All states › Minnesota › Saint Paul › The Emeralds at St Paul
420 Marshall Avenue Saint Paul, MN 55102 · Ramsey County
All 17 nursing homes in Saint Paul, MN (16 take Medicaid)
CMS certification number 245295 · See this home on Medicare Care Compare
Is The Emeralds at St Paul a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Emeralds at St Paul as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Minnesota average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.57 hours per resident per day at The Emeralds at St Paul, above the Minnesota median of 4.18 (US median: 3.72). About 1.71 of those hours are from registered nurses. On weekends it falls to 4.19 hours, 8% below its all-week average. 18.9% of nursing staff left within a year (Minnesota median 39.7%). That is lower than most homes in Minnesota, a sign of a steadier team. 3 administrators left in the past year.
About this nursing home
Paying for care at The Emeralds at St Paul: Medicare and Medicaid
The Emeralds at St Paul is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Minnesota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 19, 2026 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 53 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 53 citations at The Emeralds at St Paul across 14 inspection dates, 29 of them from complaint investigations. 6 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 25, 2025 (complaint inspection). The most common areas cited were quality of life and care (20) and freedom from abuse, neglect, and exploitation (8). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, June 25, 2025). 8 citations were under CMS's abuse, neglect and exploitation rules.
August 19, 2026 · 7 citations · includes complaint inspection
GMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DProvide 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.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide or obtain dental services for each resident.
July 30, 2025 · 9 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide 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.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide 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.
DProvide and implement an infection prevention and control program.
July 14, 2025 · 3 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 25, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
May 5, 2025 · 6 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
JProvide safe, appropriate pain management for a resident who requires such services.
JArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DEnsure each resident receives an accurate assessment.
DTry 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.
DRegularly 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.
April 23, 2025 · 3 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
January 29, 2025 · 1 citation · includes complaint inspection
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
January 14, 2025 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
November 14, 2024 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
September 18, 2024 · 1 citation · includes complaint inspection
DHonor 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.
July 30, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
July 19, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProvide safe and appropriate respiratory care for a resident when needed.
EConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
May 23, 2024 · 12 citations · includes complaint inspection
DAllow residents to self-administer drugs if determined clinically appropriate.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide appropriate care/assistance for a resident with a prosthesis.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DProvide and implement an infection prevention and control program.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
October 27, 2023 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Questions to ask on a tour of The Emeralds at St Paul
- Inspectors cited the home at the immediate-jeopardy level on June 25, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 30, 2025. How are staff trained, and how are concerns reported?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
6 penalties in the last three years, including $138,736 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 25, 2025 | Payment Denial | 9 days of payments denied |
| Apr 23, 2025 | Fine | $103,461 |
| Apr 23, 2025 | Payment Denial | 65 days of payments denied |
| Jul 19, 2024 | Fine | $8,021 |
| Jul 19, 2024 | Fine | $13,627 |
| Jul 19, 2024 | Fine | $13,627 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 2/5 |
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Location
Hospitals near The Emeralds at St Paul
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.7 mi
United Hospital St PaulEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 2m for patients treated and sent home
- 1.0 mi
- 1.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Emeralds at St Paul › All nursing homes in Saint Paul ›
Compare The Emeralds at St Paul with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Capital View Transitional Care Center · Saint Paul · 5 stars · 1.2 mi
- Fairview University Trans Serv · Minneapolis · 5 stars · 5.9 mi
- Langton Shores · Roseville · 5 stars · 6.2 mi
- Redeemer Health Care Center · Minneapolis · 5 stars · 8.3 mi
Other Monarch Healthcare Management nursing homes in Minnesota
- The Estates at Delano · Delano · 5 stars
- Sleepy Eye Rehabilitati Center · Sleepy Eye · 4 stars
- Laurels Peak Health Care · Mankato · 4 stars
- Mala Strana Health Care · New Prague · 4 stars
- The Estates at Linden · Stillwater · 4 stars
- The Green Prairie Rehabilitation Center · Plainview · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 45 Monarch Healthcare Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.