F

EPISCOPAL CHURCH HOME THE GARDENS

1860 UNIVERSITY AVENUE WEST, SAINT PAUL, MN 55104
Score: 35 / 100

Episcopal Church Home The Gardens has received an F grade based on CMS data, with a score of 35/100 — 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.

Recent inspections identified 30 deficiencies at Episcopal Church Home The Gardens. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 0 / 20 pts
N/A ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staffing hours data not available for this facility.

🔍 Inspection & Deficiency History

30
Total Deficiencies
Nov 19, 2025
Most Recent Inspection
🟠 30 Moderate
View recent deficiencies (5 shown)
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Nov 19, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Aug 17, 2025 · Resident Rights Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Aug 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0700 Severity D
    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
    Aug 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Aug 17, 2025 · Pharmacy Service 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 4.5% 4.5% Average
Falls with major injury 6.2% 3.0% Worse
On antipsychotic medication 10.4% 14.5% Better
Urinary tract infections 3.9% 2.5% Worse
ADL decline (daily activities) 26.1% 14.0% Worse
Excessive weight loss 6.5% 7.5% Better
New/worsened incontinence 36.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 0★ → 0 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

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

Facility Details

Ownership
Non profit - Other
Certified Beds
60
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 11, 2024
Deficiencies (Cycle 1)
18