Aftenro Home
510 West College Street · Duluth, MN · 55811 · 2187286600
54 certified beds Non profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.94 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · E March 19, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected May 8, 2026 · Resident Rights
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Potential for harm · D March 19, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 8, 2026 · Quality of Life and Care
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Potential for harm · F March 19, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 8, 2026 · Pharmacy Service
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Potential for harm · F March 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 8, 2026 · Nutrition and Dietary
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Potential for harm · D March 19, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected May 8, 2026 · Quality of Life and Care
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Potential for harm · F March 19, 2026 · found via complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected May 8, 2026 · Nutrition and Dietary
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Potential for harm · F March 19, 2026 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 8, 2026 · Nutrition and Dietary
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Potential for harm · F March 19, 2026 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected May 8, 2026 · Nutrition and Dietary
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Potential for harm · F March 19, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 8, 2026 · Infection Control
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No harm found · B March 19, 2026
Honor the resident's right to manage his or her financial affairs.
Corrected May 8, 2026 · Resident Rights
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No harm found · C March 19, 2026
Give residents a notice of rights, rules, services and charges.
Corrected May 8, 2026 · Resident Rights
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Potential for harm · D January 9, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected February 24, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 24, 2025 · Pharmacy Service
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Potential for harm · D January 9, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected February 24, 2025 · Nutrition and Dietary
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Potential for harm · F January 9, 2025
Provide and implement an infection prevention and control program.
Corrected February 24, 2025 · Infection Control
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Potential for harm · F January 9, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected February 24, 2025 · Environmental
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Potential for harm · D October 25, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 19, 2023 · Quality of Life and Care
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Potential for harm · D October 25, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 19, 2023 · Pharmacy Service
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Potential for harm · D October 25, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 19, 2023 · Pharmacy Service
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Potential for harm · F October 25, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected December 19, 2023 · Administration
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 24E355 · certified since November 12, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.