Home / Minnesota / Grand Marais
North Shore Health
515 - 5th Avenue West, Grand Marais, MN 55604 · Cook County · (218) 387-3040
37 certified beds, about 28 residents a day · Government - Hospital district · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245384 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 27, 2026, inspectors cited 2 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 8 health citations since August 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 4.59 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.92 of those hours.
71.8% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
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.
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 8 health citations on file.
May 27, 2026Standard inspection · 2 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and document review, the facility failed to develop and implement care planning for chronic health conditions for 2 of 2 residents (R3, R6) reviewed for care planning.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and document review, the facility failed to monitor and document the results of monitoring, for a resident with chronic lower extremity edema for 1 of 1 resident (R6) reviewed for quality of care.
July 31, 2025Standard inspection · 4 citations
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview and document review, the facility failed to provide a written bed hold for 2 of 2 residents (R5, R30) reviewed for hospitalization. In addition, the facility failed to notify the Ombudsman of the transfers to the hospital.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to incorporate provider orders as well as indications for use for aquathermia heating therapy pad (aqua-K pad) intervention in care plan for 1 of 3 residents (R19) reviewed for care planning.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to ensure 5 of 6 residents (R7, R10, R12, R15, R60) reviewed for immunizations were offered or received timely administration of pneumococcal vaccinations in accordance with the Center for Disease Control (CDC) recommendations.
- C Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure infection prevention measures were in place to ensure linen was properly handled and stored. These deficient practices had the potential to impact all residents who resided at the facility. In addition, the facility failed to ensure proper glucometer sanitization occurred. This deficient practice had the potential to impact all residents who received glucometer testing at the facility.
August 1, 2024Standard inspection · 2 citations
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and document review, the facility failed to provide the required Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) to 2 of 2 residents (R8, R26) reviewed who remained in the facility after their Medicare part A covered services ended.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and document review the facility failed to perform passive range of motion (PROM) and a walking program as ordered, as well as document correctly for 1 of 1 resident (R27) reviewed for therapy.
Fire safety inspections
12 fire safety citations on file: 3 on May 27, 2026, 6 on July 31, 2025, 3 on August 1, 2024.
Every fire safety citation12 citations
- F Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have generator or other power source capable of supplying service within 10 seconds.
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.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.59 | 4.19 | 3.86 |
| Registered nurses | 1.92 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.92 | 3.71 | 3.42 |
| Nurse aides | 2.52 | ||
| Licensed practical nurses | 0.15 | ||
| Nursing staff turnover (share who left in a year) | 71.8% | 42.2% | 45.8% |
| Registered nurse turnover | 61.5% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.83 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 4.86 on weekdays and 3.92 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 33.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 4.59 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.59 | 1.92 | 4.86 | 3.92 | 33.9% | 0 of 90 | 28 |
| Oct to Dec 2025 | 4.54 | 1.80 | 4.77 | 3.96 | 36.6% | 0 of 92 | 28 |
| Jul to Sep 2025 | 4.34 | 1.71 | 4.55 | 3.80 | 40.8% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.64 | 1.08 | 3.87 | 3.06 | 52.9% | 7 of 91 | 27 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 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. If you work here, your report helps start one.
Official wage estimates for Minnesota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Minnesota, all employers | |||
| CNAs (nursing assistants) | $22.44 | $19.39 to $23.72 | 29,120 |
| LPNs and LVNs | $30.65 | $28.83 to $34.26 | 12,840 |
| Registered nurses | $48.80 | $42.76 to $55.17 | 70,110 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 29.6 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.6 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 4.0 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.3 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.4 | 17.1 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for North Shore Health's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
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: COOK COUNTY HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cook County Hospital District | Operational/managerial control | Organization | 01/01/1987 | |
| Hansen, Catherine | Operational/managerial control | Individual | 07/01/2023 | |
| Wraalstad, Kimber | Operational/managerial control | Individual | 08/01/2010 | |
| River of Life Rehab | Adp of the SNF | Organization | 04/09/2025 | |
| Hansen, Catherine | Adp of the SNF | Individual | 07/01/2023 | |
| Larock -Muggley, Deidre | Adp of the SNF | Individual | 07/01/2003 | |
| Wraalstad, Kimber | Adp of the SNF | Individual | 08/01/2010 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 27, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 27, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 31, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 31, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Minnesota Office of Ombudsman for Long-Term Care, 1-800-657-3591. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is North Shore Health's Medicare star rating?
- CMS rates North Shore Health 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did North Shore Health get at its last inspection?
- 2 health deficiencies at the standard inspection on May 27, 2026. The Minnesota average is 7.1.
- Has North Shore Health been fined?
- CMS lists no fines in the last three years.
- Does North Shore Health 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 North Shore Health?
- CMS lists 7 owners and managers. Legal business name: COOK COUNTY HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.