SNF

Franciscan Health Center

CCN: 245258 · DULUTH, MN 55802 · St. Louis County

Overview

Address
3910 MINNESOTA AVENUE, DULUTH, MN 55802
Phone
2187278933
Certified beds
47
Avg daily residents
38 (80% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1983-02-01
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 1/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 1/5
Short-Stay Quality Measures — Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.77 3.79 3.85 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.33 0.66 1.36 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.19 0.84 0.20 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.25 2.28 2.29 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.52 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.09 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.16
hrs / resident / day
RN (weekend)
0.78
hrs / resident / day
Total nurse (adjusted, weekend)
3.22
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
42.6%
annual
RN turnover
23.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.34
higher acuity than avg
Case-Mix Index Ratio
0.97
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-12-12 13 12 1 88 1 88
Cycle 2/3 (prior) 2023-10-05 16 10 6 80 1 80
Total weighted health score
86.0
lower is better

Deficiencies (37)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
36 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2026-01-29 —
0574 The resident has the right to receive notices in a format and a language he or she understands. E 2024-12-12 2025-01-31
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-12-12 2025-01-31
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-12-12 2025-01-31
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-12-12 2025-01-31
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2024-12-12 2025-01-31
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2024-12-12 2025-01-31
0759 Ensure medication error rates are not 5 percent or greater. E 2024-12-12 2025-01-31
0761 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 2024-12-12 2025-01-31
0880 Provide and implement an infection prevention and control program. D 2024-12-12 2025-01-31
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-12-12 2025-01-31
0887 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 2024-12-12 2025-01-31
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2024-12-12 2025-01-31
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-08-09 2024-09-06
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-08-09 2024-09-06
0943 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. D 2024-08-09 2024-09-06
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-03-19 2024-04-15
0610 Respond appropriately to all alleged violations. D 2024-03-19 2024-04-15
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-10-05 2023-11-22
0568 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. E 2023-10-05 2023-11-22
0570 Assure the security of all personal funds of residents deposited with the facility. E 2023-10-05 2023-11-22
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2023-10-05 2023-11-22
0641 Ensure each resident receives an accurate assessment. B 2023-10-05 2023-11-22
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-10-05 2023-11-22
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-10-05 2023-11-22
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-10-05 2023-11-22
0758 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. D 2023-10-05 2023-11-22
0880 Provide and implement an infection prevention and control program. D 2023-10-05 2023-11-22
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F 2023-03-01 2023-03-24
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2023-01-06 2023-02-18
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-01-06 2023-02-18
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-01-06 2023-02-18
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-01-06 2023-02-18
0761 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. D 2023-01-06 2023-02-18
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-01-06 2023-02-18
0880 Provide and implement an infection prevention and control program. E 2023-01-06 2023-02-18
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F 2023-01-06 2023-02-18

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 0.1% Medicaid 51.9% Other 48.0%

Operating performance

Operating Margin
3.3%
Total Margin
20.4%
Occupancy Rate
91.2%

Revenue & costs

Net Patient Revenue
$971K
Total Costs
$41K
Net Income
$241K

Balance sheet

Total Assets
$22.4M
Total Liabilities
$21.5M
Fund Balance
$840K
Current Ratio
1.85

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: ST. FRANCIS HEALTH SERVICES

Chain ID
487
Facilities in chain
14
Legal business name
DULUTH HEALTH SERVICES
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.4
Staffing
4.4
QM
3.1

Owner / manager organizations (1)

Organization Role Association
ST. FRANCIS HEALTH SERVICES OF MORRIS, INC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/09/2009

Owner / manager individuals (13)

Name Role Association
CHAMBERS, MARI OPERATIONAL/MANAGERIAL CONTROL since 01/31/2022
PETERSON-DEVRIES, CAMILLA OPERATIONAL/MANAGERIAL CONTROL since 02/16/2022
RAW, CAROL OPERATIONAL/MANAGERIAL CONTROL since 10/02/2017
GOODNOUGH, JENNIFER CORPORATE DIRECTOR since 01/01/2021
NELSON, PATRICK CORPORATE DIRECTOR since 01/01/2020
WIESE, LORRAINE CORPORATE DIRECTOR since 07/25/2017
CHAMBERS, MARI CORPORATE OFFICER since 01/31/2022
PETERSON-DEVRIES, CAMILLA CORPORATE OFFICER since 02/16/2022
RAW, CAROL CORPORATE OFFICER since 10/02/2017
CHAMBERS, MARI W-2 MANAGING EMPLOYEE since 01/31/2022
PETERSON-DEVRIES, CAMILLA W-2 MANAGING EMPLOYEE since 02/16/2022
RAW, CAROL W-2 MANAGING EMPLOYEE since 10/02/2017
WAGNER, SHERRY W-2 MANAGING EMPLOYEE since 02/01/2022

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 1.85 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 51.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 0.1% metrics.medicare_day_share
Cost Report Net Income ($) $241,194 metrics.net_income
Cost Report Net Patient Revenue ($) $970,924 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 91.2% metrics.occupancy_rate
Cost Report Operating Margin (%) 3.3% metrics.operating_margin
Cost Report Total Assets ($) $22,351,303 metrics.total_assets
Cost Report Total Costs ($) $41,190 metrics.total_costs
Cost Report Total Fund Balances ($) $839,833 metrics.fund_balance
Cost Report Total Liabilities ($) $21,511,470 metrics.total_liabilities
Cost Report Total Margin (%) 20.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.19712 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.29430 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.35659 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.84802 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.21650 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 37.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.84051 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.28432 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.66251 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.78734 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.33814 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.9 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.4 Chain Average Staffing Rating
Provider Information Chain ID 487 Chain ID
Provider Information Chain Name ST. FRANCIS HEALTH SERVICES Chain Name
Provider Information City/Town DULUTH City/Town
Provider Information CMS Certification Number (CCN) 245258 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish St. Louis County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1983-02-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 46.7427 Latitude
Provider Information Legal Business Name DULUTH HEALTH SERVICES Legal Business Name
Provider Information Location 3910 MINNESOTA AVENUE,DULUTH,MN,55802 Location
Provider Information Long-Stay QM Rating 1 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -92.064 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 47 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 14 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.34169 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.97390 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 3910 MINNESOTA AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Franciscan Health Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 680 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 1 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 88 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 12 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-12-12 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 88 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 13 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 10 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-10-05 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 80 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 6 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 80 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 16 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.77956 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 23.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.52410 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.19336 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.25058 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.08843 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.33074 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.77468 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MN State
Provider Information Telephone Number 2187278933 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.15520 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 42.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 86.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 55802 ZIP Code