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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMinnesotaThe Emeralds at St Paul LLC

The Emeralds at St Paul LLC

420 Marshall Avenue, Saint Paul, MN 551026512242368
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
1/5
Beds
100
certified
Special Focus Facility: SFF Candidate
3 fine(s) totaling $35,275

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 100 certified beds with an average of 86.4 residents per day (86% occupancy)

• Last health inspection found 24 deficiencies (inspected Jul 30, 2025)

• Has been fined a total of $35,275 across 3 fine(s)

• Total nursing staff: 4.61 hours per resident per day

• Staff turnover rate: 34.0%

• Part of the Monarch Healthcare Management chain (45 facilities)

The Emeralds at St Paul LLC is a 1-star Medicare and Medicaid certified nursing home in Saint Paul, Minnesota with 100 certified beds. It has been operating since 1985. The facility scored below average compared to Minnesota facilities.

Beds
100
Avg Residents/Day
86.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 1, 1985
Sprinklers
Yes
Council
Both
County
Ramsey
Last Inspection
Jul 30, 2025
Deficiencies (Cycle 1)
24
Weighted Score
300.5
Infection Citations
0

Deficiency Citations (63)

F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 14, 2025Corrected: NoCycle: 1
F0686Actual Harm

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

Survey: Jul 14, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jul 14, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 25, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jun 25, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 25, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 5, 2025Corrected: NoCycle: 1
F0686Immediate Jeopardy

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

Survey: May 5, 2025Corrected: NoCycle: 1
F0697Immediate Jeopardy

Provide safe, appropriate pain management for a resident who requires such services.

Survey: May 5, 2025Corrected: NoCycle: 1
F0700Potential for Harm

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.

Survey: May 5, 2025Corrected: NoCycle: 1
F0849Immediate Jeopardy

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.

Survey: May 5, 2025Corrected: NoCycle: 1
F0909Potential for Harm

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.

Survey: May 5, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 23, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Apr 23, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 23, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0742Potential for Harm

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.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Jan 29, 2025Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jan 14, 2025Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 14, 2025Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 14, 2024Corrected: NoCycle: 2
F0585Potential for Harm

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.

Survey: Sep 18, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jul 30, 2024Corrected: NoCycle: 2

+ 33 more deficiencies

Total Fines
$35,275
Number of Fines
3
Payment Denials
2
Total Penalties
5

Penalty History

FineJul 19, 2024
$8,021
FineJul 19, 2024
$13,627
FineJul 19, 2024
$13,627
Payment DenialJun 25, 2025
9 days denied
Payment DenialApr 23, 2025
65 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.29 hrs
National avg: 2.35 hrs
LPN0.64 hrs
National avg: 0.86 hrs
RN1.68 hrs
National avg: 0.68 hrs
Total Nursing4.61 hrs
National avg: 3.89 hrs
Weekend Total4.29 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
34.0%
RN Turnover
33.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (15)

NameRoleTypeOwnership %Since
JCA HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization10%Feb 1, 2019
NIJ LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization10%Feb 1, 2019
SPARTAN HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization30%Feb 1, 2019
WBS HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization20%Feb 1, 2019
YAZOMA HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization30%Feb 1, 2019
AREM, JEFFREY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual10%Feb 1, 2019
HALPERT, MARC5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual30%Feb 1, 2019
JAFFA, NOAM5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual10%Feb 1, 2019
LEGUM, JOSHUA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual30%Feb 1, 2019
MONARCH HEALTHCARE OPERATING VIII LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2019
JAFFA, NOAMCORPORATE DIRECTORIndividualN/AFeb 1, 2019
HALPERT, MARCCORPORATE OFFICERIndividualN/AFeb 1, 2019
STERN, WILLIAMCORPORATE OFFICERIndividualN/AFeb 1, 2019
LEGUM, JOSHUACONTRACTED MANAGING EMPLOYEEIndividualN/AFeb 1, 2019
STERN, WILLIAM5% OR GREATER MORTGAGE INTERESTIndividualN/AFeb 1, 2019

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Frequently Asked Questions

What is the CMS rating for The Emeralds at St Paul LLC?▾
The Emeralds at St Paul LLC has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 1/5. This facility is rated below average.
Has The Emeralds at St Paul LLC had any health inspection violations?▾
The Emeralds at St Paul LLC had 24 deficiency citations in its most recent health inspection (Jul 30, 2025). The facility has been fined a total of $35,275 across 3 fine(s).
What are the staffing levels at The Emeralds at St Paul LLC?▾
The Emeralds at St Paul LLC provides 4.61 total nursing staff hours per resident per day, including 1.68 RN hours, 0.64 LPN hours, and 2.29 nurse aide hours. The total staff turnover rate is 34.0%.
How many beds does The Emeralds at St Paul LLC have?▾
The Emeralds at St Paul LLC has 100 certified beds with an average of 86.4 residents per day, resulting in approximately 86% occupancy. The facility is For profit - Corporation owned and is part of the Monarch Healthcare Management chain.
Are there other nursing homes near The Emeralds at St Paul LLC?▾
Yes, there are 16 other nursing homes in Saint Paul, Minnesota with an average rating of 2.8/5. You can compare all facilities on the Saint Paul nursing homes page.

Part of Monarch Healthcare Management

This chain operates 45 facilities. View all →