The Emeralds At Grand Rapids Llc
The Emeralds at Grand Rapids LLC in GRAND RAPIDS, MN — inspection on December 19, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During interview on 12/18/25 at 1:03 p.m., trained medication aide (TMA)-A stated she had signed off on the narcotic log that medications had been destroyed and would go with the DON to place them in the box. TMA-A said there had been times when she was very busy and had signed off in the narcotic book without observing the destruction.During interview on 12/18/25 at 2:41 p.m., the DON said in order to pull the medication destruction box, both the facility and the pharmacy keys were required.
The DON stated when she had destroyed medications with the former director of nursing, she had watched her place the medications into the box.
The DON said there was no way the former DON could have gotten the medications back out of the box.
Facility policy Disposal Medication and Medication Related Supplies dated May 2022, indicated Medications included in the Drug Enforcement Administration (DEA) classification as controlled substances are subject to special handling, storage, disposal, and recordkeeping in the facility in accordance with federal and state laws and regulations.
The director of nursing, in collaboration with the consultant pharmacist, is responsible for the facility's compliance with federal and state laws and regulations in the handling of controlled medications.
Only authorized licensed nursing and pharmacy personnel have access to controlled medications.When a dose of a controlled medication is removed from the container for administration but refused by the resident or not given for any reason, it is not placed back in the container.
It is destroyed in the presence of [two licensed nurses], and the disposal is documented on the accountability record/book on the line representing that dose.
The same process applies to the disposal of unused partial tablets and unused portions of single dose ampules and doses of controlled substances wasted for any reason.All controlled substances remaining in the facility after a resident has been discharged , or the order isdiscontinued, are disposed of:1) In the facility by the [administrator], director of nursing and/or consultant pharmacist (or othersas allowed by state law); OR2) By returning to the Drug Enforcement Administration (DEA); OR3) By retaining for destruction by an agent of the DEA; OR4) By sending to the appropriate state agency or pharmacy as directed by state laws, regulations,and/or the DEA.When controlled medications are destroyed at the facility, licensed staff as allowed by state law willwitness the destruction and ensure that the following information is entered on the individual controlledsubstance accountability record/book:1) Date of destruction.2) Resident's name.3) Name and strength of medication.4) Prescription number.
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