The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
Nursing home report
Aftenro Board and Care
Registered name: Aftenro Home
DULUTH, MN · Medicare-certified · 54 beds
Needs attention
Non-profit
Data as of July 1, 2026
1 of 5 overall
Aftenro Board and Care in Duluth, MN has a 1 out of 5 overall rating, with 1-star health inspection and quality ratings but 5-star staffing. It reported 3.52 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had no fines in the last 24 months, and is flagged for the lowest overall rating.
Facility ratings
Health inspections
Staffing
3.5175 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5175.
Staffing detail
- Registered nurses
- 1.00
- Licensed practical nurses
- 0.18
- Nurse aides
- 2.33
- Weekend nursing
- 2.90
Hours per resident per day.
Total staff turnover: 26%
Registered nurse turnover: 0%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%12.5%Worsening
Residents with a fall causing major injury
8.2%3.9%Improving
Residents with pressure ulcers (bedsores)
13.5%7.9%Improving
Residents with a urinary tract infection
10.2%11.8%Worsening
Residents who lost too much weight
0%9.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.3%13.5%Worsening
Residents whose ability to walk got worse
21%7.2%Improving
Long-stay residents on antianxiety or sleep medication
9.3%14.3%Worsening
Residents with a long-term catheter
0%1.9%Worsening
Residents with new or worsening incontinence
9.2%18.6%Worsening
Residents with depressive symptoms
11.4%8.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.4%—
Long-stay residents given the pneumonia vaccine
95.9%100%Improving
Short-stay residents given the pneumonia vaccine
—95.5%—
What the inspectors found
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to make sure residents got food that met their allergies, intolerances, and preferences. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 806 — 42 CFR §483.60 — S/S: F
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 50.7 residents on an average day (94% of 54 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.