The Emeralds at Grand Rapids LLC has a 1-star overall rating, with a 1-star health inspection rating, 2-star staffing and quality ratings, and an attention flag for the lowest overall rating. Reported nurse staffing is 3.03 hours per resident per day versus the 4.1-hour federal benchmark, and there were $0 fines in the last 24 months.
Last inspection: December 19, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0276.
Staffing detail
Registered nurses
0.64
Licensed practical nurses
0.40
Nurse aides
1.98
Weekend nursing
2.79
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 88%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
25.9%13.6%Improving
Residents with a fall causing major injury
7.1%2.6%Improving
Residents with pressure ulcers (bedsores)
5.5%9.3%Worsening
Residents with a urinary tract infection
2.4%2.8%No change
Residents who lost too much weight
5.6%6.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.7%10%Worsening
Long-stay residents on antianxiety or sleep medication
16.7%16.1%Improving
Short-stay residents newly given an antipsychotic
0%2.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.9%20.5%Improving
Residents with depressive symptoms
5.6%3.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—71.6%—
Short-stay residents given the pneumonia vaccine
87.5%96.6%Improving
What the inspectors found
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2023 — widespread issue, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: F
The nursing home failed to make sure residents and staff were tested for COVID-19. Cited February 2023 — widespread issue, potential for harm.
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F-Tag 886 — 42 CFR §483.80 — S/S: F
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $38,522 in total fines.
Federal fine
Mar 22, 2024
$14,433
Federal fine
Mar 7, 2024
$8,824
Federal fine
Oct 13, 2023
$15,265
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of MONARCH HEALTHCARE MANAGEMENT · 45 homes · 2.2 stars avg
Occupancy
45.4 residents on an average day (49% of 93 beds)
Resident voice
Resident council
Medicare history
Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.