Nursing Care Index

Franciscan Health Center

Duluth, St. Louis County, Minnesota · CCN 245258 · Non-profit (Corporation) · part of St. Francis Health Services (14 facilities, chain average 2.8 stars)

CMS rates Franciscan Health Center 1 of 5 overall as of August 2026. 47 certified beds, 37 residents a day on average. 41 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay1 / — of 5

Staffing

Total nurse staffing3.80202 hours per resident per day
Registered nurses1.18902 hours per resident per day
Weekend total3.26 hours per resident per day
Nursing staff turnover46.2% (registered nurses 31.3%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-02-27 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-04-28
2026-02-27 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-28
2026-02-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-28
2026-02-27 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-28
2026-02-27 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 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 · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 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.
Infection Control Deficiencies · tag F0887
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-01-29
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-27
2024-12-12 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-01-31
2024-12-12 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.
Pharmacy Service Deficiencies · tag F0761
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-01-31
2024-12-12 The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights Deficiencies · tag F0574
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-01-31
2024-12-12 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-01-31
2024-12-12 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-01-31
2024-12-12 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 · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-31
2024-12-12 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-31
2024-12-12 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-31
2024-12-12 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · tag F0740
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-31
2024-12-12 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-31
2024-12-12 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-31
2024-12-12 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.
Infection Control Deficiencies · tag F0887
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-31
2024-08-09
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-06
2024-08-09
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-06
2024-08-09
complaint survey
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-06
2024-03-19
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-15
2024-03-19
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-15
2023-10-05 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · tag F0568
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-22
2023-10-05 Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · tag F0570
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-22
2023-10-05 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · tag F0561
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-22
2023-10-05 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 · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-22
2023-10-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-22
2023-10-05 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-22
2023-10-05 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-22
2023-10-05 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-22
2023-10-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-22
2023-10-05 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2023-11-22

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Big Stone Therapies, Inc.
Organization
adp of the snf2025-10-22
Eide Bailly LLP
Organization
adp of the snf2025-10-22
Big Stone Therapies, Inc.
Organization
operational/managerial control2015-02-03
Eide Bailly LLP
Organization
operational/managerial control2023-01-03
Bach, Curtis
Individual
adp of the snf2024-08-28
Bakke, Christine
Individual
adp of the snf2019-09-30
Boit, Sammy
Individual
adp of the snf2025-03-31
Burrows, Amanda
Individual
adp of the snf2024-01-02
Caspers, Megan
Individual
adp of the snf2014-12-29
Deroche, Kayla
Individual
adp of the snf2025-02-24
Edin, Colt
Individual
adp of the snf2025-01-01
Erdahl, John
Individual
adp of the snf2023-08-01
Fellman, Linda
Individual
adp of the snf2023-08-01
Fishel, Chester
Individual
adp of the snf1998-11-30
Goodnough, Jennifer
Individual
adp of the snf2021-01-01
Granheim, Kascie
Individual
adp of the snf2023-11-20
Hanneken, Michelle
Individual
adp of the snf2022-07-20
Hejhal, Roxanne
Individual
adp of the snf2023-04-10
Hofmann, Reed
Individual
adp of the snf2023-05-08
Hondl, Jessica
Individual
adp of the snf2023-08-01
Marlow, Jina
Individual
adp of the snf2022-06-06
Murray, Alexis
Individual
adp of the snf2023-08-01
Peterson-Devries, Cami
Individual
adp of the snf2022-05-08
Raw, Carol
Individual
adp of the snf2008-06-09
Rentz, Mark
Individual
adp of the snf2024-04-22
Ryan, Ben
Individual
adp of the snf2012-12-27
Ryan, Geoffrey
Individual
adp of the snf1998-01-12
Stock, Kelsey
Individual
adp of the snf2022-06-01
Sundal-Yetka, Lisa
Individual
adp of the snf2023-08-01
Thompson, Renee
Individual
adp of the snf2018-10-10
Tomoson, April
Individual
adp of the snf2021-07-12
Walker, Amy
Individual
adp of the snf2024-05-13
Wolf, Jordan
Individual
adp of the snf2025-01-01
Bach, Curtis
Individual
corporate director2024-08-28
Dripps, Daniel
Individual
corporate director2026-01-01
Ehlers, Douglas
Individual
corporate director2026-05-26
Goodnough, Jennifer
Individual
corporate director2021-01-01
Gramm, Timothy
Individual
corporate director2023-01-01
Lair, Michael
Individual
corporate director2025-01-01
Lienemann, Steven
Individual
corporate director2006-05-26
Luetmer, John
Individual
corporate director2021-01-01
Nelson, Patrick
Individual
corporate director2020-01-01
Peterson-Devries, Cami
Individual
corporate director2022-05-08
Raw, Carol
Individual
corporate director2005-08-16
Rentz, Laura
Individual
corporate director2024-01-01
Rentz, Paul
Individual
corporate director2021-01-01
Schneider, Todd
Individual
corporate director2013-07-01
Wiese, Lorraine
Individual
corporate director2017-07-25
Bach, Curtis
Individual
corporate officer2024-08-28
Peterson-Devries, Cami
Individual
corporate officer2022-05-08
Raw, Carol
Individual
corporate officer2005-08-16
Raw, Carol
Individual
individual is an owner, partner or trustee of any adp of the snf2026-02-12
Dripps, Daniel
Individual
managing control - governing body2016-01-01
Ehlers, Douglas
Individual
managing control - governing body2006-05-26
Goodnough, Jennifer
Individual
managing control - governing body2021-01-01
Gramm, Timothy
Individual
managing control - governing body2023-01-01
Lair, Michael
Individual
managing control - governing body2025-01-01
Lienemann, Steven
Individual
managing control - governing body2025-01-01
Luetmer, John
Individual
managing control - governing body2021-01-01
Marlow, Jina
Individual
managing control - governing body2022-06-06
Nelson, Patrick
Individual
managing control - governing body2020-01-01
Rentz, Laura
Individual
managing control - governing body2024-01-01
Rentz, Paul
Individual
managing control - governing body2021-01-01
Schneider, Todd
Individual
managing control - governing body2006-05-26
Wiese, Lorraine
Individual
managing control - governing body2017-07-25
Bach, Curtis
Individual
operational/managerial control2024-08-28
Bakke, Christine
Individual
operational/managerial control2019-09-30
Boit, Sammy
Individual
operational/managerial control2025-03-31
Burrows, Amanda
Individual
operational/managerial control2024-01-02
Caspers, Megan
Individual
operational/managerial control2014-12-29
Deroche, Kayla
Individual
operational/managerial control2025-02-24
Dripps, Daniel
Individual
operational/managerial control2016-01-01
Edin, Colt
Individual
operational/managerial control2025-01-01
Ehlers, Douglas
Individual
operational/managerial control2013-07-01
Erdahl, John
Individual
operational/managerial control2023-08-01
Fishel, Chester
Individual
operational/managerial control1998-11-30
Goodnough, Jennifer
Individual
operational/managerial control2021-01-01
Gramm, Timothy
Individual
operational/managerial control2023-01-01
Granheim, Kascie
Individual
operational/managerial control2023-11-20
Hanneken, Michelle
Individual
operational/managerial control2022-07-20
Hejhal, Roxanne
Individual
operational/managerial control2023-04-10
Hofmann, Reed
Individual
operational/managerial control2023-05-08
Hondl, Jessica
Individual
operational/managerial control2023-08-01
Lair, Michael
Individual
operational/managerial control2025-01-01
Lienemann, Steven
Individual
operational/managerial control2025-01-01
Luetmer, John
Individual
operational/managerial control2021-01-01
Marlow, Jina
Individual
operational/managerial control2022-06-06
Nelson, Patrick
Individual
operational/managerial control2020-01-01
Peterson-Devries, Cami
Individual
operational/managerial control2022-05-08
Raw, Carol
Individual
operational/managerial control2008-06-09
Rentz, Laura
Individual
operational/managerial control2024-01-01
Rentz, Mark
Individual
operational/managerial control2024-04-22
Rentz, Paul
Individual
operational/managerial control2021-01-01
Ryan, Ben
Individual
operational/managerial control2012-12-27
Ryan, Geoffrey
Individual
operational/managerial control1998-01-12
Schneider, Todd
Individual
operational/managerial control2013-07-01
Stock, Kelsey
Individual
operational/managerial control2022-06-01
Sundal-Yetka, Lisa
Individual
operational/managerial control2023-08-01
Thompson, Renee
Individual
operational/managerial control2018-10-10
Tomoson, April
Individual
operational/managerial control2021-07-12
Walker, Amy
Individual
operational/managerial control2024-05-13
Wiese, Lorraine
Individual
operational/managerial control2017-07-25
Wolf, Jordan
Individual
operational/managerial control2025-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in St. Louis County.