The Emeralds at Grand Rapids LLC
2801 South Highway 169 · Grand Rapids, MN · 55744 · 2183263431
93 certified beds For profit - Corporation Chain: Monarch Healthcare Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 3 · $38,522 |
Inspection citations (58 in the current record)
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Potential for harm · E December 19, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 16, 2026 · Pharmacy Service
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Potential for harm · D March 27, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
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.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · E March 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
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.
Corrected May 2, 2025 · Nursing and Physician Services
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Potential for harm · D March 27, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 2, 2025 · Pharmacy Service
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Potential for harm · D March 27, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 2, 2025 · Pharmacy Service
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Potential for harm · D March 27, 2025
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.
Corrected May 2, 2025 · Pharmacy Service
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Potential for harm · D March 27, 2025
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.
Corrected May 2, 2025 · Pharmacy Service
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Potential for harm · E March 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 2, 2025 · Nutrition and Dietary
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Potential for harm · E March 27, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 2, 2025 · Infection Control
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Potential for harm · D December 4, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · D June 20, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 12, 2024 · Quality of Life and Care
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Potential for harm · D June 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 12, 2024 · Quality of Life and Care
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Potential for harm · D April 5, 2024 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected April 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 5, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 26, 2024 · Quality of Life and Care
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Immediate jeopardy · J March 22, 2024 · found via complaint
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.
Corrected March 13, 2024 · Nutrition and Dietary
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Potential for harm · D March 22, 2024 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 12, 2024 · Resident Assessment and Care Planning
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Actual harm · G March 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 29, 2024 · Quality of Life and Care
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Potential for harm · D January 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 16, 2024 · Resident Rights
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Potential for harm · D January 11, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 16, 2024 · Resident Rights
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Potential for harm · D January 11, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected February 16, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 22, 2024 | Fine | $14,433 |
| March 7, 2024 | Fine | $8,824 |
| October 13, 2023 | Fine | $15,265 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245495 · certified since August 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.