Nursing home
Episcopal Church Home the Gardens
1860 University Avenue West, Saint Paul, MN 55104 · Map
Non profit - Other · 60 certified beds
Episcopal Church Home the Gardens is a Medicare-certified nursing home in Saint Paul, Minnesota. CMS rates it 2 out of 5 stars overall. Its most recent inspection on Sep 12, 2024 cited 18 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Episcopal Church Home the Gardens compares
This facility vs. the Minnesota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Minnesota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 4.23 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 1.06 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.55 | 2.34 | — |
| Nursing staff turnover | —% | 42.4% | 46.4% | — |
| Deficiencies cited, last inspection | 18.0 | 8.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 9, 2026 inspection was corrected by May 11, 2026
Penalties in CMS records: 2 total penalties, 2 Medicare payment denials.
What inspectors found at Episcopal Church Home the Gardens
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 9, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 9, 2026 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Apr 9, 2026 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Apr 9, 2026 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Apr 9, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Apr 9, 2026 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential 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.
Environmental Deficiencies · Aug 18, 2025 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Aug 18, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Aug 18, 2025 · Full report (PDF) - Potential 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.
Quality of Life and Care Deficiencies · Aug 18, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 18, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1860 University Avenue West
Saint Paul, MN 55104 - CMS certification #
- 245625
- Ownership
- Non profit - Other
- Certified beds
- 60
- Avg residents/day
- 57.1
- Provider type
- Medicare and Medicaid
- First certified
- 2015-04-15
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Episcopal Church Home the Gardens using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2015
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jan 1, 2015 to Jun 6, 2016. Violations found: Overtime. Back wages: $82,308 owed to 102 employees. Employer as DOL recorded it: Episcopal Church Home- The Gardens (Episcopal Homes on University Avenue, LLC). Case 1790799.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- M Health Fairview University Of Mn Medical Center, Minneapolis. 2.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Episcopal Church Home of Minnesota, Saint Paul. 0.1 miles away, straight line.
- Nearest home health agency office
- Tlc Home Care Of The Twin Cities, Saint Paul. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Triad Isotopes. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55104 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita University Dialysis Unit Riverside, Saint Paul, 1.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
U Of Mn Med Ctr, Fairview - Dialysis, Minneapolis, 2.9 miles away, straight line
Davita Larpenteur Ave Dialysis, Roseville, 3.1 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 21 Medicare hospices tell CMS they serve ZIP code 55104.
Our Lady Of Peace Hospice, office in Saint Paul, 0.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Accentcare Fairview Hospice - West, LLC, office in Saint Paul, 1.3 miles away, straight line (CMS family survey rating 2 of 5 stars)
Emerald Wings Hospice LLC, office in Saint Paul, 2.3 miles away, straight line - Nearest geriatric medicine practice
- Fairview Health Services, Saint Paul. 0.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Episcopal Church Home the Gardens a good nursing home?
CMS gives Episcopal Church Home the Gardens an overall rating of 2 out of 5 stars. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Episcopal Church Home the Gardens had inspection problems?
Its most recent CMS inspection cited 18 deficiencies.
How many beds does Episcopal Church Home the Gardens have?
Episcopal Church Home the Gardens is certified for 60 beds.