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Independent Living in Duluth

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.

Lakeshore – The Fountains

Independent Living in Duluth

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.

Lakeshore – The Fountains

Overview of Lakeshore – the Fountains

Nestled in the charming city of Duluth, Minnesota, Lakeshore – the Fountains is a renowned assisted living community with a rich legacy of providing exceptional senior care for over 85 years. With an esteemed reputation in Northern Minnesota, Lakeshore – the Fountains is recognized as the premier senior living campus in Greater Duluth.

They offer 60 rehabilitation suites that feature private bathrooms and showers, ensuring privacy and comfort during the recovery process. They have short-stay residences that are thoughtfully designed to promote healing, offering amenities such as satellite television, telephone, and Wi-Fi connectivity to keep residents connected and entertained during their stay. With a dedicated team of compassionate professionals, Lakeshore – the Fountains is committed to providing personalized care and creating a nurturing environment for seniors. Whether they’re seeking assistance with daily activities or recovering from an injury, their community is here to support your needs and enhance your well-being.

Managed by Kristy Johnson

Executive Director

Kristy Johnson serves as the Executive Director at Lakeshore - The Fountains. She leads the community with hands-on experience and genuine compassion, nurturing a thriving environment for residents and team members alike. Kristy is dedicated to supporting the mission and fostering a meaningful pursuit among the Lakeshore community.

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.
5/5
Minnesota average: 3.2/5
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.
5/5
Minnesota average: 2.8/5
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.
5/5
Minnesota average: 4.1/5
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.
3/5
Minnesota average: 3.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 14m per day

This home provides 10% more nursing time per resident than the Minnesota average.

Minnesota average: 4h 46m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 60

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Minnesota average
Occupancy rate 85.7%
Residents per day (avg) 51
Occupancy rate
85.7%
Residents per day (avg)
51

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.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

65% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

35% of new residents, often for short stays.

Typical stay 21 days

Finances and operations

Voluntary non-profit community
Home revenue
$23.8M
Surplus of revenue
$704.4K
Voluntary non-profit community
Home revenue
$23.8M
Surplus of revenue
$704.4K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.8M
32.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.2M
Total costs $23.1M
Walk Score
Walk Score: 17 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

3 services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs

Additional Services

1 service
Short-Term Transitional Care

Amenities & Lifestyle

0 amenities
Specific ProgramsIndependent Living, Assisted Living, Memory Care, Short-Term Transitional Care, Long-Term Care, Home Care, Adult Day Services, Hospice Care, Therapy, Respite Care

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: 3-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Lakeshore – The Fountains

Independent Living Assisted Living Memory Care Nursing Home Home Care

Contact Lakeshore – The Fountains

Health Inspection History

Inspections
Total health inspections 3

Minnesota average 6


Last Health inspection on Aug 2025

Total health citations 7

Minnesota average 23.2

Citations per inspection
2.33

Minnesota average 3.76


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

All 7 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Minnesota average

Minnesota average: 0.7


Serious Health citations More info 0
100% better than Minnesota average

Minnesota average: 0.5

0 critical citations More info Minnesota average: 0.7

0 serious citations More info Minnesota average: 0.5

7 moderate citations More info Minnesota average: 21.2

0 minor citations More info Minnesota average: 0.8
Citations history (last 3 years)
Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Aug 07, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jun 13, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 08, 2023
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Sep 08, 2023
Corrected

Compare Independent Living around Duluth The information below is reported by the Minnesota Department of Health, Health Regulation Division.

Filter by care type
St. Ann‘s Residence
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Duluth (Downtown - Waterfront)
150
No
85
Private Rooms
-
-
-
67.9%
Lakeshore – The Fountains
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Duluth
60
No
17
Private Rooms
-
85.7%
-
-
Mount Royal Pines III
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Duluth (Chester Park)
54
Yes
61
Private Rooms
27
-
A+
-
New Perspective Senior Living | Twin Ports
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Superior
44
Yes
39
Private Rooms
18
-
A+
-
Edgewood Vista – Hermantown
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Hermantown
-
Yes
18
Private Rooms
26
-
-
-

Places of interest near Lakeshore – The Fountains

Address 4.0 miles from city center — 2.34 miles to nearest hospital (Lakewalk Surgery Center)

Calculate Travel Distance to Lakeshore – The Fountains

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 139
Employees 126
Contractors 13
Staff to resident ratio 2.32:1
0% compared with Minnesota average

Minnesota average ratio: 2.22:1

Avg staff/day 50
Average shift 7.3 hours
0% compared with Minnesota average

Minnesota average: 7.5 hours

Total staff hours (quarter) 33,305
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

4.4%

1,478 contractor hours this quarter

Certified Nursing Assistant: 8 Registered Nurse: 3 Occupational Therapy Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant4285011,50891100%7.2
Registered Nurse193225,30291100%7.7
Clinical Nurse Specialist9093,2006369%7.6
Medication Aide/Technician8082,49991100%7.6
Licensed Practical Nurse9092,42691100%7.5
Respiratory Therapy Technician8081,8478391%7
Speech Language Pathologist8081,6518998%6.6
Physical Therapy Aide3031,1876571%7
Physical Therapy Assistant7071,0758189%6.8
Other Dietary Services Staff3031,0476571%6.2
Occupational Therapy Aide2024855864%7.6
Administrator1014485662%8
Nurse Practitioner2024165257%8
Mental Health Service Worker3031651314%6.9
Occupational Therapy Assistant0112255%4.4
Qualified Social Worker202201213%1.7
Medical Director011633%2
50 Certified Nursing Assistant
% of Days 100%
22 Registered Nurse
% of Days 100%
9 Clinical Nurse Specialist
% of Days 69%
8 Medication Aide/Technician
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
8 Respiratory Therapy Technician
% of Days 91%
8 Speech Language Pathologist
% of Days 98%
3 Physical Therapy Aide
% of Days 71%
7 Physical Therapy Assistant
% of Days 89%
3 Other Dietary Services Staff
% of Days 71%
2 Occupational Therapy Aide
% of Days 64%
1 Administrator
% of Days 62%
2 Nurse Practitioner
% of Days 57%
3 Mental Health Service Worker
% of Days 14%
1 Occupational Therapy Assistant
% of Days 5%
2 Qualified Social Worker
% of Days 13%
1 Medical Director
% of Days 3%

Facility Characteristics

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

Total census
60 residents
Residents by payment source
Medicare
60 residents (100%)
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.

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. 6.7
40% better than Minnesota average

Minnesota average: 11.1

Long-stay resident measures
Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.4%
16% worse than Minnesota average

Minnesota average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.0%
66% worse than Minnesota average

Minnesota average: 5.4%

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

Minnesota average: 2.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.7%
26% worse than Minnesota average

Minnesota average: 17.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Minnesota average

Minnesota average: 97.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.7%
9% better than Minnesota average

Minnesota average: 88.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
21% better than Minnesota average

Minnesota average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.3%
15% better than Minnesota average

Minnesota average: 82.6%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Minnesota Seniors

Get financial aid guidance

Elderly Waiver

Minnesota Medicaid EW

Age 65+, Minnesota resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$3,000 (individual, higher than most states).

Higher asset limit; rural access focus.

Essential Community Supports (ECS)

Minnesota ECS

Age 65+, Minnesota resident, at risk of decline but not nursing home level.

~$1,732/month (individual, varies).

$3,000 (individual).

Bridges gap for those ineligible for waivers.

Alternative Care (AC) Program

Minnesota Alternative Care Program

Age 65+, Minnesota resident, NFLOC, not MA-eligible.

~$1,255-$2,829/month (100%-300% FPL); sliding scale copays.

$3,000 (individual); home equity limit $713,000.

CDCS option; statewide via counties.

Minnesota Senior Health Options (MSHO)

Minnesota Senior Health Options

Age 65+, Minnesota resident, eligible for MA and Medicare Parts A/B.

~$1,255/month (100% FPL for MA); spenddown allowed.

$3,000 (individual), $6,000 (couple).

7 health plans (e.g., UCare, HealthPartners); care coordinator assigned.

Minnesota Senior Care Plus (MSC+)

Minnesota Senior Care Plus

Age 65+, Minnesota resident, MA-eligible, not on Medicare.

~$1,255/month (100% FPL); spenddown allowed.

$3,000 (individual), $6,000 (couple).

Includes EW services; 7 health plans available.

Consumer Support Grant (CSG)

Minnesota Consumer Support Grant

Age 65+ or disabled, Minnesota resident, eligible for MA personal care but opts for grant.

~$1,255/month (MA-eligible); spenddown allowed.

$3,000 (individual).

Can hire family; statewide via counties.

Medicare Savings Program (MSP)

Minnesota Medicare Savings Program

Age 65+ or disabled, Minnesota resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

VA Aid and Attendance (A&A) and Housebound Benefits

Minnesota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Minnesota resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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