Grand Village
923 Hale Lake Pointe, Grand Rapids, MN 55744 · Itasca County · 82 certified beds · avg 62 residents/day · certified since Nov 1, 1986
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.96
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 14, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| May 21, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jul 31, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 12, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 7 | 0 | D |
| 2025 | 9 | 0 | F |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.96 | 4.83 | 3.95 | top 42% in Minnesota; top 14% in the U.S. |
| Registered Nurse hours | 1.09 | 1.22 | 0.69 | bottom 47% in Minnesota; top 12% in the U.S. |
| Weekend total nurse staffing | 4.58 | 4.27 | 3.50 | top 30% in Minnesota; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.69 | 0.48 | bottom 40% in Minnesota; top 30% in the U.S. |
| Total nursing staff turnover (%) | 37.2 | 42.2 | 45.8 | top 43% in Minnesota; top 29% in the U.S. |
| RN turnover (%) | 46.2 | 38.6 | 42.9 | bottom 35% in Minnesota; bottom 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.20, RN 0.93, weekend 3.88. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| County of Itasca | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/13/2015 |
| Bell, Brittany | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Ebenezer Management Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Ebenezer Management Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/30/2025 |
| Johnson, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Oliverius, Maggie | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Oliverius, Maggie | Individual | ADP of the SNF | NOT APPLICABLE | 04/21/2025 |
| Rohling, Austin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Smith, Cory | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Snyder, Terry | Individual | Corporate Director | NOT APPLICABLE | 01/01/2012 |
| Trunt, Leo | Individual | Corporate Director | NOT APPLICABLE | 01/01/2010 |
| Venema, Matthew | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Willett, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Youngdahl-Palecek, Antoinette | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Youngdahl-Palecek, Antoinette | Individual | ADP of the SNF | NOT APPLICABLE | 04/21/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Emeralds at Grand Rapids LLC | 3.2 mi | Grand Rapids, MN | ★☆☆☆☆ | 1/5 | |
| Essentia Health Homestead | 12.7 mi | Deer River, MN | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 245368.