Bayshore Residence and Rehabilitation Center
Duluth · 2.2 mi · 140 beds
Citations0Substantiated0
Franciscan Health Center
3910 MINNESOTA AVENUE, Duluth, MN, 55802
Nursing home47 licensed beds0 citations on record
5 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 14 deficiencies against Franciscan Health Center in Duluth, Minnesota at its most recent standard inspection on 2026-02-27, 2 of them arising from complaints. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
47certified beds
14deficiencies at the last inspection
0immediate-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.0
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.40
Potential for minimal harmThe least serious band.1
Most recentFEEEDDDDDDDDDDFFEEED
The last 20 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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
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 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2026-02-27 · 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 · 2026-02-27 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-02-27 · 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 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2026-02-27 · 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 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · F0887 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
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 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2024-12-12 · standard survey · No actual harm, potential for more than minimal harm
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 · 2024-12-12 · standard survey · No actual harm, potential for more than minimal harm
The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights Deficiencies · F0574 · 2024-12-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2024-12-12 · standard survey · No actual harm, potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · F0919 · 2024-12-12 · standard survey · No actual harm, potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2024-12-12 · 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 cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home1 of 5
Nurse hours per resident per dayReported by the home to CMS3.80202
Nursing staff turnoverShare of nursing staff who left in a year46.2%
Ownership
Who owns Franciscan 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 |
|---|---|---|---|
| DRIPPS, DANIEL | Individual | NOT APPLICABLE | since 01/01/2016 |
| EHLERS, DOUGLAS | Individual | NOT APPLICABLE | since 05/26/2006 |
| GOODNOUGH, JENNIFER | Individual | NOT APPLICABLE | since 01/01/2021 |
| GRAMM, TIMOTHY | Individual | NOT APPLICABLE | since 01/01/2023 |
| LAIR, MICHAEL | Individual | NOT APPLICABLE | since 01/01/2025 |
| LIENEMANN, STEVEN | Individual | NOT APPLICABLE | since 01/01/2025 |
| LUETMER, JOHN | Individual | NOT APPLICABLE | since 01/01/2021 |
| MARLOW, JINA | Individual | NOT APPLICABLE | since 06/06/2022 |
| NELSON, PATRICK | Individual | NOT APPLICABLE | since 01/01/2020 |
| RENTZ, LAURA | Individual | NOT APPLICABLE | since 01/01/2024 |
| RENTZ, PAUL | Individual | NOT APPLICABLE | since 01/01/2021 |
| SCHNEIDER, TODD | Individual | NOT APPLICABLE | since 05/26/2006 |
Part of the ST. FRANCIS HEALTH SERVICES group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Twin Ports Health Services
Superior · 3.9 mi · 90 beds
Citations0Substantiated0
Aftenro Home
Duluth · 5.2 mi · 54 beds
Citations0Substantiated0
Benedictine Health Center
Duluth · 5.3 mi · 96 beds
Citations0Substantiated0
Ecumen Lakeshore
Duluth · 5.6 mi · 60 beds
Citations0Substantiated0
Contact
Ask Franciscan Health Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 245258.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction