GoodStanding

Nursing home report

Benedictine Health Center

DULUTH, MN · Medicare-certified · 96 beds

Needs attention
Abuse citationNon-profitChain member
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.9794 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 550 — 42 CFR §483.10(a) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. 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.