Nursing homeActive

North Shore Health

515 - 5th Avenue West, Grand Marais, MN 55604218387304037 certified beds · 28 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
8
170
Penalties · 3 yrs
none on file
Last survey
2026-05-27
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Minnesota Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-27Standard020CMS-2567 (Care Compare)
2025-07-31Standard130CMS-2567 (Care Compare)
2024-08-01Standard020CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-27Standard survey · 2 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-19Record 245384-20260527-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-19Record 245384-20260527-F684
2025-07-31Standard survey · 4 deficienciesOfficial report
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 245384-20250731-F628
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-02Record 245384-20250731-F656
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 245384-20250731-F883
F880Provide and implement an infection prevention and control program.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2025-09-03Record 245384-20250731-F880
2024-08-01Standard survey · 2 deficienciesOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-30Record 245384-20240801-F582
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-30Record 245384-20240801-F684

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.92
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.59
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.92
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover72%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover62%
Facility
Minnesota
National
Minnesota 39% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMinnesotaNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.5%5.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.7%4.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
13.4%17.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
5.6%2.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
29.6%18.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
10.4%4.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
18.9%12.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Cook County Hospital District
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hansen, Catherine
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wraalstad, Kimber
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hansen, Catherine
Individual
ADP OF THE SNFNOT APPLICABLE
Larock -Muggley, Deidre
Individual
ADP OF THE SNFNOT APPLICABLE
River Of Life Rehab
Organization
ADP OF THE SNFNOT APPLICABLE
Wraalstad, Kimber
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.

No county cost figures on file for Cook.

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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01