Franciscan Health Center
3910 MINNESOTA AVENUE, DULUTH, MN 55802 · CCN 245258
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 47
- Avg residents/day
- 37.7
- Phone
- 2187278933
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 | 2024-12-12 | 13 | 8.1 | 9.5 | +4.9 worse |
| 2 | 2023-10-05 | 15 | 7.8 | 9.8 | +7.2 worse |
| 3 | 2023-01-06 | 9 | 7.4 | 9.3 | +1.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.77 | 42.6% |
| RN staffing (reported) | 1.33 | 23.5% |
| Total nurse staffing (adjusted) | 3.85 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- ST. FRANCIS HEALTH SERVICES
- Facilities in chain
- 14
- Chain avg overall
- 2.90 / 5
Inspection citations (37)
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-29 · Health
Potential for more than minimal harm
- EF0574The resident has the right to receive notices in a format and a language he or she understands.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- FF0761Ensure 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.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0887Educate 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.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-12-12 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-08-09 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-09 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-08-09 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-19 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-03-19 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-10-05 · Health · corrected 2023-11-22
Potential for more than minimal harm
- EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-10-05 · Health · corrected 2023-11-22
Potential for more than minimal harm
- EF0570Assure the security of all personal funds of residents deposited with the facility.2023-10-05 · Health · corrected 2023-11-22
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-10-05 · Health · corrected 2023-11-22
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2023-10-05 · Health · corrected 2023-11-22
Potential for minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-05 · Health · corrected 2023-11-22
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-05 · Health · corrected 2023-11-22
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-10-05 · Health · corrected 2023-11-22
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.2023-10-05 · Health · corrected 2023-11-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-10-05 · Health · corrected 2023-11-22
Potential for more than minimal harm
- FF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-01-06 · Health · corrected 2023-02-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-06 · Health · corrected 2023-02-18
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-06 · Health · corrected 2023-02-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-01-06 · Health · corrected 2023-02-18
Potential for more than minimal harm
- DF0761Ensure 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.2023-01-06 · Health · corrected 2023-02-18
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.2023-01-06 · Health · corrected 2023-02-18
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-01-06 · Health · corrected 2023-02-18
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-01-06 · Health · corrected 2023-02-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ST. FRANCIS HEALTH SERVICES OF MORRIS, INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2009-12-09 |
| CHAMBERS, MARI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-31 |
| PETERSON-DEVRIES, CAMILLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-16 |
| RAW, CAROL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-02 |
| GOODNOUGH, JENNIFER | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| NELSON, PATRICK | Individual | CORPORATE DIRECTOR | — | 2020-01-01 |
| WIESE, LORRAINE | Individual | CORPORATE DIRECTOR | — | 2017-07-25 |
| CHAMBERS, MARI | Individual | CORPORATE OFFICER | — | 2022-01-31 |
| PETERSON-DEVRIES, CAMILLA | Individual | CORPORATE OFFICER | — | 2022-02-16 |
| RAW, CAROL | Individual | CORPORATE OFFICER | — | 2017-10-02 |
| CHAMBERS, MARI | Individual | W-2 MANAGING EMPLOYEE | — | 2022-01-31 |
| PETERSON-DEVRIES, CAMILLA | Individual | W-2 MANAGING EMPLOYEE | — | 2022-02-16 |
| RAW, CAROL | Individual | W-2 MANAGING EMPLOYEE | — | 2017-10-02 |
| WAGNER, SHERRY | Individual | W-2 MANAGING EMPLOYEE | — | 2022-02-01 |
Other facilities in DULUTH
| Name | Overall | Beds |
|---|---|---|
| Ecumen Lakeshore | ★★★★★ | 60 |
| Aftenro Home | ★★★★☆ | 54 |
| VIEWCREST HEALTH CENTER | ★★★☆☆ | 88 |
| The North Shore Estates Llc | ★★★☆☆ | 70 |
| 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.