A93

Ecumen Lakeshore

Grade A 93/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
5/5
Quality
4/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

60

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

4002 LONDON ROAD, DULUTH, MN 55804
2186257100

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.68h
LPN
0.46h
CNA
2.69h
Total
4.83h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

ECUMEN

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 1994

100%

ALAM, MORSHED

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2019

KENDRICK, SHELLEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2012

ALAM, MORSHED

IndividualCORPORATE DIRECTORSince Sep 2019

DADY, JAMES

IndividualCORPORATE DIRECTORSince Jun 2019

KENDRICK, SHELLEY

IndividualCORPORATE DIRECTORSince Jan 2012

KRO, LISA

IndividualCORPORATE DIRECTORSince Jun 2019

ULVESTAD, NANCY

IndividualCORPORATE DIRECTORSince Jun 2019

ALAM, MORSHED

IndividualCORPORATE OFFICERSince Sep 2019

CERVENKA, DEBBIE

IndividualCORPORATE OFFICERSince Jun 2015

KENDRICK, SHELLEY

IndividualCORPORATE OFFICERSince Jan 2012

KENDRICK, SHELLEY

IndividualW-2 MANAGING EMPLOYEESince Jan 2012

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (7)

August 7, 2025Health1 deficiency
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 29, 2025
June 13, 2024Health1 deficiency
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 25, 2024
September 8, 2023Health5 deficiencies
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Oct 9, 2023
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Oct 9, 2023
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Oct 9, 2023
0805DMinimal harm, Isolated

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies

Corrected Oct 9, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 9, 2023

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Frequently Asked Questions

What is the CareGrader rating for Ecumen Lakeshore?

Ecumen Lakeshore in DULUTH, Minnesota has a CareGrader grade of A (Excellent), with a composite score of 93.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Ecumen Lakeshore?

Ecumen Lakeshore has an overall CMS star rating of 5 out of 5, a health inspection rating of 5/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Ecumen Lakeshore have?

Ecumen Lakeshore has 7 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does Ecumen Lakeshore have?

Ecumen Lakeshore has 60 certified beds with approximately 52 current residents (87% occupancy). The facility is located at 4002 LONDON ROAD, DULUTH, Minnesota 55804. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.