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    Nursing home · SAINT PAUL, MN

    THE EMERALDS AT ST PAUL LLC

    420 MARSHALL AVENUE, SAINT PAUL, MN 55102

    CMS certification number: 245295 · Updated October 1, 2026

    Request care assistance6512242368Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    100

    Residents / day

    88.3

    Ownership

    For profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Corporation
    County
    Ramsey
    Certified beds
    100
    Average residents per day
    88.3
    First certified
    December 1, 1985

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    4 / 5
    Quality measures
    2 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Ramsey, Minnesota. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    2.96
    n=26
    State peers
    3.20

    Nurse hours / resident / day

    This home
    4.57
    County peers
    4.33
    n=27
    State peers
    4.27
    n=328

    Weekend nurse hours / resident / day

    This home
    4.19
    County peers
    3.90
    n=27
    State peers
    3.73
    n=328

    Nursing staff turnover (%)

    This home
    18.90
    County peers
    37.96
    n=24
    State peers
    42.14
    n=301

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 8.3% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 18.9% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    13
    Health citations
    53
    Resident measures
    17
    Ownership records
    14
    Penalties
    6
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    4.56658
    Reported RN Staffing Hours per Resident per Day
    1.70505
    Reported LPN Staffing Hours per Resident per Day
    0.64391
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.21761
    Total number of nurse staff hours per resident per day on the weekend
    4.18968
    Registered Nurse hours per resident per day on the weekend
    1.37075
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.04217
    Total nursing staff turnover
    18.9
    Registered Nurse turnover
    26.5
    Number of administrators who have left the nursing home
    3
    Chain Name
    MONARCH HEALTHCARE MANAGEMENT
    Number of Facilities in Chain
    45
    Chain Average Overall 5-star Rating
    2.1
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Both
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    MN
    Urban
    Y
    Chain ID
    361
    Latitude
    44.9486
    Location
    420 MARSHALL AVENUE,SAINT PAUL,MN,55102
    ZIP Code
    55102
    City/Town
    SAINT PAUL
    Longitude
    -93.118
    QM Rating
    2
    Abuse Icon
    N
    Chain Name
    MONARCH HEALTHCARE MANAGEMENT
    County/Parish
    Ramsey
    Provider Name
    THE EMERALDS AT ST PAUL LLC
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Corporation
    Number of Fines
    4
    Processing Date
    2026-10-01
    Staffing Rating
    4
    Provider Address
    420 MARSHALL AVENUE
    Telephone Number
    6512242368
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    THE EMERALDS AT ST PAUL, LLC
    Long-Stay QM Rating
    3
    High Performing Icon
    N
    Short-Stay QM Rating
    1
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.91190
    Chain Average QM Rating
    3.0
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    100
    Provider SSA County Code
    610
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    2
    Registered Nurse turnover
    26.5
    Total Number of Penalties
    6
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.35571
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    18.9
    Chain Average Staffing Rating
    3.7
    Number of Facilities in Chain
    45
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    245295
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    138736.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    48
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    164.500
    With a Resident and Family Council
    Both
    Average Number of Residents per Day
    88.3
    Chain Average Overall 5-star Rating
    2.1
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    514
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.1
    Rating Cycle 1 Health Deficiency Score
    48
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    0
    Rating Cycle 2/3 Health Deficiency Score
    514
    Rating Cycle 1 Standard Survey Health Date
    2026-08-19
    Rating Cycle 2 Standard Health Survey Date
    2025-07-30
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    1.24780
    Case-Mix RN Staffing Hours per Resident per Day
    0.93766
    Reported RN Staffing Hours per Resident per Day
    1.70505
    Adjusted LPN Staffing Hours per Resident per Day
    0.47124
    Case-Mix LPN Staffing Hours per Resident per Day
    1.16844
    Reported LPN Staffing Hours per Resident per Day
    0.64391
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    7
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    35
    Rating Cycle 1 Number of Standard Health Deficiencies
    7
    Rating Cycle 2 Number of Standard Health Deficiencies
    9
    Reported Licensed Staffing Hours per Resident per Day
    2.34896
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    2
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.62292
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    3.18234
    Number of administrators who have left the nursing home
    3
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.21761
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.34196
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    5.28844
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    27
    Reported Total Nurse Staffing Hours per Resident per Day
    4.56658
    Registered Nurse hours per resident per day on the weekend
    1.37075
    Date First Approved to Provide Medicare and Medicaid Services
    1985-12-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.04217
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.06613
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    4.65421
    Total number of nurse staff hours per resident per day on the weekend
    4.18968

    COMMUNITY EXPERIENCE

    Reviews of THE EMERALDS AT ST PAUL LLC

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026