Federal inspection record · CMS data as of October 1, 2026
Franciscan Health Center
3910 Minnesota Avenue, Duluth, MN · (218) 727-8933
- Certified beds
- 47
- Residents per day
- 37
- Ownership
- Non-Profit
- Chain
- St. Francis Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1983
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Franciscan Health Center carries 86 inspection points. That is fewer than 22% of Minnesota's 335 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–30 pts
- 3★ 30–54 pts
- 2★ 54–92 pts
- 1★ over 92 pts
Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
41 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control7E
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- B
Ensure each resident receives an accurate assessment.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Pharmacy Service5F
- E
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.
- F
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.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement 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.
Resident Rights4E
- E
The resident has the right to receive notices in a format and a language he or she understands.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Assure the security of all personal funds of residents deposited with the facility.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Nursing and Physician Services2F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-02-27
14 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-12-12
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2023-10-05
15 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 1 h 35 min of it from a registered nurse.
This home
3 h 59 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 44% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 100.0% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts worse | 95.1% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 2.1% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.9 pts worse | 8.0% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts better | 0.0% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.8 pts worse | 26.5% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts better | 15.5% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened14.7 pts worse | 33.5% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts worse | 25.8% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 1.6% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.6 pts worse | 7.2% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.9 pts worse | 30.6% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.6 pts worse | 9.7% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.9 pts better | 97.0% | 88.1% | 82.3% |
·
Who owns and runs it
103 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bach, Curtis | Corporate Director · Individual | 0% | 14 facilities |
| Bach, Curtis | Corporate Officer · Individual | 0% | 14 facilities |
| Bach, Curtis | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Bach, Curtis | Adp Of The SNF · Individual | 0% | 14 facilities |
| Bakke, Christine | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Bakke, Christine | Adp Of The SNF · Individual | 0% | 8 facilities |
| Big Stone Therapies, Inc | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Big Stone Therapies, Inc | Adp Of The SNF · Organization | 0% | 12 facilities |
| Boit, Sammy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boit, Sammy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Burrows, Amanda | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Burrows, Amanda | Adp Of The SNF · Individual | 0% | 7 facilities |
| Caspers, Megan | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Caspers, Megan | Adp Of The SNF · Individual | 0% | 14 facilities |
| Deroche, Kayla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Deroche, Kayla | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dripps, Daniel | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Dripps, Daniel | Corporate Director · Individual | 0% | 14 facilities |
| Dripps, Daniel | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Edin, Colt | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Edin, Colt | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ehlers, Douglas | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Ehlers, Douglas | Corporate Director · Individual | 0% | 14 facilities |
| Ehlers, Douglas | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Eide Bailly Llp | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Eide Bailly Llp | Adp Of The SNF · Organization | 0% | 32 facilities |
| Erdahl, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Erdahl, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fellman, Linda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fishel, Chester | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Fishel, Chester | Adp Of The SNF · Individual | 0% | 2 facilities |
| Goodnough, Jennifer | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Goodnough, Jennifer | Corporate Director · Individual | 0% | 14 facilities |
| Goodnough, Jennifer | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Goodnough, Jennifer | Adp Of The SNF · Individual | 0% | 14 facilities |
| Gramm, Timothy | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Gramm, Timothy | Corporate Director · Individual | 0% | 14 facilities |
| Gramm, Timothy | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Granheim, Kascie | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Granheim, Kascie | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hanneken, Michelle | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Hanneken, Michelle | Adp Of The SNF · Individual | 0% | 14 facilities |
| Hejhal, Roxanne | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Hejhal, Roxanne | Adp Of The SNF · Individual | 0% | 14 facilities |
| Hofmann, Reed | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Hofmann, Reed | Adp Of The SNF · Individual | 0% | 14 facilities |
| Hondl, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hondl, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lair, Michael | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Lair, Michael | Corporate Director · Individual | 0% | 14 facilities |
| Lair, Michael | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Lienemann, Steven | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Lienemann, Steven | Corporate Director · Individual | 0% | 14 facilities |
| Lienemann, Steven | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Luetmer, John | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Luetmer, John | Corporate Director · Individual | 0% | 14 facilities |
| Luetmer, John | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Marlow, Jina | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Marlow, Jina | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Marlow, Jina | Adp Of The SNF · Individual | 0% | 14 facilities |
| Murray, Alexis | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nelson, Patrick | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Nelson, Patrick | Corporate Director · Individual | 0% | 14 facilities |
| Nelson, Patrick | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Peterson-Devries, Cami | Corporate Director · Individual | 0% | 14 facilities |
| Peterson-Devries, Cami | Corporate Officer · Individual | 0% | 14 facilities |
| Peterson-Devries, Cami | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Peterson-Devries, Cami | Adp Of The SNF · Individual | 0% | 14 facilities |
| Raw, Carol | Corporate Director · Individual | 0% | 14 facilities |
| Raw, Carol | Corporate Officer · Individual | 0% | 14 facilities |
| Raw, Carol | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Raw, Carol | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 14 facilities |
| Raw, Carol | Adp Of The SNF · Individual | 0% | 14 facilities |
| Rentz, Laura | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Rentz, Laura | Corporate Director · Individual | 0% | 14 facilities |
| Rentz, Laura | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Rentz, Mark | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Rentz, Mark | Adp Of The SNF · Individual | 0% | 14 facilities |
| Rentz, Paul | Managing Control - Governing Body · Individual | 0% | 13 facilities |
| Rentz, Paul | Corporate Director · Individual | 0% | 13 facilities |
| Rentz, Paul | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Ryan, Ben | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Ryan, Ben | Adp Of The SNF · Individual | 0% | 15 facilities |
| Ryan, Geoffrey | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Ryan, Geoffrey | Adp Of The SNF · Individual | 0% | 5 facilities |
| Schneider, Todd | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Schneider, Todd | Corporate Director · Individual | 0% | 14 facilities |
| Schneider, Todd | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Stock, Kelsey | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Stock, Kelsey | Adp Of The SNF · Individual | 0% | 14 facilities |
| Sundal-Yetka, Lisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sundal-Yetka, Lisa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Thompson, Renee | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Thompson, Renee | Adp Of The SNF · Individual | 0% | 15 facilities |
| Tomoson, April | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Tomoson, April | Adp Of The SNF · Individual | 0% | 14 facilities |
| Walker, Amy | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Walker, Amy | Adp Of The SNF · Individual | 0% | 15 facilities |
| Wiese, Lorraine | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Wiese, Lorraine | Corporate Director · Individual | 0% | 14 facilities |
| Wiese, Lorraine | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Wolf, Jordan | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Wolf, Jordan | Adp Of The SNF · Individual | 0% | 3 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- C
Have simulated fire drills held at unexpected times.
Egress1D
- D
Provide rooms that can be unlocked from inside without a key.
·
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