Franciscan Health Center

3910 Minnesota Avenue, Duluth, MN 55802

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Franciscan Health Center is a nursing home in Duluth, Minnesota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

2 of 5CMS overall star rating
2 of 5CMS health inspection star rating
5 of 5CMS staffing star rating
1 of 5CMS quality measures star rating

Facts from CMS

Phone: (218) 727-8933
Last standard health inspection: February 27, 2026 (8 months ago)
Certified beds: 47
Residents per day, on average: 37.3
Ownership type: Non profit - Corporation
Legal business name: Duluth Health Services
Chain: St. Francis Health Services
Takes part in: Medicare and Medicaid

More health citations than the Minnesota average (41 vs 23).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of October 28, 2026
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS staffing star rating changed from 4 of 5 to 5 of 5.
13 citations
Health inspection on February 27, 2026
CMS lists this as a standard inspection and a complaint inspection.
- Citation F0725. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for F0725 2 times since 2024.
- Citation F0761. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for F0761 2 times since 2024.
- Citation F0812. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on April 28, 2026.
- Citation F0880. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for F0880 3 times since 2023.
- Citation F0641. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for F0641 2 times since 2023.
- Citation F0645. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities
  CMS lists it as corrected on April 28, 2026.
- Citation F0657. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on April 28, 2026.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for F0677 2 times since 2023.
- Citation F0684. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on April 28, 2026.
- Citation F0686. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for F0686 2 times since 2024.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for F0695 2 times since 2023.
- Citation F0883. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for F0883 2 times since 2024.
- Citation F0887. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for F0887 2 times since 2024.
See this home on CMS Care Compare
6 citations
Fire safety inspection on February 27, 2026
CMS lists this as a standard inspection.
- Citation K0914. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
  CMS lists it as corrected on April 26, 2026.
- Citation K0321. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on April 28, 2026.
  CMS has cited this home for K0321 2 times since 2024.
- Citation K0221. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide rooms that can be unlocked from inside without a key.
  CMS lists it as corrected on April 28, 2026.
- Citation K0345. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.
  CMS lists it as corrected on April 28, 2026.
- Citation K0363. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Install corridor and hallway doors that block smoke.
  CMS lists it as corrected on April 28, 2026.
- Citation K0918. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.
  CMS lists it as corrected on April 28, 2026.
See this home on CMS Care Compare
1 citation
Health inspection on January 29, 2026
CMS lists this as a complaint inspection.
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on February 27, 2026.
  CMS has cited this home for F0609 3 times since 2024.
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CMS update of April 30, 2025
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of February 26, 2025
- Star rating
  The CMS staffing star rating changed from 4 of 5 to 3 of 5.
- Staffing
  Total nurse staffing reported to CMS went from 4.2 to 3.7 hours per resident per day.
12 citations
Health inspection on December 12, 2024
CMS lists this as a standard inspection.
- Citation F0725. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  CMS lists it as corrected on January 31, 2025.
- Citation F0761. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: 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.
  CMS lists it as corrected on January 31, 2025.
- Citation F0574. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: The resident has the right to receive notices in a format and a language he or she understands.
  CMS lists it as corrected on January 31, 2025.
- Citation F0759. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure medication error rates are not 5 percent or greater.
  CMS lists it as corrected on January 31, 2025.
- Citation F0919. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.
  CMS lists it as corrected on January 31, 2025.
- Citation F0655. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  CMS lists it as corrected on January 31, 2025.
- Citation F0686. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  CMS lists it as corrected on January 31, 2025.
- Citation F0698. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.
  CMS lists it as corrected on January 31, 2025.
- Citation F0740. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  CMS lists it as corrected on January 31, 2025.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on January 31, 2025.
- Citation F0883. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.
  CMS lists it as corrected on January 31, 2025.
- Citation F0887. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on January 31, 2025.
See this home on CMS Care Compare
4 citations
Fire safety inspection on December 12, 2024
CMS lists this as a standard inspection.
- Citation K0372. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  CMS lists it as corrected on January 31, 2025.
  CMS has cited this home for K0372 2 times since 2023.
- Citation K0712. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have simulated fire drills held at unexpected times.
  CMS lists it as corrected on January 31, 2025.
  CMS has cited this home for K0712 2 times since 2023.
- Citation K0321. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on January 31, 2025.
- Citation K0353. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on January 31, 2025.
  CMS has cited this home for K0353 2 times since 2023.
See this home on CMS Care Compare
CMS update of September 26, 2024
- Changed ownership in the last 12 months
  CMS no longer shows a change of ownership in the past 12 months.
3 citations
Health inspection on August 9, 2024
CMS lists this as a complaint inspection.
- Citation F0600. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  CMS lists it as corrected on September 6, 2024.
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on September 6, 2024.
- Citation F0943. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  CMS lists it as corrected on September 6, 2024.
See this home on CMS Care Compare
CMS update of July 31, 2024
- Star rating
  The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of May 29, 2024
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
- Name
  CMS lists a new legal business name for this home.
- Ownership
  CMS lists this home under a new chain.
CMS update of April 25, 2024
- Star rating
  The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS staffing star rating changed from 4 of 5 to 3 of 5.
- Changed ownership in the last 12 months
  CMS records show a change of ownership in the past 12 months.
CMS update of March 28, 2024
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
2 citations
Health inspection on March 19, 2024
CMS lists this as a complaint inspection.
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on April 15, 2024.
- Citation F0610. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Respond appropriately to all alleged violations.
  CMS lists it as corrected on April 15, 2024.
See this home on CMS Care Compare
CMS update of January 31, 2024
- Staffing
  Total nurse staffing reported to CMS went from 4.4 to 3.6 hours per resident per day.
10 citations
Health inspection on October 5, 2023
CMS lists this as a standard inspection.
- Citation F0568. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  CMS lists it as corrected on November 22, 2023.
- Citation F0570. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Assure the security of all personal funds of residents deposited with the facility.
  CMS lists it as corrected on November 22, 2023.
- Citation F0561. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  CMS lists it as corrected on November 22, 2023.
- Citation F0636. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  CMS lists it as corrected on November 22, 2023.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on November 22, 2023.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on November 22, 2023.
- Citation F0757. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.
  CMS lists it as corrected on November 22, 2023.
- Citation F0758. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on November 22, 2023.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on November 22, 2023.
- Citation F0641. Severity B: potential for minimal harm, pattern.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on November 22, 2023.
See this home on CMS Care Compare
3 citations
Fire safety inspection on October 5, 2023
CMS lists this as a standard inspection.
- Citation K0372. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  CMS lists it as corrected on November 20, 2023.
- Citation K0353. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on November 20, 2023.
- Citation K0712. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Have simulated fire drills held at unexpected times.
  CMS lists it as corrected on November 20, 2023.
See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

BIG STONE THERAPIES, INCOperational/managerial control · not applicable · since 02/03/2015
EIDE BAILLY LLPOperational/managerial control · not applicable · since 01/03/2023
BACH, CURTISOperational/managerial control · not applicable · since 08/28/2024
BAKKE, CHRISTINEOperational/managerial control · not applicable · since 09/30/2019
BOIT, SAMMYOperational/managerial control · not applicable · since 03/31/2025
BURROWS, AMANDAOperational/managerial control · not applicable · since 01/02/2024
CASPERS, MEGANOperational/managerial control · not applicable · since 12/29/2014
DEROCHE, KAYLAOperational/managerial control · not applicable · since 02/24/2025
DRIPPS, DANIELOperational/managerial control · not applicable · since 01/01/2016
EDIN, COLTOperational/managerial control · not applicable · since 01/01/2025
EHLERS, DOUGLASOperational/managerial control · not applicable · since 07/01/2013
ERDAHL, JOHNOperational/managerial control · not applicable · since 08/01/2023
FISHEL, CHESTEROperational/managerial control · not applicable · since 11/30/1998
GOODNOUGH, JENNIFEROperational/managerial control · not applicable · since 01/01/2021
GRAMM, TIMOTHYOperational/managerial control · not applicable · since 01/01/2023
GRANHEIM, KASCIEOperational/managerial control · not applicable · since 11/20/2023
HANNEKEN, MICHELLEOperational/managerial control · not applicable · since 07/20/2022
HEJHAL, ROXANNEOperational/managerial control · not applicable · since 04/10/2023
HOFMANN, REEDOperational/managerial control · not applicable · since 05/08/2023
HONDL, JESSICAOperational/managerial control · not applicable · since 08/01/2023
LAIR, MICHAELOperational/managerial control · not applicable · since 01/01/2025
LIENEMANN, STEVENOperational/managerial control · not applicable · since 01/01/2025
LUETMER, JOHNOperational/managerial control · not applicable · since 01/01/2021
MARLOW, JINAOperational/managerial control · not applicable · since 06/06/2022
NELSON, PATRICKOperational/managerial control · not applicable · since 01/01/2020
PETERSON-DEVRIES, CAMIOperational/managerial control · not applicable · since 05/08/2022
RAW, CAROLOperational/managerial control · not applicable · since 06/09/2008
RENTZ, LAURAOperational/managerial control · not applicable · since 01/01/2024
RENTZ, MARKOperational/managerial control · not applicable · since 04/22/2024
RENTZ, PAULOperational/managerial control · not applicable · since 01/01/2021
RYAN, BENOperational/managerial control · not applicable · since 12/27/2012
RYAN, GEOFFREYOperational/managerial control · not applicable · since 01/12/1998
SCHNEIDER, TODDOperational/managerial control · not applicable · since 07/01/2013
STOCK, KELSEYOperational/managerial control · not applicable · since 06/01/2022
SUNDAL-YETKA, LISAOperational/managerial control · not applicable · since 08/01/2023
THOMPSON, RENEEOperational/managerial control · not applicable · since 10/10/2018
TOMOSON, APRILOperational/managerial control · not applicable · since 07/12/2021
WALKER, AMYOperational/managerial control · not applicable · since 05/13/2024
WIESE, LORRAINEOperational/managerial control · not applicable · since 07/25/2017
WOLF, JORDANOperational/managerial control · not applicable · since 01/01/2025

Questions

When was Franciscan Health Center last inspected?

CMS lists February 27, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Franciscan Health Center have?

CMS lists 41 health citations since October 5, 2023. CMS also calls these deficiencies.

Has Franciscan Health Center been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Franciscan Health Center?

Its CMS overall star rating is 2 of 5.

Is Franciscan Health Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

CMS star ratings

Facts from CMS

Inspections, fines and changes

CMS update of October 28, 2026

Health inspection on February 27, 2026

Fire safety inspection on February 27, 2026

Health inspection on January 29, 2026

CMS update of April 30, 2025

CMS update of February 26, 2025

Health inspection on December 12, 2024

Fire safety inspection on December 12, 2024

CMS update of September 26, 2024

Health inspection on August 9, 2024

CMS update of July 31, 2024

CMS update of May 29, 2024

CMS update of April 25, 2024

CMS update of March 28, 2024

Health inspection on March 19, 2024

CMS update of January 31, 2024

Health inspection on October 5, 2023

Fire safety inspection on October 5, 2023

Owners and managers

Questions

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