Nursing home report
SAINT PAUL, MN · Medicare-certified · 100 beds
The Emeralds at St Paul LLC has an overall 1-star rating, with a 1-star health inspection rating, 2-star quality measures, and 4-star staffing; reported nurse staffing is above the federal benchmark at 4.60 vs 4.1 hours per resident per day. It also has $138,736 in fines over the last 24 months and a recent federal penalty, with recent inspection concerns including accident hazards/supervision, pressure ulcer care, and pain management.
Health inspections
Staffing
4.597 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.597.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 695 — 42 CFR §483.25(i) — S/S: J
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 9 health deficiencies.
Health inspection found 3 health deficiencies.
A federal payment denial was recorded.
Health inspection found 3 health deficiencies.
A federal fine of $103,461 was recorded.
A federal payment denial was recorded.
A federal fine of $13,627 was recorded.
A federal fine of $8,021 was recorded.
On record with Medicare: 4 fines · $138,736 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Jun 25, 2025
Medicare/Medicaid payment denial
Apr 23, 2025
Federal fine
Apr 23, 2025
Federal fine
Jul 19, 2024
Federal fine
Jul 19, 2024
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.
