Ecumen Lakeshore
4002 LONDON ROAD
DULUTH, MN, 55804
2186257100
CCN: 245215
5
Overall5
Health5
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| ECUMEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| KRO, LISA | CORPORATE DIRECTOR | NOT APPLICABLE |
| ALAM, MORSHED | CORPORATE DIRECTOR | NOT APPLICABLE |
| DADY, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| KENDRICK, SHELLEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| ULVESTAD, NANCY | CORPORATE DIRECTOR | NOT APPLICABLE |
| ALAM, MORSHED | CORPORATE OFFICER | NOT APPLICABLE |
| CERVENKA, DEBBIE | CORPORATE OFFICER | NOT APPLICABLE |
| KENDRICK, SHELLEY | CORPORATE OFFICER | NOT APPLICABLE |
| ALAM, MORSHED | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KENDRICK, SHELLEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KENDRICK, SHELLEY | W-2 MANAGING EMPLOYEE | NOT 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/Day3.68
4.88
RN Hrs/Resident/Day0.54
1.70
LPN Hrs/Resident/Day0.81
0.46
CNA Hrs/Resident/Day2.33
2.72
PT Hrs/Resident/Day0.12
0.38
Data as of 2026-03-01