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.
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
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $13,627 was recorded.
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.