The nursing home failed to ensure residents were free from significant medication errors. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
The Waterview Shores
Registered name: The Waterview Shores LLC
TWO HARBORS, MN · Medicare-certified · 44 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
The Waterview Shores in Two Harbors, MN has a 1-star overall rating, with a 1-star health inspection rating and 3-star staffing rating. It has reported nurse staffing below the federal benchmark (3.32 vs 4.1 hours per resident per day), $334,488 in fines in the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3179 hrs/resident/day
Quality measures
Last inspection: May 4, 2026Penalties, last 24 months: $334,488recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3179.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.37
- Nurse aides
- 2.21
- Weekend nursing
- 2.91
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 56%
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
—38.1%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
2.5%6.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.5%9.1%Improving
Residents whose ability to walk got worse
—8%—
Long-stay residents on antianxiety or sleep medication
0%5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19%32.5%Worsening
Residents with depressive symptoms
3.1%0%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—83%—
Short-stay residents given the pneumonia vaccine
89.4%97.2%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — 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 June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $334,488 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $334,488 in total fines.
- $334,488
Federal fine
May 4, 2026
Operator & ownership
Recent ownership change · Jun 1, 2019
Now operated by The Waterview Shores LLC, previously Ecumen.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MONARCH HEALTHCARE MANAGEMENT · 45 homes · 2.3 stars avg
- Occupancy
- 35.9 residents on an average day (82% of 44 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 39 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.