The Emeralds at St Paul LLC

420 MARSHALL AVENUE, SAINT PAUL, MN 55102 · CCN 245295 · 100 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 6 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-07-14 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-06-25 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-05-05 IMMEDIATE JEOPARDY (tag F0697, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2025-05-05 IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-05-05 IMMEDIATE JEOPARDY (tag F0849, severity J)
Administration Deficiencies · correction not recorded in CMS data
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
2024-07-30 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-07-19 IMMEDIATE JEOPARDY (tag F0695, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe and appropriate respiratory care for a resident when needed.

Staffing, from payroll records

Nursing hours / resident / day

4.02

state median 3.48

Weekend staffing gap

+1%

more nursing hours on weekends · state median −4%

RN hours / resident / day

1.41

registered nurses only

Contract (agency) staff

2%

share of all nursing hours

Nursing staff turnover

24%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

5 enforcement action(s), totaling $125,109 in fines.

DateTypeAmount
2025-06-25Payment Denialpayment denial
2025-04-23Fine$103,461
2025-04-23Payment Denialpayment denial
2024-07-19Fine$8,021
2024-07-19Fine$13,627

Ownership

Ownership type: For profit - Corporation. Part of the MONARCH HEALTHCARE MANAGEMENT chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 55 · Immediate jeopardy: 6

Survey dateTagCategorySeverityCorrected
2025-07-30F0558Resident Rights DeficienciesDnot recorded
2025-07-30F0578Resident Rights DeficienciesDnot recorded
2025-07-30F0605Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-07-30F0677Quality of Life and Care DeficienciesDnot recorded
2025-07-30F0688Quality of Life and Care DeficienciesDnot recorded
2025-07-30F0699Quality of Life and Care DeficienciesDnot recorded
2025-07-30F0742Quality of Life and Care DeficienciesDnot recorded
2025-07-30F0812Nutrition and Dietary DeficienciesEnot recorded
2025-07-30F0880Infection Control DeficienciesDnot recorded
2025-07-14F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-07-14F0686Quality of Life and Care DeficienciesGnot recorded
2025-07-14F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-06-25F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-06-25F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-06-25F0689Quality of Life and Care DeficienciesJnot recorded
2025-05-05F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-05F0686Quality of Life and Care DeficienciesJnot recorded
2025-05-05F0697Quality of Life and Care DeficienciesJnot recorded
2025-05-05F0700Quality of Life and Care DeficienciesDnot recorded
2025-05-05F0849Administration DeficienciesJnot recorded
2025-05-05F0909Environmental DeficienciesDnot recorded
2025-04-23F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-04-23F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-04-23F0684Quality of Life and Care DeficienciesDnot recorded
2025-01-29F0726Nursing and Physician Services DeficienciesEnot recorded
2025-01-14F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-01-14F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-14F0755Pharmacy Service DeficienciesDnot recorded
2024-09-18F0585Resident Rights DeficienciesDnot recorded
2024-07-30F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-30F0689Quality of Life and Care DeficienciesJnot recorded
2024-07-19F0695Quality of Life and Care DeficienciesJnot recorded
2024-07-19F0838Administration DeficienciesEnot recorded
2024-05-23F0554Resident Rights DeficienciesDnot recorded
2024-05-23F0580Resident Rights DeficienciesDnot recorded
2024-05-23F0584Resident Rights DeficienciesDnot recorded
2024-05-23F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-23F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-23F0679Quality of Life and Care DeficienciesDnot recorded
2024-05-23F0684Quality of Life and Care DeficienciesDnot recorded
2024-05-23F0693Quality of Life and Care DeficienciesDnot recorded
2024-05-23F0696Quality of Life and Care DeficienciesDnot recorded
2024-05-23F0758Pharmacy Service DeficienciesDnot recorded
2024-05-23F0880Infection Control DeficienciesDnot recorded
2024-05-23F0883Infection Control DeficienciesDnot recorded
2023-10-27F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-04-27F0554Resident Rights DeficienciesDnot recorded
2023-04-27F0580Resident Rights DeficienciesDnot recorded
2023-04-27F0584Resident Rights DeficienciesDnot recorded
2023-04-27F0640Resident Assessment and Care Planning DeficienciesDnot recorded
2023-04-27F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2023-04-27F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2023-04-27F0677Quality of Life and Care DeficienciesDnot recorded
2023-04-27F0684Quality of Life and Care DeficienciesEnot recorded
2023-04-27F0692Quality of Life and Care DeficienciesDnot recorded
2023-04-27F0699Quality of Life and Care DeficienciesDnot recorded
2023-04-27F0756Pharmacy Service DeficienciesDnot recorded
2023-04-27F0812Nutrition and Dietary DeficienciesEnot recorded
2023-04-27F0880Infection Control DeficienciesEnot recorded
2023-04-27F0881Infection Control DeficienciesDnot recorded
2023-04-27F0919Environmental DeficienciesDnot recorded
2023-04-27F0921Environmental DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “The Emeralds at St Paul LLC, SAINT PAUL” at medicare.gov/care-compare.