GoodStanding

Nursing home report

The Emeralds at St Paul LLC

SAINT PAUL, MN · Medicare-certified · 100 beds

Needs attention
Special Focus candidateFor-profitChain member
1 of 5 overall

The Emeralds at St Paul LLC in Saint Paul has a 1-star overall rating, with a 1-star health inspection rating and special-focus candidate/flag status; staffing is stronger than the federal benchmark (4.49 vs. 4.1 hours per resident day), but it also has had $35,275 in fines in the last 24 months and recent inspection citations for accident prevention, pressure ulcer care, and pain management.

Facility ratings

Health inspections

Staffing

4.491 hrs/resident/day

Quality measures

Last inspection: July 30, 2025Penalties, last 24 months: $35,275special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.491.

Staffing detail

Registered nurses
1.70
Licensed practical nurses
0.56
Nurse aides
2.22
Weekend nursing
4.18

Hours per resident per day.

Total staff turnover: 24%
Registered nurse turnover: 24%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

19%Worsening

Residents with a fall causing major injury

0%Steady

Residents with pressure ulcers (bedsores)

10.6%Improving

Residents with a urinary tract infection

1%Improving

Residents who lost too much weight

5.8%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

9.3%Improving

Residents whose ability to walk got worse

15.8%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

17.6%Worsening

Short-stay residents newly given an antipsychotic

1.6%Steady

Residents with a long-term catheter

4.8%Improving

Residents with new or worsening incontinence

25.8%Worsening

Residents with depressive symptoms

3.5%Worsening

Long-stay residents given the seasonal flu vaccine

94.3%Steady

Long-stay residents given the pneumonia vaccine

90.2%Improving

Short-stay residents given the seasonal flu vaccine

66.7%Steady

Short-stay residents given the pneumonia vaccine

67.1%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: J

The home failed to arrange hospice services or help the resident transfer to a place that would provide hospice care. Cited May 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 849 — 42 CFR §483.70 — S/S: J

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: J

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal payment denial was recorded.

  7. PENALTY

    A federal fine of $13,627 was recorded.

  8. PENALTY

    A federal fine of $8,021 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $35,275 in total fines · 2 payment denials.

  • Medicare/Medicaid payment denial

    Jun 25, 2025

    9 days
  • Medicare/Medicaid payment denial

    Apr 23, 2025

    65 days
  • Federal fine

    Jul 19, 2024

    $13,627
  • Federal fine

    Jul 19, 2024

    $8,021

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of MONARCH HEALTHCARE MANAGEMENT · 45 homes · 2.2 stars avg
Occupancy
89 residents on an average day (89% of 100 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 40 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.