Nursing homes across Itasca County, Minnesota, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Grand Village is county-owned, which matters less than what the numbers show. Its 4.20 nurse hours per resident day sit about 9% above the national average, and weekend staffing dips only 7% below weekdays, a modest gap that suggests the place doesn't hollow out on Saturdays and Sundays, which is where a lot of homes quietly struggle.
Staff turnover of 37.2% is meaningfully below the national 45.8%, so the people caring for residents tend to stick around. The inspection record shows 21 deficiencies with none at the harm or jeopardy level, though one is abuse-related. CMS rated staffing and quality measures 5 out of 5; inspections came in at 3. The last survey was May 2025, so the picture is current.
Essentia Health Homestead runs a 32-bed nonprofit home in Deer River, and the staffing numbers are the strongest thing it has going. At 4.97 nurse hours per resident day, it beats the national average by roughly 29%, though weekends dip about 11% below its own weekday coverage, so ask how that plays out on a Saturday. The trouble sits elsewhere: 15 deficiencies on record, including 3 at harm or jeopardy level and 2 tied to abuse, plus two fines totaling $67,727. Staff turnover is 50%, above the 45.8% national figure. A recent inspection in April 2026 means the record is current. Strong caregiver ratios, real compliance problems.
The Emeralds At Grand Rapids runs 3.47 nursing hours per resident day, about 10 percent under the national average of 3.86, and weekends drop roughly 8 percent below its own weekday staffing. That thinner coverage matters more given a turnover rate of 48.9 percent, above the 45.8 percent national figure, and a CMS health inspection rating of 1 out of 5. The record shows 58 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with fines of $38,522 across three penalties. The most recent inspection was March 2025. For-profit corporate ownership, and families should ask directly how the home covers weekends and what's changed since that inspection.
Bigfork Valley Communities runs on unusually deep staffing for a 40-bed hospital-district home, 6.04 nurse hours per resident day against a national average near 3.86. Turnover sits at 26.7%, well under the 45.8% national figure, so the people caring for residents tend to stay. Weekend coverage dips about 19% from weekday levels, which is worth asking about directly. The inspection record shows 10 deficiencies, none tied to harm or abuse, and the most recent survey was in December 2025. Quality measures land mid-range, which is the one area where the numbers don't stand out.