425 Selby Ave, Saint Paul, MN 55102
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The Emeralds at St Paul LLC provides skilled nursing and rehabilitation services to residents throughout Minnesota's capital city. Our compassionate clinical team focuses on recovery support and medical care tailored to each person's needs, helping patients regain strength and independence during critical transitions.
Capacity
100 residents
Location
Saint Paul, MN
Status
Listed in a public registry
420 MARSHALL AVENUE, Saint Paul, Minnesota 55102
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 30, 2025, state inspectors cited 9 health deficiencies (the Minnesota average is 7.1).
Nurses and nurse aides spend 4 hours 36 minutes with each resident a day, above the Minnesota average of 4 hours 11 minutes.
Medicare fined The Emeralds at St Paul LLC 4 times in the last three years, $138,736 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 36 minutesAbove the Minnesota average |
| Registered nurse time per resident, per day | 1 hour 45 minutesAbove the Minnesota average |
| Nursing staff who left in the past year | 24%Below the Minnesota average |
1 administrator has left the home in the past year.
45 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 30, 2025 · Standard inspection · 9 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide care or services that was trauma informed and/or culturally competent.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide and implement an infection prevention and control program.
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.
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.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Reasonably accommodate the needs and preferences of each resident.
July 14, 2025 · Complaint investigation · 3 citations
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Provide safe, appropriate pain management for a resident who requires such services.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Ensure each resident receives an accurate assessment.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure services provided by the nursing facility meet professional standards of quality.
Allow residents to self-administer drugs if determined clinically appropriate.
Provide appropriate care/assistance for a resident with a prosthesis.
Provide and implement an infection prevention and control program.
Provide activities to meet all resident's needs.
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.
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.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
4 fines totaling $138,736 and 2 Medicare payment denials in the last three years.
420 MARSHALL AVENUESaint Paul, MN 55102
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State inspectors visited on July 30, 2025 and cited 9 health deficiencies, 1 of them from complaint investigations. The Minnesota average is 7.1.
Nurses and aides spend 4 hours 36 minutes with each resident per day, including 1 hour 45 minutes from registered nurses. 24% of nursing staff left over the past year.
Yes. Medicare fined The Emeralds at St Paul LLC 4 times in the last three years, totaling $138,736.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.