Nursing home
The Emeralds at St Paul
420 Marshall Avenue, Saint Paul, MN 55102 · Map
For profit - Corporation · Part of Monarch Healthcare Management (45 facilities) · 100 certified beds
The Emeralds at St Paul is a Medicare-certified nursing home in Saint Paul, Minnesota. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.61 hours per resident per day, above the Minnesota average of 4.23. Its most recent inspection on Jul 30, 2025 cited 24 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 3 fines totaling $35,275In CMS records: 5 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Emeralds at St Paul 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) | 4.61 | 4.23 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.68 | 1.06 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.29 | 2.55 | 2.34 | below avg |
| Nursing staff turnover | 34.0% | 42.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 24.0 | 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 July 30, 2025 inspection was corrected by August 20, 2025
Penalties in CMS records: 3 fines totaling $35,275, 5 total penalties, 2 Medicare payment denials.
What inspectors found at The Emeralds at St Paul
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 · Jul 30, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential 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.
Quality of Life and Care Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Jul 30, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential 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.
Quality of Life and Care Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential 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.
Resident Rights Deficiencies · Jul 30, 2025 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jul 14, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jul 14, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 14, 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
- 420 Marshall Avenue
Saint Paul, MN 55102 - CMS certification #
- 245295
- Ownership
- For profit - Corporation
- Certified beds
- 100
- Avg residents/day
- 86.4
- Provider type
- Medicare and Medicaid
- First certified
- 1985-12-01
- Chain
- Monarch Healthcare Management (45 facilities)
- Setting
- Urban
Part of Monarch Healthcare Management
Monarch Healthcare Management operates 45 nursing facilities across the United States. View all Monarch Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Emeralds at St Paul using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What The Emeralds at St Paul says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Residents are also offered housekeeping services, scheduled transportation to and from appointments, apartment maintenance, and a selection of social and recreational events.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Allina United Hospital, Saint Paul. 0.7 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- The Villas at St Paul, Saint Paul. 0.5 miles away, straight line.
- Nearest home health agency office
- Divine Healthcare Network, Saint Paul. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55102 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care - Midway St Paul, Saint Paul, 0.9 miles away, straight line (CMS rating 2 of 5 stars)
St Paul Capitol At Home, Saint Paul, 1.0 mile away, straight line (CMS rating 4 of 5 stars)
Davita St Paul Dialysis, Saint Paul, 1.0 mile away, straight line (CMS rating 1 of 5 stars) - Hospice
- 20 Medicare hospices tell CMS they serve ZIP code 55102.
Amazing Hands Palliative, office in Saint Paul, 0.7 miles away, straight line
Emerald Wings Hospice LLC, office in Saint Paul, 1.1 miles away, straight line
Sholom Hospice, office in Saint Paul, 2.3 miles away, straight line - Nearest geriatric medicine practice
- Fairview Health Services, Saint Paul. 2.3 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: very low. By hazard: inland flooding very low, tornado relatively moderate, heat wave relatively moderate, 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 | Only cases that look tied to an earlier operator (not shown) |
| 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 | See above |
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Frequently asked questions
Is The Emeralds at St Paul a good nursing home?
CMS gives The Emeralds at St Paul an overall rating of 1 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Emeralds at St Paul staffed?
The Emeralds at St Paul reports 4.61 total nurse hours per resident per day, compared with the Minnesota average of 4.23.
Has The Emeralds at St Paul had inspection problems?
Its most recent CMS inspection cited 24 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does The Emeralds at St Paul have?
The Emeralds at St Paul is certified for 100 beds.