Total health inspections
3
Minnesota average 6
Last Health inspection on Aug 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Lakeshore – The Fountains
Independent Living, Assisted Living, Memory Care, Nursing Home & Home Care · Duluth, MN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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, Assisted Living, Memory Care, Nursing Home & Home Care · Duluth, MN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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 accepts Medicare and private pay.
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.
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
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.
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.
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.
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
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.
Total nursing care / resident
This home is ranked 16th out of 59 homes in Minnesota.
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.
This home is ranked 16th out of 59 homes in Minnesota.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.
5h 14m per day
Rank #16 / 59Nurse hours — state benchmarkedThis home is ranked 16th out of 59 homes in Minnesota.Shows adjusted nurse hours per resident per day benchmarked to the Minnesota average, with a ranking across 59 Minnesota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Minnesota avg
+10%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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.
| 4h 34m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
85.7%
Rank #21 / 60Occupancy rate — state benchmarkedThis home is ranked 21st out of 60 homes in Minnesota.Shows this facility's occupancy rate versus the Minnesota average, with its statewide rank out of 60. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
20 days
Occupancy rate
85.7%
Rank #21 / 60Occupancy rate — state benchmarkedThis home is ranked 21st out of 60 homes in Minnesota.Shows this facility's occupancy rate versus the Minnesota average, with its statewide rank out of 60. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
20 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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 Rank #12 / 59Revenue — state benchmarkedThis home is ranked 12th out of 59 homes in Minnesota.Shows this facility's annual revenue compared to the Minnesota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$704.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #20 / 59Payroll — state benchmarkedThis home is ranked 20th out of 59 homes in Minnesota.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.
$9.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #20 / 59Payroll — state benchmarkedThis home is ranked 20th out of 59 homes in Minnesota.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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$23.1M
Walk Score: 17 / 100 Rank #33 / 43Walk Score — state benchmarkedThis home is ranked 33rd out of 43 homes in Minnesota.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Minnesota SNFs. Higher scores benefit residents, families, and staff.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Rehabilitation Services
Respite Care
Short-Term Rehab
Licensed Nurses/CNAs
Short-Term Transitional Care
Specific ProgramsHome Care, Adult Day Services, Therapy
What does this home offer?
Housing Options: Private Rooms
Building Type: 3-story
Transportation Services
Fitness and Recreation
Types of Care at Lakeshore – The Fountains
Independent Living
Assisted Living
Memory Care
Nursing Home
Home Care
Health Inspection History
Inspections
Total health citations
7
Rank #5 / 59Health citations — state benchmarkedThis home is ranked 5th out of 59 homes in Minnesota.Shows this facility's total health deficiency citations benchmarked to the Minnesota state average, with a ranking across all 59 MN SNFs. Lower citation counts earn a better rank.
Minnesota average 23.2
Citations per inspection
2.33
Rank #6 / 59Citations per inspection — state benchmarkedThis home is ranked 6th out of 59 homes in Minnesota.Shows average deficiency citations per CMS inspection for this facility versus the Minnesota mean across 59 SNFs with citation data. Lower is better.
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
0
100% better than Minnesota averageMinnesota average: 0.7
Serious Health citations
0
0
100% better than Minnesota averageMinnesota average: 0.5
0 critical citations
0 serious citations
7 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 07, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 07, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 13, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 13, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 08, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 08, 2023
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 08, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 08, 2023
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.
Financial Assistance for
Independent Living in Minnesota
Lakeshore – The Fountains is located in Duluth, Minnesota.
Here are the financial assistance programs available to residents in Minnesota.
Places of interest near Lakeshore – The Fountains
4.0 miles from city center
Estimated distance in miles from Duluth's city center to Lakeshore – The Fountains's address, calculated via Google Maps.
— 2.34 miles to nearest hospital (Lakewalk Surgery Center)
Calculate Travel Distance to Lakeshore – The Fountains
Add your location
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 averageMinnesota average ratio: 2.22:1
Avg staff/day
50
Average shift
7.3 hours
0% compared with Minnesota averageMinnesota 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
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
50
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis 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 Assistant | 42 | 8 | 50 | 11,508 | 91 | 100% | 7.2 |
| Registered Nurse | 19 | 3 | 22 | 5,302 | 91 | 100% | 7.7 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 3,200 | 63 | 69% | 7.6 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,499 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,426 | 91 | 100% | 7.5 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 1,847 | 83 | 91% | 7 |
| Speech Language Pathologist | 8 | 0 | 8 | 1,651 | 89 | 98% | 6.6 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,187 | 65 | 71% | 7 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,075 | 81 | 89% | 6.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,047 | 65 | 71% | 6.2 |
| Occupational Therapy Aide | 2 | 0 | 2 | 485 | 58 | 64% | 7.6 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 416 | 52 | 57% | 8 |
| Mental Health Service Worker | 3 | 0 | 3 | 165 | 13 | 14% | 6.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 5 | 5% | 4.4 |
| Qualified Social Worker | 2 | 0 | 2 | 20 | 12 | 13% | 1.7 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 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 residents
60
Medicare
60
100% 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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.7
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 averageMinnesota average: 11.1
Long-stay resident measures
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
16% worse than Minnesota averageMinnesota average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.0%
Percent of long-stay high risk residents with pressure ulcers
9.0%
66% worse than Minnesota averageMinnesota average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Minnesota averageMinnesota average: 2.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.7%
Percent of long-stay residents who received an antipsychotic medication
21.7%
26% worse than Minnesota averageMinnesota average: 17.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Minnesota averageMinnesota average: 97.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
9% better than Minnesota averageMinnesota average: 88.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
21% better than Minnesota averageMinnesota average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
15% better than Minnesota averageMinnesota average: 82.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Compare Independent Living around Duluth
Filter by care type
| Lakeshore – The Fountains |
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.
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.
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 (Lakeside-Lester Park) | 60 | No | 17 | Private Rooms | - | 85.7% | - |
| Mount Royal Pines III |
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.
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 (City Of Superior) | 44 | Yes | 39 | Private Rooms | 18 | - | A+ |
| Edgewood Vista – Hermantown |
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.
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.
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 | - | - |
| Primrose Of Duluth |
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.
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 (Duluth Heights) | - | No | 23 | Private Rooms | - | - | - |
Financial Trends
Historical financial and operational data for Lakeshore – The Fountains based on CMS SNF Cost Reports.
Occupancy Rate
85.7%
↑ 21.5pp vs 2022
Net Income
$704.4K
↑ ~$2.1M vs 2022
Total Payroll
$9.8M
↑ ~$1.4M vs 2022
Profit Margin
3.8%
↑ 13.2pp vs 2022
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
Frequently Asked Questions about Lakeshore – The Fountains
What neighborhood is Lakeshore – The Fountains in?
Lakeshore – The Fountains is in the Lakeside-Lester Park neighborhood.
Is Lakeshore – The Fountains in a walkable area?
Lakeshore – The Fountains has a walk score of 17. Car-dependent. Most errands require a car, with limited nearby walkable options.
Are there photos of Lakeshore – The Fountains?
Yes — there are 10 photos of Lakeshore – The Fountains in the photo gallery on this page.
What is the phone number of Lakeshore – The Fountains?
(407) 352-5573 will put you in contact with the team at Lakeshore – The Fountains.
Is Lakeshore – The Fountains Medicare or Medicaid certified?
Yes — Lakeshore – The Fountains is a CMS-certified provider of Medicare and Medicaid.
Contact Us
Published on
Updated on
Feedback
Write a review for Lakeshore – The Fountains
Rate your overall experience with this community
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Need Help?
Let us help you or a loved one find the perfect senior home.
