The Emeralds at Grand Rapids LLCCMS ratings, inspections and fines
- Address
- 2801 South Highway 169, Grand Rapids, MN 55744
- CCN
- 245495
- Ownership type
- For-profit, limited liability company
- Certified beds
- 93
- Residents per day
- 45
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Emeralds at Grand Rapids LLC an overall rating of 1 of 5 stars. The last standard survey was on 17 Jun 2026. The latest survey cycle has 7 health citations. The median for nursing homes in Minnesota is 6. CMS lists 4 fines with a total of $65,900 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Itasca County median | Minnesota median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 5.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 338 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Minnesota median |
|---|---|---|---|
| Cycle 1 (latest) | 17 Jun 2026 | 7 | 6 |
| Cycle 2 | 27 Mar 2025 | 14 | 7 |
| Cycle 3 | No date | 29 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jun 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 16 Jul 2026 |
| 17 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Jul 2026 |
| 17 Jun 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 16 Jul 2026 |
| 17 Jun 2026 | F0732 | Post nurse staffing information every day. | C | Standard survey | 16 Jul 2026 |
| 17 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Jul 2026 |
| 4 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 May 2026 |
| 19 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 16 Jan 2026 |
Survey cycle 2: 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 May 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 2 May 2025 |
| 4 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Dec 2024 |
Survey cycle 3: 29 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 12 Jul 2024 |
| 20 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 12 Jul 2024 |
| 5 Apr 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 26 Apr 2024 |
| 5 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Apr 2024 |
| 22 Mar 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 12 Apr 2024 |
| 22 Mar 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | J | Complaint investigation | 13 Mar 2024 |
| 7 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 Feb 2024 |
| 11 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0572 | Give residents a notice of rights, rules, services and charges. | E | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 16 Feb 2024 |
| 11 Jan 2024 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 16 Feb 2024 |
| 1 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Dec 2023 |
| 1 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 20 Dec 2023 |
| 13 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Oct 2023 |
| 13 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Oct 2023 |
| 13 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 13 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 4 Jun 2026 | Fine | $27,378 | |
| 22 Mar 2024 | Fine | $14,433 | |
| 7 Mar 2024 | Fine | $8,824 | |
| 13 Oct 2023 | Fine | $15,265 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Minnesota median | Minnesota average (CMS) |
|---|---|---|---|
| All nurse staff | 3.47 | 4.20 | 4.19 |
| Registered nurses (RN) | 0.95 | 1.00 | 1.06 |
| Licensed practical nurses (LPN) | 0.49 | 0.61 | |
| Nurse aides | 2.03 | 2.52 | |
| All nurse staff, weekends | 3.20 | 3.70 | 3.71 |
- Nurse staff turnover in a year
- 48.9%
- Nurse staff turnover, Minnesota median
- 40.0%
- RN turnover in a year
- 72.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.8% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 1.4% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.1% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.8% | 15.9% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- The Emeralds at Grand Rapids, LLC
- Chain
- Monarch Healthcare Management (45 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Jca Holdings LLC | 5% or greater direct ownership interest | 10% | 1 Feb 2019 |
| Nij LLC | 5% or greater direct ownership interest | 10% | 1 Feb 2019 |
| Spartan Healthcare LLC | 5% or greater direct ownership interest | 30% | 1 Feb 2019 |
| WBS Holdings LLC | 5% or greater direct ownership interest | 20% | 1 Feb 2019 |
| Yazoma Holdings, LLC | 5% or greater direct ownership interest | 30% | 1 Feb 2019 |
| Monarch Healthcare Operating Viii LLC | Operational/managerial control | 1 Feb 2019 |
The site shows organisations only. It does not show the names of persons.
Other homes in Itasca County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Grand Village | Grand Rapids | 5 of 5 | 1 | $0 | 7 Jul 2026 | |
| Essentia Health Homestead | Deer River | 2 of 5 | 6 | $67,727 | 22 Apr 2026 | |
| Bigfork Valley Communities | Bigfork | 5 of 5 | 3 | $0 | 11 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Emeralds at Grand Rapids LLC (CCN 245495). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-emeralds-at-grand-rapids-llc-grand-rapids-mn-245495/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Emeralds at Grand Rapids LLC last inspected?
- The latest inspection with a citation in the CMS record was on 17 Jun 2026. It was a standard survey. It gave 5 citations. The standard survey before the last one was on 27 Mar 2025.
- Who operates The Emeralds at Grand Rapids LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Monarch Healthcare Management. The CMS ownership file names Monarch Healthcare Operating Viii LLC for operational or managerial control. This site does not show the names of persons.
- Is The Emeralds at Grand Rapids LLC a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Minnesota as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.