THE EMERALDS AT ST PAUL LLC

Ramsey · MN · For profit - Corporation · MONARCH HEALTHCARE MANAGEMENT chain · 100 certified beds · CCN 245295 · THE EMERALDS AT ST PAUL, LLC


THE EMERALDS AT ST PAUL LLC operates 100 certified beds in SAINT PAUL, Minnesota. Its Medicare and Medicaid certification dates to 1985-12-01. It averages 89.5 residents a day.

What harm was found in the violations cited at THE EMERALDS AT ST PAUL LLC?

CMS lists 62 health-inspection deficiencies for THE EMERALDS AT ST PAUL LLC since 2023-04-27, 46 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-07-30.

Survey dateTagDeficiencySeverity
2025-07-30F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-07-30F0558, F0578, F0605, F0677, F0688, F0699, F0742, F0880Reasonably accommodate the needs and preferences of each resident. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide care or services that was trauma informed and/or culturally competent. / 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. / Provide and implement an infection prevention and control program.D
2025-07-14F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-07-14F0656, F0842Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-06-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-06-25F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2025-05-05F0686, F0697, F0849Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate pain management for a resident who requires such services. / 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.J
2025-05-05F0641, F0700, F0909Ensure each resident receives an accurate assessment. / 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. / 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
2025-04-23F0609, F0610, F0684Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-01-29F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E
2025-01-14F0600, F0656Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-11-14F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-09-18F0585Honor 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.D
2024-07-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-07-30F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-07-19F0695Provide safe and appropriate respiratory care for a resident when needed.J
2024-07-19F0838Conduct 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.E
2024-05-23F0554, F0580, F0584, F0656, F0658, F0679, F0684, F0693, F0696, F0758, F0880, F0883Allow residents to self-administer drugs if determined clinically appropriate. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure 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. / Provide appropriate care/assistance for a resident with a prosthesis. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2023-10-27F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-04-27F0684, F0812, F0880Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2023-04-27F0554, F0580, F0584, F0640, F0641, F0645, F0677, F0692, F0699, F0756, F0881, F0919, F0921Allow residents to self-administer drugs if determined clinically appropriate. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Provide care or services that was trauma informed and/or culturally competent. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement a program that monitors antibiotic use. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D

Why was THE EMERALDS AT ST PAUL LLC fined 4 times?

DateTypeAmount
2025-04-23Fine$103,461
2024-07-19Fine$13,627
2024-07-19Fine$13,627
2024-07-19Fine$8,021

Has THE EMERALDS AT ST PAUL LLC had payment denied by Medicare more than once?

Payment denial startLength in days
2025-08-129
2025-06-0465

How is THE EMERALDS AT ST PAUL LLC staffed?

MeasureThis facilityMN average
Total nurse staffing hours per resident per day4.596994.19318
Total nursing staff turnover (%)23.642.2
Average number of residents per day89.560.3

Who owns THE EMERALDS AT ST PAUL LLC, and what chain is it in?

THE EMERALDS AT ST PAUL LLC is registered with CMS as For profit - Corporation, operates under the legal business name THE EMERALDS AT ST PAUL, LLC and belongs to the MONARCH HEALTHCARE MANAGEMENT chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTJCA HOLDINGS LLC, NIJ LLC, SPARTAN HEALTHCARE LLC, WBS HOLDINGS LLC, YAZOMA HOLDINGS, LLCsince 02/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTHALPERT, MARC, JAFFA, NOAM, LEGUM, JOSHUAsince 02/01/2019
5% OR GREATER MORTGAGE INTERESTSTERN, WILLIAMsince 02/01/2019
CONTRACTED MANAGING EMPLOYEELEGUM, JOSHUAsince 02/01/2019
CORPORATE DIRECTORJAFFA, NOAMsince 02/01/2019
CORPORATE OFFICERHALPERT, MARC, STERN, WILLIAMsince 02/01/2019
OPERATIONAL/MANAGERIAL CONTROLMONARCH HEALTHCARE OPERATING VIII LLCsince 02/01/2019

Were you or a family member harmed at THE EMERALDS AT ST PAUL LLC?