EPISCOPAL CHURCH HOME THE GARDENS

Ramsey · MN · Non profit - Corporation · 60 certified beds · CCN 245625 · EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC


EPISCOPAL CHURCH HOME THE GARDENS operates 60 certified beds in SAINT PAUL, Minnesota. Its Medicare and Medicaid certification dates to 2015-04-15. It averages 54.4 residents a day.

What harm was found in the violations cited at EPISCOPAL CHURCH HOME THE GARDENS?

CMS lists 33 health-inspection deficiencies for EPISCOPAL CHURCH HOME THE GARDENS, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-09.

Survey dateTagDeficiencySeverity
2026-04-09F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-04-09F0880Provide and implement an infection prevention and control program.E
2026-04-09F0554, F0583, F0695, F0756Allow residents to self-administer drugs if determined clinically appropriate. / Keep residents' personal and medical records private and confidential. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D
2025-11-20F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-08-18F0550, F0689, F0700, F0760, F0849, F0909Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure that residents are free from significant medication errors. / 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. / 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.D
2025-05-19F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-03-26F0657, F0684Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-09-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-09-12F0880Provide and implement an infection prevention and control program.E
2024-09-12F0659, F0677, F0684, F0689, F0758, F0761Provide care by qualified persons according to each resident's written plan of care. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Implement 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. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2024-03-04F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-08-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-08-03F0880Provide and implement an infection prevention and control program.F
2023-08-03F0554, F0584, F0609, F0676, F0686, F0761Allow residents to self-administer drugs if determined clinically appropriate. / Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D

Has EPISCOPAL CHURCH HOME THE GARDENS had payment denied by Medicare?

Payment denial startLength in days
2025-06-2622

How is EPISCOPAL CHURCH HOME THE GARDENS staffed?

MeasureThis facilityMN average
Total nurse staffing hours per resident per day5.689974.19318
Average number of residents per day54.460.3

Who owns EPISCOPAL CHURCH HOME THE GARDENS?

EPISCOPAL CHURCH HOME THE GARDENS is registered with CMS as Non profit - Corporation, operates under the legal business name EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTEPISCOPAL HOMES ON UNIVERSITY AVENUE, LLCsince 03/27/2013
5% OR GREATER INDIRECT OWNERSHIP INTERESTEPISCOPAL HOME CARE AND SERVICES, EPISCOPAL HOMES OF MINNESOTAsince 03/27/2013
5% OR GREATER MORTGAGE INTERESTWELLS FARGO BANKsince 05/01/2013
W-2 MANAGING EMPLOYEEFRANCO, KEANANsince 10/27/2015
CORPORATE DIRECTORCUTLER, LOIS, FORBES, CAROL, GILBERTSON, MELISSA, GOVE, PETER, HAWTHORNE, REBECCA, HOVE, THOMAS, HUBER, JAMES, MCGOWAN, DIANE, NOWLIN, SARAH, OSTENSO, BRIAN, SLAWICK, JEROMEsince 03/27/2013
CORPORATE OFFICERCLEM, MARY, HENRY, JOHN, MORK, STEVEN, PLAKUT, MARVINsince 01/01/2017
OPERATIONAL/MANAGERIAL CONTROLEH SERVICES INCsince 03/27/2013

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