F

The Emeralds at St Paul LLC

420 MARSHALL AVENUE, SAINT PAUL, MN 55102
Score: 14 / 100
⚠️ SFF Candidate

The Emeralds At St Paul Llc has received an F grade based on CMS data, with a score of 14/100 — placing it among the lowest-rated nursing facilities in Minnesota. Families considering this Saint Paul facility should carefully review its inspection history and quality metrics.

Staffing levels at The Emeralds At St Paul Llc exceed national averages, with 4.61 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.68 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 63 deficiencies at The Emeralds At St Paul Llc, including 6 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.61 3.8 Above Average
Registered Nurses (RN) 1.68 0.7 Above Average
Licensed Practical Nurses (LPN) 0.64 0.7 Average
Certified Nursing Assistants (CNA) 2.29 2.4 Average
Weekend Total Nursing 4.29 3.8 Above Average
Weekend RN Hours 1.41 0.7 Above Average

🔍 Inspection & Deficiency History

63
Total Deficiencies
Jul 29, 2025
Most Recent Inspection
🟠 57 Moderate 🔴 6 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jul 29, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Jul 29, 2025 · Resident Rights Deficiencies
  • Tag 0605 Severity D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    Jul 29, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Jul 29, 2025 · Quality of Life and Care Deficiencies
  • Tag 0688 Severity D
    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 medic
    Jul 29, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 11.1% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 18.1% 14.5% Worse
Urinary tract infections 1.3% 2.5% Better
ADL decline (daily activities) 13.2% 14.0% Average
Excessive weight loss 5.2% 7.5% Better
New/worsened incontinence 21.7% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $35,275

How This Grade Was Calculated

This facility's grade of F is based on a score of 14 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 29, 2025
Deficiencies (Cycle 1)
24