ECUMEN. CMS links this home to Ecumen, a group of 5 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Ecumen5% or greater direct ownership interestOrganization100%06/14/1994
Kendrick, ShelleyW-2 managing employeeIndividual01/18/2012
Alam, MorshedCorporate directorIndividual09/30/2019
Dady, JamesCorporate directorIndividual06/01/2019
Kendrick, ShelleyCorporate directorIndividual01/18/2012
Kro, LisaCorporate directorIndividual06/01/2019
Ulvestad, NancyCorporate directorIndividual06/01/2019
Alam, MorshedCorporate officerIndividual09/30/2019
Cervenka, DebbieCorporate officerIndividual06/01/2015
Kendrick, ShelleyCorporate officerIndividual01/18/2012
Alam, MorshedOperational/managerial controlIndividual09/30/2019
Kendrick, ShelleyOperational/managerial controlIndividual01/18/2012

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Ensure each resident receives an accurate assessment."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on June 13, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Minnesota contacts for a concern about a nursing home

These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.

Common questions

What is Ecumen Lakeshore's Medicare star rating?
CMS rates Ecumen Lakeshore 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ecumen Lakeshore get at its last inspection?
0 health deficiencies at the standard inspection on May 21, 2026. The Minnesota average is 7.1.
Has Ecumen Lakeshore been fined?
CMS lists no fines in the last three years.
Does Ecumen Lakeshore accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Ecumen Lakeshore?
CMS lists 12 owners and managers, and links the home to Ecumen. Legal business name: ECUMEN.

Sources

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