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Medicare-certifiedSkilled Nursing

The Emeralds at St Paul LLC

Saint Paul, MinnesotaMedicare inspection record
(651) 224-2368

About The Emeralds at St Paul LLC

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.

Community at a glance

Capacity

100 residents

Location

Saint Paul, MN

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

420 MARSHALL AVENUE, Saint Paul, Minnesota 55102

(651) 224-2368

Medicare inspection record

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.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 36 minutesAbove the Minnesota average
Registered nurse time per resident, per day1 hour 45 minutesAbove the Minnesota average
Nursing staff who left in the past year24%Below the Minnesota average

1 administrator has left the home in the past year.

Inspections

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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Aug 20, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 20, 2025
  • Provide care or services that was trauma informed and/or culturally competent.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 20, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 20, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Aug 20, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 20, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 20, 2025
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Aug 20, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 20, 2025

July 14, 2025 · Complaint investigation · 3 citations

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Aug 8, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 8, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 8, 2025
June 25, 2025 · Complaint investigation · 3 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Jun 14, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 28, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 28, 2025
May 5, 2025 · Complaint investigation · 6 citations+
  • Provide safe, appropriate pain management for a resident who requires such services.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected May 20, 2025
  • 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.

    Immediate danger to residents, a few residents (level J)AdministrationFrom a complaintCorrected May 20, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected May 20, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 22, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 22, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected May 22, 2025
April 23, 2025 · Complaint investigation · 3 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 25, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 25, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 25, 2025
January 29, 2025 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Mar 1, 2025
January 14, 2025 · Complaint investigation · 2 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 14, 2025
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 14, 2025
November 14, 2024 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 15, 2024
September 18, 2024 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 18, 2024
July 30, 2024 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Aug 19, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 19, 2024
July 19, 2024 · Complaint investigation · 2 citations+
  • Provide safe and appropriate respiratory care for a resident when needed.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Aug 19, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Aug 19, 2024
May 23, 2024 · Standard inspection · 12 citations+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 30, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 30, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 30, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 30, 2024
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 30, 2024
  • Provide appropriate care/assistance for a resident with a prosthesis.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 30, 2024
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 30, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2024
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 30, 2024

Fines and payment denials

4 fines totaling $138,736 and 2 Medicare payment denials in the last three years.

  • June 25, 2025Payment denial, 9 days
  • April 23, 2025Fine: $103,461
  • April 23, 2025Payment denial, 65 days
  • July 19, 2024Fine: $13,627
  • July 19, 2024Fine: $8,021
  • July 19, 2024Fine: $13,627

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
The Emeralds at St Paul, LLC
Medicare-certified beds
100
Average residents per day
90
Accepts
Medicare and Medicaid
First certified
December 1, 1985
Part of a chain
Monarch Healthcare Management, 45 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Both
Sprinklers in all required areas
Yes
CMS Certification Number
245295

Location

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420 MARSHALL AVENUESaint Paul, MN 55102

12 other communities within 10 miles

Senior living near Saint Paul

Questions about The Emeralds at St Paul LLC

How did The Emeralds at St Paul LLC do on its last inspection?+

State inspectors visited on July 30, 2025 and cited 9 health deficiencies, 1 of them from complaint investigations. The Minnesota average is 7.1.

How much nursing care does each resident get at The Emeralds at St Paul LLC?+

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.

Has The Emeralds at St Paul LLC been fined by Medicare?+

Yes. Medicare fined The Emeralds at St Paul LLC 4 times in the last three years, totaling $138,736.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in Saint Paul Skilled Nursing in Minnesota Skilled Nursing guide Information last updated October 2026