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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E4 | F6 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 24, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 24, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Aug 9, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 9, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jun 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 27, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Sep 27, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E4 | F6 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 24, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 28, 2025 | |
| Jul 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 20, 2025 | |
| Jul 24, 2025 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 4 facilities.
5 facilities in 1 states. CMS chain ID 866.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ecumen | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 1988 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ecumen | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 1988 |
| Scott Bjerketvedt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 25, 2020 |
| Shelley Kendrick | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 4, 2019 |
| Susan Crockett | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2021 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Ecumen Lakeshore 4002 London Road, Duluth, MN 55804 CCN 245215 | 60 | May 21, 2026 | 23 | — | |
| Pathstone Living 718 Mound Avenue, Mankato, MN 56001 CCN 245390 | 69 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Ecumen Lakeshore 4002 London Road, Duluth, MN 55804 CCN 245215 | 60 | May 21, 2026 | 23 | — | |
| St Benedicts Care Center 1810 Minnesota Boulevard Southeast, Saint Cloud, MN 56304 CCN 245350 | 75 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Estates at Rush City LLC 650 Bremer Avenue South, Rush City, MN 55069 CCN 245348 | 20 km | 41 | Jan 29, 2026 | 231 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 245370 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 245370 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| C · Minimal Widespread |
| Corrected Aug 19, 2025 |
| Aug 9, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 29, 2024 |
| Aug 9, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 16, 2024 |
| Aug 9, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 29, 2024 |
| Aug 9, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 29, 2024 |
| Aug 9, 2024 | F-0655 | 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 · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2024 |
| Aug 9, 2024 | F-0657 | 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 · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2024 |
| Aug 9, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2024 |
| Aug 9, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 29, 2024 |
| Aug 9, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 29, 2024 |
| Aug 9, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 29, 2024 |
| Jun 17, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2024 | Complaint |
| Sep 27, 2023 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 13, 2023 |
| Sep 27, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 13, 2023 |
| Sep 27, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 13, 2023 |
| Sep 27, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 13, 2023 |
| Sep 27, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 13, 2023 |
| Sep 27, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 13, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.96 (case-mix index 1.33).
| James Dady | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2019 |
| Shelley Kendrick | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 4, 2019 |
| John Petraborg | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2020 |
| Nancy Ulvestad | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2019 |
| Scott Bjerketvedt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 25, 2020 |
| Scott Bjerketvedt | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Feb 25, 2020 |
| Mar 6, 2026 |
463 IJ |
| $121k |
| Emmanuel Nursing Home 1415 Madison Avenue, Detroit Lakes, MN 56501 CCN 245489 | 57 | Apr 3, 2026 | 271 IJ1 harm | $54k |
| Aug 6, 2026 |
231 harm |
| — |
| Pathstone Living 718 Mound Avenue, Mankato, MN 56001 CCN 245390 | 69 | Mar 6, 2026 | 463 IJ | $121k |
| Emmanuel Nursing Home 1415 Madison Avenue, Detroit Lakes, MN 56501 CCN 245489 | 57 | Apr 3, 2026 | 271 IJ1 harm | $54k |