Minnesota › Ramsey County › Saint Paul
The Emeralds At St Paul LLC
420 Marshall Avenue, Saint Paul, MN 55102
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 100 beds, The Emeralds At St Paul LLC serves Saint Paul in Ramsey County, Minnesota and has taken Medicare and Medicaid residents since 1985.
CMS gives it 1 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 62 health deficiencies across the three most recent survey cycles (9, 32, 21 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 62.0 per 100 beds, more than the state median of 30.0.
CMS lists 6 penalties in the period covered: fines totalling $139K and 2 payment denials.
Reported nurse staffing is 4.6 hours per resident per day (1.7 RN), close to the Minnesota median of 4.2; nursing staff turnover is 23.6%.
Compared with county, state and nation
| Measure | This facility | Ramsey Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 62 | 28 | 20 | 28.7 |
| Citations per 100 beds | 62.0 | 35.9 | 30.0 | 26.8 |
| Total nurse hours per resident day | 4.6 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 1.7 | 1.0 | 1.0 | 0.7 |
| Nursing staff turnover | 23.6% | 35.6% | 40.0% | 45.8% |
| Fines listed | $138,736 | $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: 30 Jul 2025, 23 May 2024.
Severity mix: J ×6 G ×1 D ×49 E ×6
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 |
|---|---|---|---|---|---|
| 30 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Aug 2025 |
| 30 Jul 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 20 Aug 2025 |
| 30 Jul 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 20 Aug 2025 |
| 30 Jul 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 20 Aug 2025 |
| 30 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Aug 2025 |
| 30 Jul 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 20 Aug 2025 |
| 30 Jul 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 20 Aug 2025 |
| 30 Jul 2025 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 20 Aug 2025 |
| 30 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Aug 2025 |
| 14 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 8 Aug 2025 |
| 14 Jul 2025 | 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 | 8 Aug 2025 |
| 14 Jul 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 8 Aug 2025 |
| 25 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 14 Jun 2025 |
| 25 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Jul 2025 |
| 25 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Jul 2025 |
| 5 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 20 May 2025 |
| 5 May 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | Complaint investigation | 20 May 2025 |
| 5 May 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. | J | Complaint investigation | 20 May 2025 |
| 5 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 22 May 2025 |
| 5 May 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 May 2025 |
| 5 May 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 May 2025 |
| 23 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Apr 2025 |
| 23 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 25 Apr 2025 |
| 23 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Apr 2025 |
| 29 Jan 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 1 Mar 2025 |
| 14 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 14 Feb 2025 |
| 14 Jan 2025 | 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 | 14 Feb 2025 |
| 14 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 15 Dec 2024 |
| 18 Sep 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 18 Oct 2024 |
| 30 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 19 Aug 2024 |
| 30 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Aug 2024 |
| 19 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | Complaint investigation | 19 Aug 2024 |
| 19 Jul 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Complaint investigation | 19 Aug 2024 |
| 23 May 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 30 Jun 2024 |
| 23 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 30 Jun 2024 |
| 23 May 2024 | 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 | Complaint investigation | 30 Jun 2024 |
| 23 May 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 | Standard survey | 30 Jun 2024 |
| 23 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Jun 2024 |
| 23 May 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 30 Jun 2024 |
| 23 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Jun 2024 |
| 23 May 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 30 Jun 2024 |
| 23 May 2024 | F0696 | Provide appropriate care/assistance for a resident with a prosthesis. | D | Standard survey | 30 Jun 2024 |
| 23 May 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 | 30 Jun 2024 |
| 23 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Jun 2024 |
| 23 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 30 Jun 2024 |
| 27 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Nov 2023 |
| 27 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 7 Jun 2023 |
| 27 Apr 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 | 7 Jun 2023 |
| 27 Apr 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | 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 | 7 Jun 2023 |
| 27 Apr 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 7 Jun 2023 |
| 27 Apr 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 7 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Jun 2025 | Payment denial | — | 9 days |
| 23 Apr 2025 | Payment denial | — | 65 days |
| 23 Apr 2025 | Fine | $103,461 | |
| 19 Jul 2024 | Fine | $13,627 | |
| 19 Jul 2024 | Fine | $13,627 | |
| 19 Jul 2024 | Fine | $8,021 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 23.6%, RNs 33.3%; 1 administrator 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 | 7.5% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.1% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.9% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.0% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.5% | 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: for-profit, corporation. Legal business name: The Emeralds At St Paul, Llc. Chain: Monarch Healthcare Management (45 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Jca Holdings LLC | 5% or greater direct ownership interest | 10% | 02/01/2019 |
| Nij LLC | 5% or greater direct ownership interest | 10% | 02/01/2019 |
| Spartan Healthcare LLC | 5% or greater direct ownership interest | 30% | 02/01/2019 |
| Wbs Holdings LLC | 5% or greater direct ownership interest | 20% | 02/01/2019 |
| Yazoma Holdings, LLC | 5% or greater direct ownership interest | 30% | 02/01/2019 |
| Monarch Healthcare Operating Viii LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2019 |
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 The Emeralds At St Paul LLC been cited for?
62 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has The Emeralds At St Paul LLC been fined?
Yes. CMS lists fines totalling $139K in the period covered, plus 2 payment denials.
How does staffing at The Emeralds At St Paul LLC compare?
Reported total nurse staffing is 4.6 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates The Emeralds At St Paul LLC?
It is part of the Monarch Healthcare Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Jca Holdings LLC, Nij LLC and Spartan Healthcare LLC. Individual owners and managers are not listed on this site.
When was The Emeralds At St Paul LLC last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jul 2025; the most recent standard health survey was 30 Jul 2025.
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.