Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

December 19, 2025 Health Inspection

November 25, 2025 Complaint Investigation

Fines and Penalties by Year

2021 3 penalties totaling $42,023

$32,273
Jun 21, 2021

Fine

$0
Jun 21, 2021

Payment Denial

$9,750
Jan 6, 2021

Fine

2020 1 penalties totaling $46,780

$46,780
Oct 16, 2020

Fine

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Health Violations by Year

2023 7 violations

Tag 0880 D Dec 20, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 10, 2024
Tag 0686 D Oct 19, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Nov 22, 2023
Tag 0688 D Oct 19, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Nov 22, 2023
Tag 0692 D Oct 19, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Nov 22, 2023
Tag 0880 F Oct 19, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 22, 2023
Tag 0883 E Oct 19, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Nov 22, 2023
Tag 0550 D Jun 2, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jul 5, 2023

2022 14 violations

Tag 0689 G Oct 12, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 2, 2022
Tag 0656 D Oct 4, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 29, 2022
Tag 0684 G Oct 4, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 29, 2022
Tag 0554 D Aug 25, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Sep 25, 2022
Tag 0578 D Aug 25, 2022

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Sep 25, 2022
Tag 0609 D Aug 25, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 25, 2022
Tag 0641 D Aug 25, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 25, 2022
Tag 0677 D Aug 25, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 25, 2022
Tag 0690 D Aug 25, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 25, 2022
Tag 0758 D Aug 25, 2022

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.

✓ Corrected: Sep 25, 2022
Tag 0880 D Aug 25, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 28, 2022
Tag 0600 J Jun 1, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 31, 2022
Tag 0609 D Jun 1, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 20, 2022
Tag 0580 G Mar 8, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 15, 2022

2021 20 violations

Tag 0755 D Dec 3, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 17, 2021
Tag 0760 D Aug 26, 2021

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 16, 2021
Tag 0554 D Jun 21, 2021

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Aug 4, 2021
Tag 0583 D Jun 21, 2021

Keep residents' personal and medical records private and confidential.

✓ Corrected: Aug 4, 2021
Tag 0584 D Jun 21, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Aug 4, 2021
Tag 0656 D Jun 21, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 4, 2021
Tag 0657 D Jun 21, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 4, 2021
Tag 0677 D Jun 21, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Aug 4, 2021
Tag 0678 J Jun 21, 2021

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

✓ Corrected: Aug 4, 2021
Tag 0686 G Jun 21, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 4, 2021
Tag 0688 D Jun 21, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Aug 4, 2021
Tag 0693 D Jun 21, 2021

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Aug 4, 2021
Tag 0755 D Jun 21, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Aug 4, 2021
Tag 0756 D Jun 21, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Aug 4, 2021
Tag 0758 D Jun 21, 2021

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.

✓ Corrected: Aug 4, 2021
Tag 0880 D Jun 21, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 4, 2021
Tag 0600 D Apr 8, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 3, 2021
Tag 0609 D Apr 8, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 3, 2021
Tag 0686 D Jan 6, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 1, 2021
Tag 0880 D Jan 6, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 1, 2021

2020 3 violations

Tag 0660 G Oct 26, 2020

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Nov 26, 2020
Tag 0880 K Oct 16, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 11, 2020
Tag 0880 F Apr 7, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 29, 2020

2019 7 violations

Tag 0577 C Jun 13, 2019

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

✓ Corrected: Aug 7, 2019
Tag 0580 D Jun 13, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 7, 2019
Tag 0677 D Jun 13, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Aug 7, 2019
Tag 0684 D Jun 13, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 7, 2019
Tag 0759 D Jun 13, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Aug 7, 2019
Tag 0760 G Jun 13, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Aug 7, 2019
Tag 0880 C Jun 13, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 7, 2019

2018 6 violations

Tag 0554 D Apr 12, 2018

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: May 11, 2018
Tag 0561 D Apr 12, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: May 11, 2018
Tag 0677 D Apr 12, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 11, 2018
Tag 0686 D Apr 12, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 11, 2018
Tag 0689 D Apr 12, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 11, 2018
Tag 0880 E Apr 12, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: May 11, 2018

2017 6 violations

Tag 0244 E Jun 29, 2017

Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.

✓ Corrected: Aug 11, 2017
Tag 0309 D Jun 29, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Aug 11, 2017
Tag 0313 D Jun 29, 2017

Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.

✓ Corrected: Aug 11, 2017
Tag 0329 D Jun 29, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Aug 11, 2017
Tag 0356 C Jun 29, 2017

Post nurse staffing information/data on a daily basis.

✓ Corrected: Aug 11, 2017
Tag 0411 D Jun 29, 2017

Provide routine and 24-hour emergency dental care for each resident.

✓ Corrected: Aug 11, 2017
🏥 Facility Summary

Benedictine Health Center is a 1-star nursing home in DULUTH, MN with 96 beds.

Most recent inspection: Data not available. No current violations on record.

📞 2185228900
📍 935 KENWOOD AVENUE, DULUTH, MN
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About Benedictine Health Center

What violations has Benedictine Health Center received?
Benedictine Health Center has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Benedictine Health Center?
Benedictine Health Center has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was Benedictine Health Center last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Benedictine Health Center safe?
Safety at Benedictine Health Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Benedictine Health Center?
Phone: 2185228900. Address: 935 KENWOOD AVENUE, DULUTH, MN. For visiting hours and admission information, call the facility directly.
What services does Benedictine Health Center offer?
Benedictine Health Center is a skilled nursing facility with 96 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near DULUTH, MN?
Compare Benedictine Health Center with other nursing homes in DULUTH, MN on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.