Ecumen North Branch
5379 -383RD STREET
NORTH BRANCH, MN, 55056
6518290117
CCN: 245370
3
Overall3
Health4
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| ECUMEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| DADY, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| CROCKETT, SUSAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| KENDRICK, SHELLEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| PETRABORG, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| ULVESTAD, NANCY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BJERKETVEDT, SCOTT | CORPORATE OFFICER | NOT APPLICABLE |
| KENDRICK, SHELLEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BJERKETVEDT, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BJERKETVEDT, SCOTT | W-2 MANAGING EMPLOYEE | NOT 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/Day3.68
4.52
RN Hrs/Resident/Day0.54
1.09
LPN Hrs/Resident/Day0.81
0.86
CNA Hrs/Resident/Day2.33
2.57
PT Hrs/Resident/Day0.12
0.21
Data as of 2026-03-01