The Waterview Shores LLC in Two Harbors, MN has a 2-star overall rating, with 2-star health inspection and quality ratings and 3-star staffing. Reported nurse staffing is 3.23 hours per resident day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2307.
Staffing detail
Registered nurses
0.61
Licensed practical nurses
0.40
Nurse aides
2.22
Weekend nursing
2.90
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
44.9%Steady
Residents with a fall causing major injury
1.5%Steady
Residents with pressure ulcers (bedsores)
6.9%Worsening
Residents with a urinary tract infection
1.5%Worsening
Residents who lost too much weight
1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.8%Improving
Residents whose ability to walk got worse
11.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
3.1%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
25%Worsening
Residents with depressive symptoms
6.1%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
83%Steady
Short-stay residents given the pneumonia vaccine
92.5%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.
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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.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(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 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 6 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of MONARCH HEALTHCARE MANAGEMENT · 45 homes · 2.2 stars avg
Occupancy
37.8 residents on an average day (86% 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.