The Emeralds at St Paul LLC
420 Marshall Avenue · Saint Paul, MN · 55102 · 6512242368
100 certified beds For profit - Corporation Chain: Monarch Healthcare Management
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $138,736 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$138,736 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.70 | 0.55–0.75 |
| Weekend hours / resident-day | 4.18 | ≈ weekday level |
| Nursing turnover / year | 24% | median 45% |
| Fines (3-yr window) | 4 · $138,736 |
Inspection citations (62 in the current record)
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Potential for harm · D July 30, 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.
Corrected August 20, 2025 · Resident Rights
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Potential for harm · D July 30, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 30, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 20, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 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.
Corrected August 20, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 20, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 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.
Corrected August 20, 2025 · Quality of Life and Care
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Potential for harm · E July 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 20, 2025 · Nutrition and Dietary
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Potential for harm · D July 30, 2025
Provide and implement an infection prevention and control program.
Corrected August 20, 2025 · Infection Control
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Potential for harm · D July 30, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected August 20, 2025 · Resident Rights
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Actual harm · G July 14, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 8, 2025 · Quality of Life and Care
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Potential for harm · D July 14, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 14, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 8, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J June 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D June 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 25, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 5, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 20, 2025 · Quality of Life and Care
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Immediate jeopardy · J May 5, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 20, 2025 · Quality of Life and Care
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Immediate jeopardy · J May 5, 2025 · found via complaint
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.
Corrected May 20, 2025 · Administration
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Potential for harm · D May 5, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 5, 2025 · found via complaint
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.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025 · found via complaint
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.
Corrected May 22, 2025 · Environmental
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Potential for harm · D April 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · E January 29, 2025 · found via complaint
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.
Corrected March 1, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 25, 2025 | Payment Denial | 9 days |
| April 23, 2025 | Fine | $103,461 |
| April 23, 2025 | Payment Denial | 65 days |
| July 19, 2024 | Fine | $8,021 |
| July 19, 2024 | Fine | $13,627 |
| July 19, 2024 | Fine | $13,627 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245295 · certified since December 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.