Benedictine Health Center (Duluth, MN) has a 1 out of 5 overall star rating, with a 1-star health inspection rating but 4-star staffing and quality measures. It has no fines in the last 24 months, reported staffing of 3.98 hours per resident day versus the 4.1 federal benchmark, and a recent abuse citation.
Last inspection: December 19, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9794.
Staffing detail
Registered nurses
0.91
Licensed practical nurses
0.70
Nurse aides
2.37
Weekend nursing
3.43
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 59%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
9.8%13.5%Worsening
Residents with a fall causing major injury
0%1.6%Worsening
Residents with pressure ulcers (bedsores)
10.4%11.3%Worsening
Residents with a urinary tract infection
5.8%1.6%Improving
Residents who lost too much weight
8.2%3.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25%16.3%Improving
Residents whose ability to walk got worse
—32.4%—
Long-stay residents on antianxiety or sleep medication
17.7%15.4%Improving
Short-stay residents newly given an antipsychotic
1.8%1.2%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.2%28.7%Worsening
Residents with depressive symptoms
1.7%3.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—91.8%—
Long-stay residents given the pneumonia vaccine
97.1%95.3%Worsening
Short-stay residents given the seasonal flu vaccine
—92%—
Short-stay residents given the pneumonia vaccine
95.7%92%Worsening
What the inspectors found
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 December 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to properly label and securely store medications and biologicals. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 883 — 42 CFR §483.80 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited December 2025 — isolated incident, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
Non profit - Church related
Chain
Part of BENEDICTINE HEALTH SYSTEM · 23 homes · 3.1 stars avg
Occupancy
89 residents on an average day (93% of 96 beds)
Resident voice
Resident council
Medicare history
Certified for 45 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.