The North Shore Estates LLC

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

42.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 67 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 44 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 70 beds and averages 64.4 residents a day — about 92% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.15 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.83 hrs/resident/day on weekends vs 3.28 on weekdays — 14% thinner on weekends. RN hours go from 0.71 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · Fcited before2026-02-12 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review the facility failed to ensure the following infection prevention measures occurred: utilization of proper isolation signage, handwashing, appropriate utilization of personal protective equipment (PPE) by staff, proper handling of laundry to prevent bacteria growth, and proper hand sanitization during meal tray pass to residents in their rooms. These deficient practices had the potential to impact all residents who resided at the facility. Isolation Signage and PPE Usage R9's quarterly Minimum Data Set (MDS) dated [DATE], indicated R9 was cognitively intact with diagnoses of hypertension, acute kidney failure, bipolar, and schizophrenia. R35 quarterly MDS dated [DATE], indicated R35 was cognitively intact with diagnoses of end stage renal disease with dialysis, diabetes and hypertension. R56's comprehensive MDS dated [DATE], indicated R56 was cognitively intact with the diagnoses of heart failure, acute kidney failure, and diabetes. The facility document…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-12 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure allegations of abuse were reported within 24 hours to the State Agency (SA) for 1 of 1 resident (R11) reviewed for abuse.Findings include:R11's five-day Minimum Data Set (MDS) dated [DATE], identified R11 had diagnoses which included displaced intertrochanteric fracture of left femur with routine healing, paroxysmal atrial fibrillation (an irregular and often fast heart rhythm), insomnia, anxiety, and chronic pain. In addition, R11's MDS identified she was cognitively intact and received scheduled and as needed pain medications for frequent pain.A complaint was submitted to the state agency on 10/28/25, at 1:11 p.m., related to misappropriation of property. It was reported that R11 had stated she had slept through the night without any pain medication. The reporter noted pain medications had been signed out twice overnight for the resident.The facility was made aware of the allegation by the reporter on 10/20/25, the facility completed an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-12 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review the facility failed to ensure proper procedure, documentation and accounting procedures were followed for controlled substances reviewed for narcotic diversion. Findings include:During an interview on 2/11/26 at 12:46 p.m., trained medication aide (TMA)-A stated R11 had told them they were proud they had not taken any narcotics over the weekend. TMA-A looked in the narcotic book and saw there had been oxycodone (a strong prescription opioid analgesic) signed out to R11. TMA-A reported this to the facility on [DATE], and to R11's provider.During an interview on 2/11/26 at 2:27 p.m., nurse practitioner (NP)-B stated she recalled the TMA talking to her about their narcotic concerns, she advised them to report the concern, she discussed it with the facility and modified narcotic orders for residents to reflect what residents were using in regard to narcotics.During an interview on 2/12/26 at 8:37 a.m., the administrator stated the alleged perpetrator (AP)-B did not show any…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-12 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review the facility failed to ensure medications were properly stored and secured during medication pass. In addition, the facility failed to ensure floor stock melatonin, 3 milligrams (mg) administered to residents was pharmaceutical grade. These deficient practices had the potential to impact all residents on or who could access the second floor and/or receive melatonin 3 mg.Findings include:Med Pass:During an observation on 2/11/26 at 8:39 a.m., registered nurse (RN)-B stepped away from their medication cart located in the hallway and entered a resident room. The medication cart was unlocked. The following items were on top of the cart: inhaler, several bottles of eye drops, and two medication cups containing multiple pills. At 8:43 a.m., RN-B was back setting up medications at their medication cart.At 8:44 a.m., RN-B went into another resident room. The medication cart was left unattended and unlocked. The 2nd large cart drawer was partially open. The two cups of pills and the inhaler were still on top of the cart along with a card…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-12 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to serve food that remained at palatable temperatures through delivery of the food to the residents for 2 of 2 residents (R3, R61) reviewed for food quality concerns.Findings include:R3:R3's admission minimum data set (MDS) dated [DATE], identified intact cognition and diagnoses included methicillin susceptible staphylococcus aureus (MRSA, a type of bacterial infection causing infections which are resistant to many antibiotics) infection, acquired absence of right leg below the knee, infection and inflammatory reaction due to internal left knee prosthesis and rheumatoid arthritis. R3 was independent with eating and dependent for transfers.R3's care plan dated 10/17/24, identified a focus statement for alteration in nutritional status related to current increased caloric needs due to wound status and healing purposes and included interventions of assisting with set up of meals as needed, culinary director to consult as needed, record nutritional intakes per…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-12 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure residents were offered a substantial snack when there were more than 14 hours between the dinner and breakfast meals.Findings include:A facility-submitted document, dated 11/1/25, identified breakfast was from 7:45 a.m. to 8:15 a.m., lunch was from 11:45 a.m. to 12:15 p.m., and dinner was from 4:45 p.m. to 5:15 p.m.During an interview on 2/12/26 at 10:51 a.m., dietary manager (DM)-E stated she wasn't aware there were more than 14 hours between meals, and they did normally send snacks upstairs to be stocked on each floor around 3 p.m. and starting today they will be sending up diabetic snacks at around 6 p.m. The facility didn't have a process for ensuring residents were offered a substantial evening snack. A policy, Frequency of Meals dated 7/2017, identified the facility would serve at least three meals or their equivalent daily at scheduled times. There will not be more than a 14-hour span between the evening meal and breakfast. Meals would be served four to six hours apart to help assure that residents receive…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-12 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and document review, the facility failed to ensure food was properly labeled and stored to prevent food-borne illness. In addition, the facility failed to ensure kitchen cleanliness was maintained in areas where food was prepared. These deficient practices had to potential to affect anyone who ate food prepared by the facility.Findings include:During an observation and interview on 2/9/26 at 11:45 a.m., dietary aide (DA)-A confirmed the commercially-prepared container of coleslaw was dated as opened on 1/21/26; a bag of shredded parmesan cheese was open but not labeled with an opened-on date; a commercially-prepared bag of diced onions was opened, folded, and saran wrapped without an opened-on date. DA-A stated opened food should say the date it was opened and how long it was shelf stable. The dietary manager (DM)-E stated those items should have been labeled when they were opened. DM-E confirmed a bag of cake mix had been opened and not secured or labeled. The DM-E stated that it should be labeled with the date opened and put in a sealable package.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-12 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure residents without an assessment and order to self-administer medications (SAM) were not left with prescription medications to take on their own for 1 of 1 resident (R61) reviewed for self-administration of medication.Findings include:R61's quarterly minimum data set (MDS) dated [DATE], identified intact cognition and diagnoses of gastroesophageal reflux disorder (GERD), diabetes mellitus (DM), anemia, congestive heart failure (CHF), protein-calorie malnutrition, chronic kidney disease (CKD) stage 3. R61's care plan dated 11/26/25, didn't contain a focus statement and interventions for SAM.R61'a provider orders effective 2/12/26, didn't contain an order for self-administration of any medication.During an observation on 2/12/26 at 8:51 a.m., R61 was setting up in bed eating with her tray table in front of her with her breakfast tray on it. There was a cup of pills on her tray, and R61 stated those pills were hers, she had to take…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and document review the facility failed to ensure diabetic snacks were provided to 2 of 2 residents (R7, R57) reviewed for food service. Findings include:R7:R7's quarterly Minimum Data Set (MDS) dated [DATE], identified R7 had diagnoses which included diabetes mellitus, depression and anxiety. In addition, R7 was cognitively intact.R7's current order summary report dated 2/12/26, identified the following orders:-provide a snack at bedtime Deli sandwich dated 1/18/22-consistent carbohydrate diet dated 1/3/25-blood sugar checks before meals and at bedtime dated 3/18/25-continuous blood glucose sensor - freestyle libre sensor system dated 12/29/23-monitor for signs and symptoms of hyper/hypoglycemia including but not limited to lethargy, sweating, weakness, confusion, pale, vomiting and excessive thirst dated 9/5/25-one carton boost glucose control or Glucerna as needed twice daily as desired dated 1/14/26-Lantus 100 units per milliliters inject 48 units in the morning dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure provider-ordered interventions were in place for safe swallowing for 1 of 3 residents (R61) reviewed for accident hazards.Findings include:R61's quarterly minimum data set (MDS) dated [DATE], identified intact cognition and diagnoses of gastroesophageal reflux disorder (GERD), diabetes mellitus (DM), anemia, congestive heart failure (CHF), protein-calorie malnutrition, chronic kidney disease (CKD) stage 3. Section K identified no chewing or swallowing difficulty and unplanned weight loss. R61 was independent with eating.R61's care plan dated 11/26/25, identified a focus statement for potential alteration in nutrition related to altered diet texture or consistency but didn't contain a focus for swallowing difficulty or interventions with instructions for eating and drinking.R61's provider order dated 9/5/25, identified an order for feeding details: regular thin liquids, alternate sips and bites, small single sips and bites, oral care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to MONARCH HEALTHCARE MANAGEMENT — 45 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MN