The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
BAYSHORE RESIDENCE AND REHABILITATION CENTER
DULUTH, MN · Medicare-certified · 140 beds
Needs attention
For-profitChain member
2 of 5 overall
BAYSHORE RESIDENCE AND REHABILITATION CENTER in Duluth, MN has a 2-star overall rating, with a 1-star health inspection rating but 5-star staffing and 2-star quality measures. It has had $122,175 in fines in the last 24 months and a recent federal penalty; reported nurse staffing is 3.80 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.8018 hrs/resident/day
Quality measures
Last inspection: December 4, 2025Penalties, last 24 months: $122,175recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8018.
Staffing detail
- Registered nurses
- 0.88
- Licensed practical nurses
- 0.26
- Nurse aides
- 2.67
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 35%
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
29.3%32.1%Worsening
Residents with a fall causing major injury
2.3%2.4%No change
Residents with pressure ulcers (bedsores)
9.3%8.7%Improving
Residents with a urinary tract infection
2.4%3.6%Worsening
Residents who lost too much weight
0%2.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.2%13.9%Worsening
Residents whose ability to walk got worse
14.3%2.4%Improving
Long-stay residents on antianxiety or sleep medication
14.3%15.8%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.4%0.8%Improving
Residents with new or worsening incontinence
22.7%23.8%Worsening
Residents with depressive symptoms
10.7%2.6%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
—98.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—92.3%—
Short-stay residents given the pneumonia vaccine
98%98%No change
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to properly label and securely store medications and biologicals. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $122,175 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $132,398 in total fines · 1 payment denial.
- 10 days
Medicare/Medicaid payment denial
May 28, 2024
- $122,175
Federal fine
May 28, 2024
- $10,223
Federal fine
Apr 20, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EPHRAM LAHASKY · 23 homes · 1.9 stars avg
- Occupancy
- 90.7 residents on an average day (65% of 140 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 47 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.