The Emeralds At Grand Rapids Llc
2801 South Highway 169, Grand Rapids, MN, 55744
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Monarch Healthcare Management
- Certified beds
- 93 · avg 45 residents/day
- Total nursing staff turnover
- 50.9% — higher than most Minnesota nursing homesMinnesota avg: 42.5% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 87.5% — higher than most Minnesota nursing homesMinnesota avg: 38.5% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Minnesota averageMinnesota avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $38,522 total
Medicare certification
- CMS Certification Number
- 245495
- Certified beds
- 93 beds · avg 45 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- The Emeralds At Grand Rapids, Llc
- Chain affiliation
- Monarch Healthcare Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Monarch Healthcare Management chain — 45 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (11 on record)
- Jca Holdings Llc
5% or Greater Direct Ownership Interest · 10% · since 2019
- Jeffrey Arem
5% or Greater Indirect Ownership Interest · 10% · since 2019
- Joshua Legum
Contracted Managing Employee · 30% · since 2019
- Marc Halpert
5% or Greater Indirect Ownership Interest · 30% · since 2019
- Monarch Healthcare Operating Viii Llc
Operational/managerial Control · 100% · since 2019
- Nij Llc
5% or Greater Direct Ownership Interest · 10% · since 2019
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 58)
- E0755·Dec 19, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0880·Mar 27, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Mar 27, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Mar 27, 2025
Pharmacy Service Deficiencies
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.
- D0758·Mar 27, 2025
Pharmacy Service Deficiencies
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 li…
- D0757·Mar 27, 2025
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D0756·Mar 27, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D0726·Mar 27, 2025
Nursing and Physician Services Deficiencies
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.
Federal penalties
By year
- 20242 fines · $23K
- 20231 fine · $15K
Most recent events
- Mar 22, 2024Fine · $14K
- Mar 7, 2024Fine · $8,824
- Oct 13, 2023Fine · $15K
Largest single fine on record: $15K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Mar 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Emeralds At Grand Rapids Llcinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.