St. Louis County, Minnesota · Nursing home
Aftenro Home
1 of 5 overall from CMS
510 West College Street, Duluth, MN 55811
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.52 hours Below the state average of 4.19
- Nursing staff who left in a year 26.4% Below the state average of 42.2%
- Health citations, last 3 inspection cycles 24 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 93.9% of 54 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Aftenro Home is a 54-bed nursing home in Duluth, Minnesota (St. Louis County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.52 nurse staffing hours per resident per day, below the Minnesota average of 4.19. CMS lists no fines in the past three years.
- Certified beds
- 54
- Residents per day (average)
- 50.7
- Certified since
- 1981 (45 yrs)
Non profit - Corporation Participates in Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Aftenro Home
Chosen from this home's public data.
- CMS counts 14 health deficiencies in the latest inspection cycle (the standard inspection on Mar 19, 2026 plus complaint and infection-control inspections); the Minnesota average is 7.1. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.90 hours per resident on weekends against 3.52 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 1.00 hours per resident per day; the Minnesota average is 1.06. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Minnesota average 3.2
- Health inspections 1 of 5 Minnesota average 2.8
- Staffing 5 of 5 Minnesota average 4.1
- Quality measures 1 of 5 Minnesota average 3.1
The vertical line marks the Minnesota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.52 h Minnesota average 4.19
- Nurse aides 2.33 h Minnesota average 2.52
- Licensed practical nurses 0.18 h Minnesota average 0.61
- Registered nurses 1.00 h Minnesota average 1.06
- All staff, weekends 2.90 h Minnesota average 3.71
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Minnesota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover26.4%
- Minnesota average42.2%
- Registered nurse turnover0.0%
- Minnesota average38.6%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Minnesota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 18.5% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.5% | 4.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 9.7% | 2.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 9.5% | 4.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 8.7% | 4.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% | 97.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 21.7% | 20.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% | 12.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.4% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 10.7% | 5.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.6% | 24.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.2% | 17.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.61 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.90 | 1.78 |
Short-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% | 88.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 82.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 23.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 14.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 24 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 6 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 19, 2026 | 14 | 3 |
| Jan 9, 2025 | 6 | 4 |
| Oct 25, 2023 | 4 | 7 |
Minnesota homes averaged 7.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (24)
-
FPotential for more than minimal harm, widespread
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (May 8, 2026)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (May 8, 2026)
-
FPotential for more than minimal harm, widespread
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (May 8, 2026)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (May 8, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 8, 2026)
Show 19 more
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2026)
-
CPotential for minimal harm, widespread
Give residents a notice of rights, rules, services and charges.
Resident Rights · Deficient, Provider has date of correction (May 8, 2026)
-
BPotential for minimal harm, pattern
Honor the resident's right to manage his or her financial affairs.
Resident Rights · Deficient, Provider has date of correction (May 8, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 24, 2025)
-
FPotential for more than minimal harm, widespread
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.
Environmental · Deficient, Provider has date of correction (Feb 24, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 24, 2025)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 24, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Feb 24, 2025)
-
DPotential for more than minimal harm, isolated
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 24, 2025)
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Dec 19, 2023)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 19, 2023)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Dec 19, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Dec 19, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Minnesota homes averaged 0.8 fines and $24,507 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Minnesota
Common questions
What is the CMS star rating for Aftenro Home?
Aftenro Home has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 1.
How many beds does Aftenro Home have?
Aftenro Home has 54 certified beds. It averages 50.7 residents per day, about 93.9% of its certified beds.
How much nursing care do residents get at Aftenro Home?
The home reports 3.52 hours of nurse staffing per resident per day, including 1.00 hours from registered nurses. The Minnesota average is 4.19 hours and 1.06 hours from registered nurses.
Has Aftenro Home been fined?
CMS lists no fines for this home in the past three years.
Does Aftenro Home accept Medicare or Medicaid?
CMS lists its participation as "Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Benedictine Health Center 96beds 95.0%in use 3.94nurse hours a day
- 2 of 5 Hilltop Healthcare Rehabilitation and Skilled Nurs 140beds 75.3%in use 3.31nurse hours a day
- 5 of 5 Ecumen Lakeshore 60beds 82.2%in use 5.29nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in St. Louis County
Who to call in Minnesota
These offices serve residents of every nursing home in Minnesota.
- Long-term care ombudsman Office of Ombudsman for Long-Term Care (OOLTC) 1-800-657-3591 (Also 651-431-2555. Calls answered 8:00 AM - 4:00 PM, Monday to Friday. TDD/TTY: 711. Email MBA.OOLTC@state.mn.us; fax 651-431-7452.) An advocate for residents and their families.
- File a complaint about a nursing home Office of Health Facility Complaints (OHFC) 651-201-4200 (Email: health.ohfc-complaints@state.mn.us. MDH directs suspected maltreatment of a vulnerable adult (abuse, neglect, financial exploitation, unexplained injury) to the Minnesota Adult Abuse Reporting Center (MAARC), 844-880-1574 (toll free).) The state agency that inspects nursing homes.
Minnesota staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 24E355. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.