Home / Minnesota / Grand Rapids
Grand Village
923 Hale Lake Pointe, Grand Rapids, MN 55744 · Itasca County · (218) 326-0543
82 certified beds, about 62 residents a day · Government - County · Medicare and Medicaid since 1986
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245368 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 7, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 18 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.20 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.
37.2% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
109/23
107/24
608/24
104/25
805/25
105/26
007/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
1E
1F
Potential for minimal harm
0A
0B
0C
July 7, 2026Standard inspection · 0 citations
May 14, 2026Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and document review the facility failed to ongoing assessment of respiratory status for 1 of 3 residents (R1) who experienced a change in respiratory status. In addition, facility staff administered medications to R1 while he displayed symptoms of respiratory distress resulting R1 requiring medications to be suctioned out of the back of his throat.
May 21, 2025Standard inspection · 8 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and document review, the facility failed ensure beard coverings were worn when preparing resident meals, to prevent the spread of food born illness. This had the potential to affect 68 out of 68 residents that received food out of the kitchen or kitchenette.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and document review the facility failed to notify the physician when a weight gain of greater than 3 pounds (lbs) in 48 hours or a weight gain of greater than 5 lbs in a week was identified for 1 of 1 (R124) residents reviewed for edema.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on interview and document review, the facility failed to ensure a gradual dose reduction (GDR) or a clinical justification of a psychotropic medications was documented for 1 of 5 residents (R42) reviewed for unnecessary medication and were taking psychotropic medications.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and document review, the facility failed to ensure medications were coded correctly on the Minimum Data Set (MDS) for 1 of 3 residents (R24) reviewed for injectable diabetes medications.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and document review, the facility failed to implement interventions for edema for 1 of 1 resident (R124) reviewed for edema.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and document review, the facility failed to ensure the consulting pharmacist (CP) identified the need for a gradual dose reduction (GDR) or medical justification of use for 1 of 5 residents (R42) reviewed for unnecessary medication and were taking psychotropic medications.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and document review, the facility failed to ensure conflicting notes and orders transmission based precautions were clarified to ensure an accurate medical record was maintained for 1 of 1 resident (R127) whose medical record was found to lack admission notes.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure appropriate hand hygiene was completed during personal cares for 1 of 3 residents (R121) whose cares were observed.
April 11, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and document review the facility failed to perform an assessment delaying care for 1 of 3 residents (R1) reviewed for a change of condition. R1 had right arm/hand weakness on 3/23/25, was not assessed, and was sent to the hospital on 3/24/25 diagnosed with a stroke.
August 29, 2024Standard inspection · 6 citations
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on interview and document review, the facility failed to provide the opportunity for an admission care conference for 1 of 3 residents (R49) reviewed for care planning.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure residents were comprehensively assessed for self-administration of medications for 1 of 1 resident (R2) reviewed and observed for self-administration of medications.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure proper wheelchair equipment was used to prevent potential complications for 1 of 1 resident (R55).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide timely assistance with repositioning to minimize the development of pressure ulcer risk for 1 of 2 residents (R50) reviewed for wound care.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure oxygen tubing was changed according to facility policy and failed to ensure nebulizer tubing/cannister was cleaned and allowed to air dry after each use for 1 of 1 resident (R38) reviewed for oxygen therapy.
- D 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.
Inspectors wroteBased on interview and document review, the facility failed to assure the use of PRN (as needed) psychotropic medications (a drug which affects mood/behavior) were limited to 14 days, or had a physician specified, time limited order and failed to monitor orthostatic blood pressures with the use of an antipsychotic medication for 1 of 1 residents (R4) reviewed for hospice.
July 31, 2024Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and document review the facility failed to ensure 1 of 3 residents (R1) reviewed for medication errors received physician ordered medications. In addition, the facility failed to notify the physician of the missed medications.
September 12, 2023Complaint inspection · 1 citation
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review the facility failed to implement a process for conducting routine maintenance of rehabilitation equipment. This had the potential to affect all residents in the facility who received rehabilitation services.
Fire safety inspections
17 fire safety citations on file: 10 on July 7, 2026, 4 on May 21, 2025, 3 on August 29, 2024.
Every fire safety citation17 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install proper backup exit lighting.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.20 | 4.19 | 3.86 |
| Registered nurses | 0.93 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.88 | 3.71 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 37.2% | 42.2% | 45.8% |
| Registered nurse turnover | 46.2% | 38.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.25 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.32 on weekdays and 3.88 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.27 in April to June 2025 to 4.20 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.20 | 0.93 | 4.32 | 3.88 | 0.0% | 0 of 90 | 62 |
| Oct to Dec 2025 | 4.38 | 0.97 | 4.50 | 4.09 | 0.1% | 0 of 92 | 61 |
| Jul to Sep 2025 | 4.83 | 0.97 | 4.98 | 4.45 | 6.2% | 0 of 92 | 59 |
| Apr to Jun 2025 | 4.27 | 0.66 | 4.34 | 4.10 | 14.8% | 0 of 91 | 67 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.9 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.3 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.4 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.9 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.7 | 14.8 | 12.0 |
Owners and operators
Legal business name: ITASCA NURSING HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| County of Itasca | 5% or greater direct ownership interest | Organization | 100% | 01/13/2015 |
| Johnson, John | Corporate director | Individual | 01/01/2025 | |
| Rohling, Austin | Corporate director | Individual | 01/01/2025 | |
| Smith, Cory | Corporate director | Individual | 01/01/2025 | |
| Snyder, Terry | Corporate director | Individual | 01/01/2012 | |
| Trunt, Leo | Corporate director | Individual | 01/01/2010 | |
| Venema, Matthew | Corporate director | Individual | 01/01/2025 | |
| Ebenezer Management Services Inc | Operational/managerial control | Organization | 10/01/2023 | |
| Bell, Brittany | Operational/managerial control | Individual | 10/01/2023 | |
| Oliverius, Maggie | Operational/managerial control | Individual | 10/01/2023 | |
| Willett, Todd | Operational/managerial control | Individual | 10/01/2023 | |
| Youngdahl-Palecek, Antoinette | Operational/managerial control | Individual | 10/01/2023 | |
| Ebenezer Management Services Inc | Adp of the SNF | Organization | 01/30/2025 | |
| Oliverius, Maggie | Adp of the SNF | Individual | 04/21/2025 | |
| Youngdahl-Palecek, Antoinette | Adp of the SNF | Individual | 04/21/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on May 14, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on May 21, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 21, 2025: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 21, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- The Emeralds at Grand Rapids LLC Grand Rapids, 3.2 mi · 1 of 5 stars · 50 citations
- Essentia Health Homestead Deer River, 12.7 mi · 2 of 5 stars · 15 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Grand Village's Medicare star rating?
- CMS rates Grand Village 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grand Village get at its last inspection?
- 0 health deficiencies at the standard inspection on July 7, 2026. The Minnesota average is 7.1.
- Has Grand Village been fined?
- CMS lists no fines in the last three years.
- Does Grand Village accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Grand Village?
- CMS lists 15 owners and managers. Legal business name: ITASCA NURSING HOME.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.