Ecumen Lakeshore

4002 LONDON ROAD
DULUTH, MN, 55804
2186257100
CCN: 245215
5
Overall
5
Health
5
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ECUMEN5% OR GREATER DIRECT OWNERSHIP INTEREST100%
KRO, LISACORPORATE DIRECTORNOT APPLICABLE
ALAM, MORSHEDCORPORATE DIRECTORNOT APPLICABLE
DADY, JAMESCORPORATE DIRECTORNOT APPLICABLE
KENDRICK, SHELLEYCORPORATE DIRECTORNOT APPLICABLE
ULVESTAD, NANCYCORPORATE DIRECTORNOT APPLICABLE
ALAM, MORSHEDCORPORATE OFFICERNOT APPLICABLE
CERVENKA, DEBBIECORPORATE OFFICERNOT APPLICABLE
KENDRICK, SHELLEYCORPORATE OFFICERNOT APPLICABLE
ALAM, MORSHEDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KENDRICK, SHELLEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KENDRICK, SHELLEYW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (7)
2025-08-07 · Health
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2024-06-13 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2023-09-08 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F805 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
F758 · Pharmacy Service Deficiencies
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
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.88
3.68
RN Hrs/Resident/Day
1.70
0.54
LPN Hrs/Resident/Day
0.46
0.81
CNA Hrs/Resident/Day
2.72
2.33
PT Hrs/Resident/Day
0.38
0.12
Data as of 2026-03-01