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The Waterview Shores Assisted
Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Two Harbors, MN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Interior view of a common area in the facility Interior view of a stairway in the assisted living facility Colorful flowers in a raised garden bed Flower garden with vibrant blooms near a fence Vibrant flower garden in an outdoor space Flower garden in an outdoor space at The Waterview Shores Assisted Interior hallway of an assisted living facility Residents listening to live music in a common area Staff member presenting food packages in a kitchen area Resident engaging in a craft activity with a smile A smiling resident sitting in an armchair in a cozy interior Resident enjoying a boat ride in a life jacket Resident participating in outdoor game activities Staff members in a hallway of the assisted living facility Resident participating in an outdoor art activity Resident enjoying a drink outside in a garden area Staff member engaging with residents in an activity room Residents participating in activities, one on a boat and another in a common area A resident painting with colorful acrylics

The Waterview Shores Assisted

Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Two Harbors, MN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
409 13Th Avenue, Two Harbors, MN 55616 View map Calculator: See prices in your area
The Waterview Shores Assisted accepts Medicaid, Medicare, and private pay.
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The Waterview Shores Assisted accepts Medicaid, Medicare, and private pay.

Overview of The Waterview Shores Assisted

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The Waterview Shores Assisted offers a variety of services to ensure residents have enjoyable and fulfilling lives. The facility provides 24/7 nursing care, rehabilitation, and assisted living services in a comfortable environment. Residents can participate in various activities and enjoy amenities that promote wellness and social engagement.
Facility Direct Line (218) 834-8374
Facility Direct Line (218) 834-8374
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 28m per day
Rank #83 / 84Nurse hours — State benchmarkedThis home is ranked 83rd out of 84 homes in Minnesota for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Minnesota average, with a ranking across 84 Minnesota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 36m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 24m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 13m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 54m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 22m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
187 days
Bed community size
46-bed community Rank #267 / 529Bed count — State benchmarkedThis home is ranked 267th out of 529 homes in Minnesota for Bed Count. Shows this facility's certified or reported bed count compared to other Minnesota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 61 / 100 Rank #159 / 632Walk Score — State benchmarkedThis home is ranked 159th out of 632 homes in Minnesota for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Minnesota facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
86%
Rank #85 / 283Occupancy rate — State benchmarkedThis home is ranked 85th out of 283 homes in Minnesota for Occupancy. Shows this facility's occupancy rate versus the Minnesota average, with its Statewide rank out of 283. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Minnesota average: 79.7%
Occupied beds
40 / 46
Average occupied beds in Minnesota homes 59 beds

License Details

Facility TypeAssisted Living
StatusApproved
CountyLake

Safety & Compliance

Emergency Systems24-hour emergency response system.

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Private And Semi-Private Room Options
In-House Physical
Occupational
And Speech Therapies
24/7 Nursing Care
Physician
Nurse Practitioners
And Specialty Services
Smoke-Free Campus
Free Wifi Access
Outdoor Walking Path And Patio
Beauty And Barbershop
Social Engagement Activities
Housekeeping
Laundry
And Maintenance
Dining With Specialty Diet Offerings
ActivitiesActivities include socialization, outings, planned events, and more
Religious ServicesOn-site spiritual services

Contact The Waterview Shores Assisted

Health Inspection History

Inspections since 2023
Total health inspections 8

State average N/A

Last Health inspection on Sep 2025

Total health citations
26 Rank #43 / 85Health citations — State benchmarkedThis home is ranked 43rd out of 85 homes in Minnesota for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Minnesota State average, with a ranking across all 85 MN facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.25 Rank #29 / 85Citations per inspection — State benchmarkedThis home is ranked 29th out of 85 homes in Minnesota for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Minnesota mean across 85 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

19 of 26 citations resulted from standard inspections; and 7 of 26 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A
1 serious citation State average: N/A
25 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 3 years)
Care Planning serious citation Sep 11, 2025
Corrected
Resident Rights moderate citation Aug 22, 2025
Corrected
Administration moderate citation Jun 05, 2025
Corrected
Infection Control moderate citation Jun 05, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 81
Employees 43
Contractors 38
Staff to resident ratio 1.93 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18
Average shift 7.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,111

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 5 total: 3 full-time employees and 2 contractors. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 5 total: 2 full-time employees and 3 contractors. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 41 total: 22 full-time employees and 19 contractors. 41
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

36.4%

4,772 contractor hours this quarter

Certified Nursing Assistant: 19 Physical Therapy Assistant: 3 Speech Language Pathologist: 3 Licensed Practical Nurse: 3 Respiratory Therapy Technician: 3 Qualified Social Worker: 3 Registered Nurse: 2 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2219416,32092100%9.6
Medication Aide/Technician4041,42592100%7.9
Registered Nurse3251,2579098%7.5
Licensed Practical Nurse2351,0117582%10.1
Nurse Practitioner3034816267%7.8
Dental Services Staff1014405560%8
Physical Therapy Assistant0334096773%6.1
Other Dietary Services Staff3033956571%4.6
RN Director of Nursing1013785155%7.4
Clinical Nurse Specialist3033754246%8
Administrator1013655054%7.3
Speech Language Pathologist0331705863%2.9
Respiratory Therapy Technician033552729%2
Occupational Therapy Assistant011181314%1.3
Qualified Social Worker033878%1.1
Medical Director011633%2
41 Certified Nursing Assistant
% of Days 100%
4 Medication Aide/Technician
% of Days 100%
5 Registered Nurse
% of Days 98%
5 Licensed Practical Nurse
% of Days 82%
3 Nurse Practitioner
% of Days 67%
1 Dental Services Staff
% of Days 60%
3 Physical Therapy Assistant
% of Days 73%
3 Other Dietary Services Staff
% of Days 71%
1 RN Director of Nursing
% of Days 55%
3 Clinical Nurse Specialist
% of Days 46%
1 Administrator
% of Days 54%
3 Speech Language Pathologist
% of Days 63%
3 Respiratory Therapy Technician
% of Days 29%
1 Occupational Therapy Assistant
% of Days 14%
3 Qualified Social Worker
% of Days 8%
1 Medical Director
% of Days 3%
View All Staffing Data

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.4
In line with State average

State average: 11.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 27.5
22% worse than State average

State average: 22.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.1%
In line with State average

State average: 18.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.1%
22% worse than State average

State average: 23.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 34.3%
37% worse than State average

State average: 25.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.6%
57% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.9%
10% better than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.1%
50% better than State average

State average: 4.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.2%
20% worse than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 31.5%
83% worse than State average

State average: 17.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
In line with State average

State average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.9%
In line with State average

State average: 88.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.1%
43% better than State average

State average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 83.0%
In line with State average

State average: 82.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

47% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

46% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

7% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 42
Medicare
10
23.8% of residents
Medicaid
23
54.8% of residents
Private pay or other
9
21.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$875.8K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.9M Rank #77 / 84Revenue — State benchmarkedThis home is ranked 77th out of 84 homes in Minnesota for Revenue. Shows this facility's annual revenue compared to the Minnesota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$875.8K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$312.7K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #80 / 84Payroll — State benchmarkedThis home is ranked 80th out of 84 homes in Minnesota for Payroll. Shows total annual staff payroll benchmarked to the Minnesota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.2M 54.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #33 / 84Payroll % — State benchmarkedThis home is ranked 33rd out of 84 homes in Minnesota for Payroll %. Shows payroll as a percentage of revenue versus the Minnesota average. Well-run Minnesota facilities typically land around 62–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.8M
How we calculate these figures

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 245471

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (47% of admissions), and a typical Medicare stay runs around 23 days.

Admissions
72 total

Coverage residents most often arrive under.

Medicare 47%
Private pay 46%
Medicaid 7%
Discharges
68 total

Coverage residents most often leave under.

Medicare 28%
Private pay 65%
Medicaid 7%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Two Harbors's city center to The Waterview Shores Assisted's address, calculated via Google Maps.

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Frequently Asked Questions about The Waterview Shores Assisted

Is The Waterview Shores Assisted in a walkable area?

The Waterview Shores Assisted has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at The Waterview Shores Assisted?

The Waterview Shores Assisted's occupancy is 86%.

Are pets allowed at The Waterview Shores Assisted?

No, The Waterview Shores Assisted has a no-pet policy.

Does The Waterview Shores Assisted operate as a for-profit or non-profit?

The Waterview Shores Assisted is registered as a for-profit in MN.

How many beds does The Waterview Shores Assisted have?

The Waterview Shores Assisted has 46 beds.

Are there photos of The Waterview Shores Assisted?

Yes — there are 19 photos of The Waterview Shores Assisted in the photo gallery on this page.

What is the address of The Waterview Shores Assisted?

The Waterview Shores Assisted is located at 409 13Th Avenue, Two Harbors, MN 55616.

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