Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ecumen Lakeshore during CMS and state inspections, most recent first.
A resident's MDS assessment was not accurately completed because Section F, which documents preferences for daily routines and activities, was left blank. The resident had memory problems but no other behavioral issues. The MDS coordinator indicated that the activity review and preferences assessment were not completed by the responsible staff, leading to the deficiency.
The facility failed to maintain dishwasher temperatures at the required 180 degrees Fahrenheit for sanitization, potentially affecting 56 residents, staff, and visitors. Despite awareness of the issue, no changes were made to the dishwashing process, and a facility policy for dish cleaning was not provided.
Incomplete MDS Assessment for Resident Preferences
Penalty
Summary
The facility failed to accurately complete the Minimum Data Set (MDS) for one resident by not filling out Section F, which addresses preferences for customary routines and activities. The resident in question had memory problems but no delusions, hallucinations, or rejection of care, as indicated in the annual MDS. During the assessment process, the MDS coordinator stated that the life enrichment coordinator was responsible for completing the activity review and preferences assessment, but this information was not entered into Section F. The facility's policy requires a registered nurse to coordinate and certify the accuracy of each resident's MDS assessment, and each individual completing a portion of the assessment must certify its accuracy. However, the required section was left incomplete, resulting in an inaccurate assessment.
Dishwasher Temperature Deficiency
Penalty
Summary
The facility failed to maintain appropriate dishwasher temperatures necessary for sanitizing dishware and utensils, which could potentially lead to foodborne illness among 56 residents, staff, and visitors. During an observation, a culinary aide was seen using a dishwasher with a rinse temperature of 140 degrees Fahrenheit, below the required 180 degrees for effective sanitization. The dishwasher's monitoring system indicated a low rinse temperature, and the facility's temperature logs showed consistent readings between 145 to 155 degrees Fahrenheit from the beginning of the month. Interviews revealed that the food services director was aware of the issue, acknowledging that the dishwasher was a high-temperature model requiring at least 180 degrees Fahrenheit for proper sanitization. Despite the booster being broken, no changes were made to the dishwashing process. The infection preventionist confirmed the increased risk of contamination due to inadequate sanitization temperatures. A facility policy for dish cleaning was requested but not provided, indicating a lack of documented procedures to address the issue.
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Illustrative
What surveyors actually found near you
We read the 128 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Duluth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aftenro Home | 2.4 mi | ★★★★★ | 17 | 0 |
| Benedictine Health Center | 2.8 mi | ★★★★★ | 23 | 2 |
| Hilltop Healthcare Rehabilitation And Skilled Nurs | 4 mi | ★★★★★ | 17 | 0 |
| Bayshore Residence And Rehabilitation Center | 4.3 mi | ★★★★★ | 2 | 0 |
| Franciscan Health Center | 5.6 mi | ★★★★★ | 20 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.