Grand Rapids · 55744
The Emeralds at Grand Rapids
2801 South Highway 169
Grand Rapids, MN 55744
Essentia Health Homestead
Inside a hospital. This nursing unit is part of a hospital. Units like this often care for that hospital’s patients for a short stay after an admission, and may have their own admission rules. Ask before you plan around it.
⌖ Deer River, MN · Itasca County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds32
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Essentia Health Homestead
Essentia Health Homestead is a 32-bed nonprofit nursing home in Deer River, MN. Medicare rates it 2 out of 5 stars overall (below average); the average in Minnesota is 3.2. At its last full inspection (Apr 2026), inspectors found 6 problems, close to the Minnesota average of 7.1. 3 citations in its recent inspections were for residents being harmed or put in immediate danger. Nurses and aides spend about 4 hr 58 min a day with each resident, more than the Minnesota average of 4 hr 12 min. About 50% of its nursing staff left in the past year. Medicare fined it $67,727 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameEssentia Health Homestead
LocationItasca County, Minnesota
Phone(218) 246-4336
Address115 10th Avenue Northeast, Deer River, MN 56636 · Itasca County
CMS provider number245428
Ownership typeNon-profit (corporation)
Operating companyEssentia Health · 6 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceFebruary 1, 1987 (39 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Nurse staffing per resident4 hr 58 min a dayMinnesota average: 4 hr 12 minStrength
- Registered nurse time per resident1 hr 42 min a dayMinnesota average: 1 hr 04 minStrength
About average
- Health citations at last inspection6 (Apr 2026)Minnesota average: 7.1. Most citations are minor and corrected within weeks.About average
Things to ask about
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- Serious health citations1 for immediate jeopardy and 2 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in May 2026 (within the past year). All 3 were later corrected.Ask about this
- Fines and penalties2 fines totaling $67,727Federal penalties from the last three years, most recently in Mar 2026 (within the past year). The national average is $30,972 per home.Ask about this
- Nursing staff turnover50% a yearMinnesota average: 42%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Minnesota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.0%State average: 4.0%Better than average
- Pressure sores (bedsores)8.1%State average: 5.2%Worse than average
- Given antipsychotic drugs18.8%State average: 17.1%About average
Source: Medicare (CMS) quality measures, compared with the Minnesota average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 21 times.
Overall rating2★
Health inspections1★
Staffing5★
Quality of care4★
Nurse hours per resident per day5.0
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 4 | 5 | 5 | 4.1 |
| Jan 2020 | 1 | 2 | 1 | 4 | – |
| Jan 2021 | 3 | 3 | 3 | 4 | 2.8 |
| Jan 2022 | 2 | 1 | 5 | 5 | 5.7 |
| Jan 2023 | 2 | 1 | 5 | 5 | 4.1 |
| Jan 2024 | 5 | 3 | 5 | 5 | 4.9 |
| Feb 2025 | 4 | 5 | 1 | 4 | 0.2 |
| Feb 2026 | 2 | 1 | 5 | 3 | 5.0 |
| Sep 2026 | 2 | 1 | 5 | 4 | 5.0 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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