Nursing home report
DULUTH, MN · Medicare-certified · 140 beds
2-star nursing home overall, with 2-star health inspections and quality measures, but 4-star staffing. Reported nurse staffing is 3.31 hours per resident per day, below the 4.1 federal benchmark, and the facility had $168,221 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.3104 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3104.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited March 2026 — widespread issue, potential for harm.
F-Tag 802 — 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 May 2025 — widespread issue, potential for harm.
F-Tag 809 — 42 CFR §483.60 — S/S: F
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 March 2026 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 10 health deficiencies.
Health inspection found 11 health deficiencies.
A federal fine of $14,505 was recorded.
A federal fine of $22,315 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $26,130 was recorded.
A federal fine of $127,586 was recorded.
On record with Medicare: 3 fines · $168,221 in total fines.
Federal fine
Mar 13, 2025
Federal fine
Jan 17, 2025
Federal fine
Sep 5, 2024
Now operated by Hilltop Healthcare Rehabilitation and Skilled Nursing, previously Chris Jensen Health + Rehabilitation Center.
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.
