Ecumen North Branch

5379 -383RD STREET
NORTH BRANCH, MN, 55056
6518290117
CCN: 245370
3
Overall
3
Health
4
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ECUMEN5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
DADY, JAMESCORPORATE DIRECTORNOT APPLICABLE
CROCKETT, SUSANCORPORATE DIRECTORNOT APPLICABLE
KENDRICK, SHELLEYCORPORATE DIRECTORNOT APPLICABLE
PETRABORG, JOHNCORPORATE DIRECTORNOT APPLICABLE
ULVESTAD, NANCYCORPORATE DIRECTORNOT APPLICABLE
BJERKETVEDT, SCOTTCORPORATE OFFICERNOT APPLICABLE
KENDRICK, SHELLEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BJERKETVEDT, SCOTTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BJERKETVEDT, SCOTTW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (14)
2025-07-24 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
C
F577 · Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
2024-08-09 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
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.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2024-06-17 · Health
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
2023-09-27 · Health
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.52
3.68
RN Hrs/Resident/Day
1.09
0.54
LPN Hrs/Resident/Day
0.86
0.81
CNA Hrs/Resident/Day
2.57
2.33
PT Hrs/Resident/Day
0.21
0.12
Data as of 2026-03-01