Quick answers
- Where is The North Shore Estates LLC?
- 7700 Grand Avenue, Duluth, MN 55807, in St. Louis County, Minnesota.
- What is the phone number of The North Shore Estates LLC?
- (218) 628-2341, as listed by Medicare (CMS).
- What is the Medicare star rating of The North Shore Estates LLC?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has The North Shore Estates LLC been fined?
- Medicare lists no fines for The North Shore Estates LLC.
- What did inspectors find at The North Shore Estates LLC?
- In its last three inspection cycles (February 1, 2024 to July 8, 2026), Medicare lists 27 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 1, 2024 to July 8, 2026), The North Shore Estates LLC had 27 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.20 hours per resident per day; the Minnesota average is 4.27 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: February 12, 2026 — 13 health citations
Inspections in this cycle: February 12, 2026 (standard health inspection); July 8, 2026 (complaint investigation).
Show 13 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level E
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0809 Level E
“Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
Previous cycle: March 20, 2025 — 6 health citations
Inspections in this cycle: March 20, 2025 (standard health inspection).
Show 6 citations (levels A to F, no actual harm)
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0660 Level D
“Plan the resident's discharge to meet the resident's goals and needs.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0758 Level D
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
Earlier cycle: February 1, 2024 — 8 health citations
Inspections in this cycle: February 1, 2024 (standard health inspection).
Show 8 citations (levels A to F, no actual harm)
F0921 Level F
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0761 Level E
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (17)
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0345 Level D
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0753 Level D
“Have restrictions on the use of highly flammable decorations.”
K0225 Level C
“Have stairways and smokeproof enclosures used as exits that meet safety requirements.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0541 Level F
“Install properly constructed and protected linen or trash chutes.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Minnesota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.65 | 1.08 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.50 | 0.61 | 0.86 |
| Nurse aide hours per resident per day | 2.06 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 3.20 | 4.27 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.87 | 3.73 | 3.43 |
| RN hours per resident per day on the weekend | 0.42 | 0.71 | 0.48 |
| Nursing staff turnover (per year) | 37.5% | 42.1% | 45.3% |
| RN turnover (per year) | 20.0% | 39.3% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 45 nursing homes: Monarch Healthcare Management.
Owners and managers Medicare lists (11)
| Name | Role | Share | Since |
|---|---|---|---|
| HML LLC | Direct owner | 12% | July 1, 2016 |
| Nij LLC | Direct owner | 14% | July 1, 2016 |
| Spartan Healthcare LLC | Direct owner | 23% | July 1, 2016 |
| Yazoma Holdings, LLC | Direct owner | 23% | July 1, 2016 |
| Arem, Jeffrey | Direct owner | 14% | July 1, 2016 |
| Stern, William | Direct owner | 15% | July 1, 2016 |
| Halpert, Marc | Indirect owner | 23% | July 1, 2016 |
| Jaffa, Noam | Indirect owner | 14% | July 1, 2016 |
| Legum, Joshua | Indirect owner | 23% | July 1, 2016 |
| Muencz, Jeffrey | Indirect owner | 12% | July 1, 2016 |
| Monarch Healthcare Operating IV LLC | Management company (operational or managerial control) | NOT APPLICABLE | July 1, 2016 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 70 |
| Average residents per day | 64.2 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – partnership |
| Group or chain (affiliated entity) | Monarch Healthcare Management |
| First approved by Medicare/Medicaid | 1987-05-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 7700 Grand Avenue, Duluth, MN 55807 |
| County | St. Louis County |
| State | Minnesota |
| Phone | (218) 628‑2341 |
| CMS Certification Number | 245483 |
| Name in Medicare records | THE NORTH SHORE ESTATES LLC |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Dove Healthcare - Superior2.9 mi · Superior, WI · 2 of 5 stars
- Viewcrest Health Center4.6 mi · Duluth, MN · 4 of 5 stars
- Twin Ports Health Services4.7 mi · Superior, WI · 5 of 5 stars
- Villa Marina Health and Rehabilitation Center5.6 mi · Superior, WI · 5 of 5 stars
- Bayshore Residence and Rehabilitation Center5.9 mi · Duluth, MN · 2 of 5 stars
Nearest hospital emergency rooms
- St Marys Hospital Superior4.5 mi · Superior, WI · Critical Access Hospital
- Essentia Health St Mary's Medical Center6.7 mi · Duluth, MN · Acute Care Hospital
- St Lukes Hospital7.1 mi · Duluth, MN · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13