14 health deficiencies
Top issue: Pharmacy Service (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Grand Rapids, MN
1-star overall rating with 1-star inspections with $38,522 in total fines with 14 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
2801 South Highway 169, Grand Rapids, MN
(218) 326-3431
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
93
Certified beds
Average residents
44
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Monarch Healthcare Management
Operator or chain grouping
Approved since
1987-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
45 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.65
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.44
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.01
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
3.10
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.09
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.89
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.71
CMS adjusted RN staffing hours
Adjusted total hours
3.36
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
79%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
4,965
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9911
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
7.33
Baseline 9.95% · Performance 6.07% · Measure score 7.33 · Achievement 5.91 · Improvement 7.33
Total nurse turnover
2.19
Performance 54.72% · Measure score 2.19 · Achievement 2.19 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.86
Baseline 3.34 hours · Performance 3.61 hours · Measure score 1.86 · Achievement 1.86 · Improvement 0.58
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.26% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 10.17% · Lower 95% interval 6.77% |
| Discharge to community | 44.57% |
50.57%
6 pts worse
|
No Different than the National Rate · Eligible stays 43 · Observed rate 37.21% · Lower 95% interval 30.63% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 45.61% |
95.27%
49.7 pts worse
|
Numerator 26 · Denominator 57 |
| Falls with major injury | 3.51% |
0.77%
2.7 pts worse
|
Numerator 2 · Denominator 57 |
| Discharge self-care score | 44.44% |
53.69%
9.2 pts worse
|
Numerator 16 · Denominator 36 |
| Discharge mobility score | 25% |
50.94%
25.9 pts worse
|
Numerator 9 · Denominator 36 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 57 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.07% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 0% · Lower 95% interval 2.85% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 80 |
| Staff flu vaccination coverage | 11.76% |
42%
30.2 pts worse
|
Numerator 10 · Denominator 85 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 18 · Denominator 36 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 77.78% |
96.28%
18.5 pts worse
|
Numerator 21 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 65.38% |
25.2%
40.2 pts better
|
Numerator 17 · Denominator 26 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
97.3%
1.5 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 100.0% · Q3 100.0% · Q4 97.2% · 4Q avg 98.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.1%
3.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.9%
1 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 7.1% · Q3 5.3% · Q4 5.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.3% |
4.3%
About the same
|
11.4%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.6% · Q3 3.1% · Q4 2.9% · 4Q avg 4.3% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
4.1%
1.2 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.6% · Q3 0.0% · Q4 3.2% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.1% |
12.4%
3.7 pts worse
|
19.6%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 16.7% · Q3 21.2% · Q4 19.4% · 4Q avg 16.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.8% |
17.5%
2.3 pts worse
|
16.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 26.9% · Q3 20.8% · Q4 18.2% · 4Q avg 19.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.7% |
22.5%
13.8 pts better
|
16.3%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.3% |
18.6%
10.3 pts better
|
14.9%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 5.7% · Q3 9.4% · Q4 3.3% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
2.3%
1.8 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
2.6%
0.1 pts better
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.4% · Q3 2.6% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.5% |
24.8%
10.3 pts better
|
19.8%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 22.9% · Q3 10.2% · Q4 11.5% · 4Q avg 14.5% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
5.4%
1.5 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 5.5% · Q3 5.6% · Q4 7.6% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.5% |
88.6%
1.1 pts worse
|
81.7%
5.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 78.0% · Q2 87.5% · Q3 91.0% · Q4 94.4% · 4Q avg 87.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 32.1% |
14.0%
18.1 pts worse
|
12.0%
20.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.1% · Observed 33.3% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.9%
0.8 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.6% |
82.7%
11.1 pts worse
|
79.7%
8.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.8% |
23.1%
2.3 pts better
|
23.9%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 20.5% · Expected 23.5% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (11 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-02
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-05-02
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-05-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-02
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-05-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-02
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-02-16
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-16
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-02-16
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-03-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-14
Inspection history
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-02
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-02
Health
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 2025-05-02
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-05-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-02
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-05-02
Health
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 2025-05-02
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-05-02
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-02
Health
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 2025-05-02
Health
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 2025-05-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-12
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-04-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-26
Health
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 2024-03-13
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-04-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-29
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2024-02-16
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-16
Health
Keep all essential equipment working safely.
Corrected 2024-02-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-16
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-02-16
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-16
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-16
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-02-16
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-02-16
Health
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 2024-02-16
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-02-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-16
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-27
Health
Respond appropriately to all alleged violations.
Corrected 2023-10-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-03-24
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-03-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-24
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-24
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-03-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-24
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-03-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-24
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-03-24
Health
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 2023-03-24
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-03-24
Penalties and ownership
Fine · fine $14,433
Fine
Fine · fine $8,824
Fine
Fine · fine $15,265
Fine
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Nearby options
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