Nursing HomeInspections

The Emeralds at St Paul LLC

Nursing home in Saint Paul, MN

Medicare & Medicaid certified1★ overall (CMS)

Call (651) 224-2368Send a messageMap ↗

Public-record details

Address
420 Marshall Avenue, Saint Paul, MN 55102
Phone
(651) 224-2368
Listed under
For-profit
Medicare CCN
245295
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
100
Average residents per day
90
Ownership
For-profit, corporation
Legal business name
The Emeralds at St Paul, LLC
Chain
Monarch Healthcare Management (45 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1985
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 245295. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 30, 2025. CMS lists 62 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 27, 2023 to Jul 30, 2025): 27 from complaint inspections, 7 at the “actual harm” level or higher, including 6 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 30, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 30, 2025Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 30, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 30, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 30, 2025Provide 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 30, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 30, 2025Provide 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…
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 30, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jul 30, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jul 14, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 14, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 14, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 62. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $138,736 and 2 denials of Medicare payment for new admissions in the last three years.

Jun 25, 2025Payment denial for 9 days from Aug 12, 2025
Apr 23, 2025Fine: $103,461
Apr 23, 2025Payment denial for 65 days from Jun 4, 2025
Jul 19, 2024Fine: $8,021
Jul 19, 2024Fine: $13,627
Jul 19, 2024Fine: $13,627

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.60 hours
Registered nurse (RN) time per resident per day
1.75 hours
Nurse aide time per resident per day
2.26 hours
Total nurse staffing on weekends
4.24 hours
Nursing staff turnover (yearly)
24%
RN turnover (yearly)
33%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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