Aftenro Home
Duluth · 0.5 mi · 54 beds
Citations0Substantiated0
Benedictine Health Center
935 KENWOOD AVENUE, Duluth, MN, 55811
Nursing home96 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 12 deficiencies against Benedictine Health Center in Duluth, Minnesota at its most recent standard inspection on 2025-12-19, 2 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
96certified beds
12deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.16
Potential for minimal harmThe least serious band.1
Most recentDKEDDDDDDDCJDDFEDDD
The last 19 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2026-05-27 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-12-19 · standard survey · Immediate jeopardy to resident health or safety
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.
Pharmacy Service Deficiencies · F0761 · 2025-12-19 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-12-19 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · F0561 · 2025-12-19 · standard survey · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2025-12-19 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-12-19 · standard survey · No actual harm, potential for more than minimal harm
Provide care by qualified persons according to each resident's written plan of care.
Resident Assessment and Care Planning Deficiencies · F0659 · 2025-12-19 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-12-19 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-12-19 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2025-12-19 · standard survey · No actual harm, potential for minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-11-25 · from a complaint · Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-05-15 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2023-12-20 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2023-10-19 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2023-10-19 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2023-10-19 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · F0688 · 2023-10-19 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2023-10-19 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.94184
Nursing staff turnoverShare of nursing staff who left in a year51.8%
Ownership
Who owns Benedictine Health Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PATTOCK, BRIAN | Individual | NOT APPLICABLE | since 11/02/2017 |
| BOWE, TIA | Individual | NOT APPLICABLE | since 04/30/2019 |
| ECKES, LOIS | Individual | NOT APPLICABLE | since 10/01/2015 |
| FEDORA, TODD | Individual | NOT APPLICABLE | since 12/01/2015 |
| HANSEN, GREG | Individual | NOT APPLICABLE | since 12/01/2013 |
| KING, DORENE | Individual | NOT APPLICABLE | since 10/01/2011 |
| KOLAR, JOHN | Individual | NOT APPLICABLE | since 01/29/2019 |
| KRUCHOWSKI, RAMONA | Individual | NOT APPLICABLE | since 01/29/2019 |
| MCCUMBER, SARA | Individual | NOT APPLICABLE | since 12/01/2014 |
| PALMOLEA, NATHAN | Individual | NOT APPLICABLE | since 04/01/2017 |
| PIONK, KAREN | Individual | NOT APPLICABLE | since 11/30/2017 |
| SPINLER, THERESA | Individual | NOT APPLICABLE | since 10/01/2009 |
Part of the BENEDICTINE HEALTH SYSTEM group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Hilltop Healthcare Rehabilitation and Skilled Nurs
Duluth · 1.5 mi · 140 beds
Citations0Substantiated0
Bayshore Residence and Rehabilitation Center
Duluth · 3.2 mi · 140 beds
Citations0Substantiated0
Ecumen Lakeshore
Duluth · 3.4 mi · 60 beds
Citations0Substantiated0
Viewcrest Health Center
Duluth · 4.0 mi · 88 beds
Citations0Substantiated0
Franciscan Health Center
Duluth · 5.3 mi · 47 beds
Citations0Substantiated0
Contact
Ask Benedictine Health Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 245236.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction