Minnesota › Ramsey County › Saint Paul
Episcopal Church Home the Gardens
1860 University Avenue West, Saint Paul, MN 55104
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 60 beds, Episcopal Church Home the Gardens serves Saint Paul in Ramsey County, Minnesota and has taken Medicare and Medicaid residents since 2015.
CMS gives it 2 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (13, 11, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 55.0 per 100 beds, more than the state median of 30.0.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 5.7 hours per resident per day (0.6 RN), above the Minnesota median of 4.2.
Compared with county, state and nation
| Measure | This facility | Ramsey Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 33 | 28 | 20 | 28.7 |
| Citations per 100 beds | 55.0 | 35.9 | 30.0 | 26.8 |
| Total nurse hours per resident day | 5.7 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 1.0 | 1.0 | 0.7 |
| Nursing staff turnover | — | 35.6% | 40.0% | 45.8% |
| Fines listed | $0 | $9,113 | $0 | — |
County and state figures are medians across facilities (28 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2026, 12 Sep 2024.
Severity mix: G ×1 D ×27 E ×2 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 May 2026 |
| 9 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 May 2026 |
| 9 Apr 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 11 May 2026 |
| 9 Apr 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 11 May 2026 |
| 9 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 May 2026 |
| 9 Apr 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 11 May 2026 |
| 20 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 2 Jan 2026 |
| 18 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 29 Oct 2025 |
| 18 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Oct 2025 |
| 18 Aug 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint investigation | 22 Oct 2025 |
| 18 Aug 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 29 Oct 2025 |
| 18 Aug 2025 | F0849 | 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. | D | Complaint investigation | 29 Oct 2025 |
| 18 Aug 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Complaint investigation | 22 Oct 2025 |
| 19 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Jun 2025 |
| 26 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 2 Jun 2025 |
| 26 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 2 Jun 2025 |
| 12 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Nov 2024 |
| 12 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Nov 2024 |
| 12 Sep 2024 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 4 Nov 2024 |
| 12 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 4 Nov 2024 |
| 12 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 4 Nov 2024 |
| 12 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Nov 2024 |
| 12 Sep 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 4 Nov 2024 |
| 12 Sep 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 4 Nov 2024 |
| 4 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 29 Mar 2024 |
| 3 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 12 Sep 2023 |
| 3 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 12 Sep 2023 |
| 3 Aug 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 12 Sep 2023 |
| 3 Aug 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 12 Sep 2023 |
| 3 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 12 Sep 2023 |
| 3 Aug 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 12 Sep 2023 |
| 3 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 Sep 2023 |
| 3 Aug 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 12 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Mar 2025 | Payment denial | — | 22 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.2% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | 3.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 33.2% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.1% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Episcopal Homes On University Avenue, Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Episcopal Homes On University Avenue, LLC | 5% or greater direct ownership interest | 100% | 03/27/2013 |
| Episcopal Home Care and Services | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/27/2013 |
| Episcopal Homes of Minnesota | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/27/2013 |
| Wells Fargo Bank | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2013 |
| Eh Services Inc | Operational/managerial control | NOT APPLICABLE | 03/27/2013 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Ramsey County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Capital View Transitional Care Center | Saint Paul | 32 | 5 | 5 | 5 | 7 | 21.9 | — | 19 Nov 2025 |
| Carondelet Village Care Center | Saint Paul | 45 | 5 | 4 | 5 | 11 | 24.4 | $9K | 20 Nov 2025 |
| Langton Shores | Roseville | 50 | 5 | 5 | 5 | 2 | 4.0 | — | 21 Nov 2024 |
| Cerenity Care Center White Bear Lake | White Bear Lake | 132 | 4 | 3 | 5 | 27 | 20.5 | $37K | 2 Feb 2026 |
| Cerenity Marian of St Paul LLC | Saint Paul | 90 | 4 | 3 | 5 | 16 | 17.8 | $132K | 18 Mar 2026 |
| Ebenezer Integrated Care & Rehab | Saint Paul | 62 | 4 | 3 | 5 | 20 | 32.3 | $31K | 1 Apr 2026 |
| Harmony Gardens | Maplewood | 64 | 4 | 3 | 5 | 23 | 35.9 | — | 26 Mar 2026 |
| Presbyterian Homes of Arden Hills | Arden Hills | 128 | 4 | 3 | 5 | 22 | 17.2 | — | 29 Jun 2026 |
All 28 facilities in Ramsey County
Questions and answers
How many deficiencies has Episcopal Church Home the Gardens been cited for?
33 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Episcopal Church Home the Gardens been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Episcopal Church Home the Gardens compare?
Reported total nurse staffing is 5.7 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Episcopal Church Home the Gardens?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Episcopal Homes On University Avenue, LLC, Episcopal Home Care and Services and Episcopal Homes of Minnesota. Individual owners and managers are not listed on this site.
When was Episcopal Church Home the Gardens last inspected?
The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 9 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.