Ecumen Lakeshore
4002 LONDON ROAD, DULUTH, MN 55804 · CCN 245215
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 52.4
- Phone
- 2186257100
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-07 | 1 | 8.1 | 9.5 | -7.1 better |
| 2 | 2024-06-13 | 1 | 7.8 | 9.8 | -6.8 better |
| 3 | 2023-09-08 | 5 | 7.4 | 9.3 | -2.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.88 | 55.1% |
| RN staffing (reported) | 1.70 | 32.3% |
| Total nurse staffing (adjusted) | 4.83 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (7)
- DF0641Ensure each resident receives an accurate assessment.2025-08-07 · Health · corrected 2025-08-29
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-13 · Health · corrected 2024-06-25
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
- DF0758Implement 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.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ECUMEN | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1994-06-14 |
| ALAM, MORSHED | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-30 |
| KENDRICK, SHELLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-01-18 |
| ALAM, MORSHED | Individual | CORPORATE DIRECTOR | — | 2019-09-30 |
| DADY, JAMES | Individual | CORPORATE DIRECTOR | — | 2019-06-01 |
| KENDRICK, SHELLEY | Individual | CORPORATE DIRECTOR | — | 2012-01-18 |
| KRO, LISA | Individual | CORPORATE DIRECTOR | — | 2019-06-01 |
| ULVESTAD, NANCY | Individual | CORPORATE DIRECTOR | — | 2019-06-01 |
| ALAM, MORSHED | Individual | CORPORATE OFFICER | — | 2019-09-30 |
| CERVENKA, DEBBIE | Individual | CORPORATE OFFICER | — | 2015-06-01 |
| KENDRICK, SHELLEY | Individual | CORPORATE OFFICER | — | 2012-01-18 |
| KENDRICK, SHELLEY | Individual | W-2 MANAGING EMPLOYEE | — | 2012-01-18 |
Other facilities in DULUTH
| Name | Overall | Beds |
|---|---|---|
| Aftenro Home | ★★★★☆ | 54 |
| VIEWCREST HEALTH CENTER | ★★★☆☆ | 88 |
| The North Shore Estates Llc | ★★★☆☆ | 70 |
| BAYSHORE RESIDENCE AND REHABILITATION CENTER | ★☆☆☆☆ | 140 |
| HILLTOP HEALTHCARE REHABILITATION AND SKILLED NURS | ★☆☆☆☆ | 140 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.