The North Shore Estates LLC
The North Shore Estates LLC
3.5 (16 reviews)
Skilled Nursing Facility • 70 Licensed Beds
7700 Grand Avenue, Duluth, MN
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Claimed

The North Shore Estates LLC

Skilled Nursing Facility • 70 Licensed Beds
7700 Grand Avenue,
Duluth, MN
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

The North Shore Estates LLC – Medicare Certified Since 1987

The North Shore Estates LLC is a Medicare and Medicaid certified skilled nursing facility located in Duluth, Minnesota. This facility has been serving the community for 39 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 70 certified beds with a current occupancy rate of 90% (averaging 63 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.22 hours of total nursing care per resident per day (2.04 hours from CNAs, 0.41 hours from LPNs, 0.77 hours from RNs). Physical therapy staffing is 0.07 hours per resident per day.

Medicare Quality Ratings: According to CMS, The North Shore Estates LLC has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 4 stars, quality measures: 1 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How The North Shore Estates LLC compares to 23 facilities in Duluth, MN-WI

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
2
3
Quality Measures
Clinical outcomes & safety
1
2.9
Health Inspections
State survey results
3
3
Staffing
Nurse-to-resident ratio
4
3.7
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.77 hrs
0.98 hrs
LPN/LVN Hours
Licensed practical nurses
0.41 hrs
0.48 hrs
CNA Hours
Certified nursing assistants
2.04 hrs
2.45 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.22 hrs
3.91 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
6.0 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
9.1 %
CNA Agency Use
% of CNA hours from contractors
2.6 %
17.6 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
31 %
41 %
Occupancy Rate
Percentage of beds filled
90 %
79 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$428
$376
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 23 facilities in Duluth, MN-WI.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
2/5
Quality Measures
1/5
Health Inspections
3/5
Staffing
4/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 23 other nursing homes in Duluth, MN-WI

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
The North Shore Estates LLC
Duluth, MN-WI Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

The North Shore Estates LLC
Duluth, MN-WI Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

The North Shore Estates LLC
Duluth, MN-WI Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

The North Shore Estates LLC
Duluth, MN-WI Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
122
minutes/day
CNAs
Certified Nursing Assistants
25
minutes/day
LPNs
Licensed Practical Nurses
46
minutes/day
RNs
Registered Nurses
4
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
The North Shore Estates LLC
Duluth, MN-WI Average (79.1%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$428
per resident per day
Compared to 23 facilities in your area
Above local median ($376)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
6% -4% Above
Net Income
Annual profit or loss
$2,670,553 $344,494 Above
Staff Cost per Resident
Daily salary expense per resident
$175/day $175/day Lower
Occupancy Rate
Bed utilization percentage
90% 81% Higher
Est. Daily Rate
Average revenue per patient day
$428/day $376/day Higher
Total Beds
Licensed bed capacity
70 72 Smaller

Local comparisons based on 23 skilled nursing facilities in the Duluth, MN-WI metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$8,759,308
Operating Expenses
Total operating costs
$8,202,567
Total Salaries
Staff compensation
$3,773,232
Contract Labor
Agency & temp staff
$541,016

Payer Mix

Medicare
11%
Medicaid
11%
Private Pay & Other
77%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
21,611
Medicare
Short-term skilled nursing
11%
Medicaid
Long-term care residents
11%
Private Pay / Other
Self-pay, insurance, VA
77%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
107.52
days
Medicare Stays
35.80
days
Medicaid Stays
57.47
days
Total Admissions
197
Total Discharges
201
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in DULUTH

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Reviews

3.5 (16 reviews)
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Charles Hawkins's profile photo
Charles Hawkins a month ago

Northshore Estates is a wonderful nursing home, very adequate, clean, with caring professional staff. My wife, Darlene, of 46 years, due to a dibilitating stroke, resides there. I am very pleased and grateful with the overall quality of care which gives me peace of mind.

Chelsey Lindstrom's profile photo
Chelsey Lindstrom 6 months ago

The staff know their residents well and take excellent care of them. Also, the activities they offer their residents are so much fun!

Steve Fisher's profile photo
Steve Fisher a year ago

I spent 2 different times at North Shore Estates after I had total right shoulder reverse replacement. I had nothing but a great experience. The food was great my cnas were awesome and my nurses Rn Kris and Lpn Sue were awesome. I hope I don't have to go back lol but if I do

Barbara Lessard's profile photo

Short staff. Every time I visit my sister is in bed. Room very dirty and extremely cluttered. We send flowers and no one bothers to water them. There's one staff member who keeps my sister supplied with soda that she obtains herself and doesn't take extra money to do so. One staff member has lied to me twice after telling me she could provide a service.

Renee's profile photo
Renee 7 years ago

BEWARE... -10 rating! There are SO many disturbing concern's happening in this nursing facility from nursing staff ( loudly heckling daughter during visit's outside my mother's door), supervisor and nursing director becoming sarcastic and rude when I requested our mothers plan of care . I had to bring in a medicare coordinator to have FULL access to her plan of care. Our mother is on palliative care/hospice currently. My guardianship right's have NEVER been honored nor our mothers wishes to NOT sustain her life!!! She is suffering (starving) and lingering far longer due to a supervisor's decision to continue giving her 100ML of water 3 times daily since her feeding tube being removed on 10/16/18. When I questioned from a doctor, how could this have happened?! I was told she were only " Being a Good Samaritan". Do you want a "Good Samaritan" sustaining your life against your wishes. In a real world it's called "financial exploitation of a vulnerable adult"! Our mother is fully aware of her surroundings, agitated, grinding her teeth to the point of breaking. I have been disrespected, SLANDERED and ignored while attempting to advocate for my mother. Expect: Incomplete plan of care, incomplete documentation for doctor orders, hospice and medication's. I went to visit my mother on 11/3/18 only to encounter an aide speaking loudly outside my mother's room making light of my mother lingering and suggesting this is delaying my winter bird travel. Our mother assumed I were leaving her and she became visibly agitated after. I had to return that evening to comfort and reassure her I am not leaving her! Resident's and family should NEVER have to experience the harm this facility has caused in the short month our mother has resided there. DON'T BOTHER asking for change......YOU will be treated as a problem, slandered and bullied by staff! Please pray for our mother!

View All 16 Google Reviews

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