Aurora, MN

Essentia Health Northern Pines Medical Center

5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle

5211 Highway 110, Aurora, MN

(218) 229-2211

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

33

Certified beds

Average residents

32

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Essentia Health

Operator or chain grouping

Approved since

1987-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 4 overall / 3 health / 5 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

1.12

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.20

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.36

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

3.67

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.90

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.62

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.47

CMS adjusted RN staffing hours

Adjusted total hours

4.84

CMS adjusted total nurse staffing hours

Case-mix index

1.04

Higher values indicate more complex resident acuity

RN turnover

13%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 42% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 19.48%
8.2%
11.3 pts better
Numerator 15 · Denominator 77
Staff flu vaccination coverage 67.95%
42%
26 pts better
Numerator 53 · Denominator 78
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.3%
2.7 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.1%
3.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.5%
3.9%
1.4 pts better
3.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 3.2% · Q4 3.2% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
4.3%
4.3 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 1.9%
4.1%
2.2 pts better
5.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.7%
12.4%
5.7 pts better
19.6%
12.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.4% · Q3 7.4% · Q4 8.3% · 4Q avg 6.7%
Percentage of long-stay residents who received an antipsychotic medication 2.4%
17.5%
15.1 pts better
16.7%
14.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.8% · Q3 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 9.0%
22.5%
13.5 pts better
16.3%
7.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.6%
18.6%
9 pts better
14.9%
5.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 14.8% · Q3 11.1% · Q4 4.2% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
2.3%
2.3 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
2.6%
2.6 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.8%
24.8%
12 pts better
19.8%
7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 8.8% · Q3 5.8% · Q4 11.3% · 4Q avg 12.8%
Percentage of long-stay residents with pressure ulcers 7.6%
5.4%
2.2 pts worse
5.1%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 11.6% · Q3 11.5% · Q4 0.0% · 4Q avg 7.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
88.6%
9.3 pts better
81.7%
16.2 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 97.9%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-28 · Fire 2026-01-28

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2025-01-30 · Fire 2025-01-30

0 health deficiencies

No concentrated health issue counts in this cycle.

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-10-25 · Fire 2023-10-25

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-28

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-28

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-02-13

F · Potential for more than minimal harm 2025-01-30

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-01-28

F · Potential for more than minimal harm 2025-01-30

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-01-28

F · Potential for more than minimal harm 2025-01-30

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-01-28

F · Potential for more than minimal harm 2025-01-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-28

F · Potential for more than minimal harm 2025-01-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-28

E · Potential for more than minimal harm 2025-01-30

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-02-11

E · Potential for more than minimal harm 2025-01-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-28

D · Potential for more than minimal harm 2025-01-30

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-02-10

F · Potential for more than minimal harm 2023-10-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-12-04

E · Potential for more than minimal harm 2023-10-25

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-12-04

E · Potential for more than minimal harm 2023-10-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-04

D · Potential for more than minimal harm 2023-10-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-04

Inspection history

Recent health citations

F · Potential for more than minimal harm 2023-10-25

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2023-12-04

D · Potential for more than minimal harm 2023-10-25

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-12-04

D · Potential for more than minimal harm 2023-10-25

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-04

D · Potential for more than minimal harm 2023-10-25

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-12-04

D · Potential for more than minimal harm 2023-10-25

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-12-04

Penalties and ownership

What sits behind the stars

Ownership

Essentia Health

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2023-07-01
Aronson Norr, Nancy

Corporate Director · Individual

0% 2 facilities 2025-01-01
Bachand, Adam

Corporate Director · Individual

0% 2 facilities 2025-01-01
Beard, Bradley

Operational/Managerial Control · Individual

0% 3 facilities 2023-07-01
Beard, Bradley

Corporate Officer · Individual

0% 3 facilities 2023-07-01
Bergstrom, Amy

Corporate Director · Individual

0% 3 facilities 2024-01-01
Boren, Kevin

Operational/Managerial Control · Individual

0% 3 facilities 2023-07-01
Boren, Kevin

Corporate Officer · Individual

0% 3 facilities 2022-04-04
Bortnem, Mark

Corporate Officer · Individual

0% 4 facilities 2025-09-29
Duininck, Troy

Corporate Director · Individual

0% 3 facilities 2023-01-01
Jamar, Thomas

Corporate Director · Individual

0% 3 facilities 2023-01-01
Kallberg, Diana

Operational/Managerial Control · Individual

0% 1 facilities 2024-07-01
Loban, George

Corporate Director · Individual

0% 3 facilities 2024-01-01
Sertich, Anthony

Corporate Director · Individual

0% 3 facilities 2021-01-01
Skorupa, Krista

Corporate Officer · Individual

0% 3 facilities 2024-05-06
Smith, Bruce

Corporate Director · Individual

0% 1 facilities 2026-01-01
St Marys Duluth Clinic Health System

Operational/Managerial Control · Organization

0% 3 facilities 2023-07-01
Terch, Justin

Corporate Director · Individual

0% 1 facilities 2025-10-22
Urbanski, Rebecca

Corporate Director · Individual

0% 2 facilities 2025-01-01
Watters, Michael

Corporate Officer · Individual

0% 6 facilities 2023-07-01
Whiting, Christopher

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Yung, Anthony

Corporate Director · Individual

0% 3 facilities 2023-01-01

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