The Emeralds at Grand Rapids LLC: Staffing, Turnover, and Inspection Record
The Emeralds at Grand Rapids LLC is a 93-bed for-profit nursing home in Grand Rapids, Minnesota, part of Monarch Healthcare Management. In the CMS August 2026 release it reported 2.03 nurse aide hours per resident per day, 20% below the Minnesota average of 2.52, and 48.9% nursing staff turnover (Minnesota average 42.2%).
The Emeralds at Grand Rapids LLC
2801 South Highway 169Grand Rapids, MN 55744
Itasca County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Emeralds at Grand Rapids LLC, nurse aides logged 2.03 hours per resident per day, 20% below the Minnesota average. With about 45 residents a day, that works out to roughly 92 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Minnesota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.03 | 2.52 | 2.32 |
| Licensed practical nurses | 0.49 | 0.61 | 0.86 |
| Registered nurses | 0.95 | 1.06 | 0.69 |
| All nursing staff | 3.47 | 4.19 | 3.86 |
| All nursing staff, weekends | 3.20 | 3.71 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
48.9% of nursing staff at The Emeralds at Grand Rapids LLC left over the year CMS measured, against a Minnesota average of 42.2% and a US average of 45.8%. Registered nurse turnover was 72.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 17, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Minnesota average 7.0). CMS lists 4 fines totaling $65,900 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 4, 2026 | Fine | $27,378 |
| Mar 22, 2024 | Fine | $14,433 |
| Mar 7, 2024 | Fine | $8,824 |
| Oct 13, 2023 | Fine | $15,265 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Emeralds at Grand Rapids LLC holds 1 of 5 overall; the Minnesota average is 3.2.
About The Emeralds at Grand Rapids LLC
- Ownership: For profit - Limited Liability company
- Chain: Monarch Healthcare Management, 45 homes
- Legal name: The Emeralds at Grand Rapids, LLC
- Medicare and Medicaid certified since: Aug 1, 1987
- Councils: resident council
- Area: rural
Nursing homes near The Emeralds at Grand Rapids LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Grand Village Grand Rapids | 3.2 | 82 | 2.25 | 4.20 | 37.2% | 5 | None |
| Essentia Health Homestead Deer River | 15.6 | 32 | 2.56 | 4.97 | 50.0% | 2 | $67,727 |
| Guardian Angels Health & Rehab Center Hibbing | 31.8 | 65 | 2.20 | 3.99 | 26.1% | 2 | $26,481 |
| Heritage Manor Chisholm | 36.7 | 65 | 1.80 | 3.41 | 31.0% | 1 | None |
| Bigfork Valley Communities Bigfork | 37.8 | 40 | 3.60 | 6.04 | 26.7% | 5 | None |
| Cornerstone Villa Buhl | 40.2 | 43 | 2.61 | 4.01 | 44.4% | 3 | $11,243 |
| Aicota Health Care Center Aitkin | 47.4 | 56 | 2.49 | 4.17 | — | 2 | None |
| Aitkin Health Services Aitkin | 47.7 | 42 | 2.75 | 4.21 | 48.8% | 2 | $8,824 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.