All states › Minnesota › Grand Rapids › The Emeralds at Grand Rapids
2801 South Highway 169 Grand Rapids, MN 55744 · Itasca County
All 2 nursing homes in Grand Rapids, MN (2 take Medicaid)
CMS certification number 245495 · See this home on Medicare Care Compare
Is The Emeralds at Grand Rapids a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Emeralds at Grand Rapids as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Minnesota average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.46 hours per resident per day at The Emeralds at Grand Rapids, below the Minnesota median of 4.18 (US median: 3.72). About 1.01 of those hours are from registered nurses. On weekends it falls to 3.23 hours, 7% below its all-week average. 46.7% of nursing staff left within a year (Minnesota median 39.7%).
About this nursing home
Paying for care at The Emeralds at Grand Rapids: Medicare and Medicaid
The Emeralds at Grand Rapids is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Minnesota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 17, 2026 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 50 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 50 citations at The Emeralds at Grand Rapids across 12 inspection dates, 16 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 4, 2026 (complaint inspection). The most common areas cited were quality of life and care (18) and pharmacy service (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, June 4, 2026). 5 citations were under CMS's abuse, neglect and exploitation rules.
June 17, 2026 · 5 citations
FProvide and implement an infection prevention and control program.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
CPost nurse staffing information every day.
June 4, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 19, 2025 · 1 citation · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
March 27, 2025 · 13 citations · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DHonor 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.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DImplement 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.
DEnsure 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.
December 4, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 20, 2024 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 5, 2024 · 2 citations · includes complaint inspection
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
March 22, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure 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.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
March 7, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 11, 2024 · 17 citations
EGive residents a notice of rights, rules, services and charges.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
EKeep all essential equipment working safely.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow residents to self-administer drugs if determined clinically appropriate.
DReasonably accommodate the needs and preferences of each resident.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure 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.
DProvide routine and 24-hour emergency dental care for each resident.
DProvide and implement an infection prevention and control program.
December 1, 2023 · 2 citations · includes complaint inspection
ERespond appropriately to all alleged violations.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
October 13, 2023 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
Questions to ask on a tour of The Emeralds at Grand Rapids
- Inspectors cited the home at the immediate-jeopardy level on June 4, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 17, 2026. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 59% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $50,635 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 4, 2026 | Fine | $27,378 |
| Mar 22, 2024 | Fine | $14,433 |
| Mar 7, 2024 | Fine | $8,824 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 2/5 |
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Location
Hospitals near The Emeralds at Grand Rapids
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.6 mi
Itasca Medical Center Grand RapidsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 29m for patients treated and sent home
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15.6 mi
Deer River Healthcare Center Deer RiverEmergency roomMedian ER visit 1h 31m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Emeralds at Grand Rapids › All nursing homes in Grand Rapids ›
Compare The Emeralds at Grand Rapids with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Grand Village · Grand Rapids · 5 stars · 3.2 mi
Other Monarch Healthcare Management nursing homes in Minnesota
- The Estates at Delano · Delano · 5 stars
- Sleepy Eye Rehabilitati Center · Sleepy Eye · 4 stars
- Laurels Peak Health Care · Mankato · 4 stars
- Mala Strana Health Care · New Prague · 4 stars
- The Estates at Linden · Stillwater · 4 stars
- The Green Prairie Rehabilitation Center · Plainview · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 45 Monarch Healthcare Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.