The Waterview Shores LLC
402 - 13th Avenue · Two Harbors, MN · 55616 · 2188348437
44 certified beds For profit - Limited Liability company Chain: Monarch Healthcare Management
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Actual harm · G September 11, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 22, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 18, 2025 · Resident Rights
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Potential for harm · D June 5, 2025
Ensure each resident receives an accurate assessment.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · F June 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 3, 2025 · Nutrition and Dietary
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Potential for harm · F June 5, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 3, 2025 · Administration
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Potential for harm · F June 5, 2025
Provide and implement an infection prevention and control program.
Corrected July 3, 2025 · Infection Control
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Potential for harm · D November 6, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 2, 2024 · Resident Rights
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Potential for harm · D November 6, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 21, 2024 · Resident Rights
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Potential for harm · D April 25, 2024
Keep residents' personal and medical records private and confidential.
Corrected May 21, 2024 · Resident Rights
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Potential for harm · D April 25, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · E April 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · D April 25, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected May 21, 2024 · Pharmacy Service
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Potential for harm · D April 25, 2024
Provide and implement an infection prevention and control program.
Corrected May 21, 2024 · Infection Control
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Potential for harm · D April 25, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 21, 2024 · Environmental
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Potential for harm · D January 25, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 27, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 27, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 27, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 13, 2023 · Quality of Life and Care
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Potential for harm · D July 27, 2023
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 September 13, 2023 · Quality of Life and Care
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Potential for harm · D July 27, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 13, 2023 · Pharmacy Service
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Potential for harm · D July 27, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected September 13, 2023 · Pharmacy Service
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245471 · certified since May 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.