2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Saint Paul, MN
5-star overall rating with 5-star inspections with 2 recent health deficiencies
640 Jackson Street, Saint Paul, MN
(651) 254-0400
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
32
Certified beds
Average residents
29
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-04-01
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
2.59
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
3.44
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
7.25
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
3.81
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
6.34
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
2.01
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
1.00
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
2.65
CMS adjusted RN staffing hours
Adjusted total hours
7.44
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
166
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
80.48
Composite VBP score used to determine payment impact.
Payment multiplier
1.0259
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.87
Baseline 18.24% · Performance 18.25% · Measure score 6.87 · Achievement 6.87 · Improvement 0
Healthcare-associated infections
8.15
Baseline 4.97% · Performance 5.40% · Measure score 8.15 · Achievement 8.15 · Improvement 0
Total nurse turnover
7.17
Baseline 55.00% · Performance 34.38% · Measure score 7.17 · Achievement 7.17 · Improvement 6.34
Adjusted total nurse staffing
10
Performance 7.33 hours · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.94% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 282 · Observed rate 7.45% · Lower 95% interval 7.19% |
| Discharge to community | 62.98% |
50.57%
12.4 pts better
|
Better than the National Rate · Eligible stays 295 · Observed rate 64.41% · Lower 95% interval 57.94% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 216 · Denominator 216 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 216 |
| Discharge self-care score | 55.93% |
53.69%
2.2 pts better
|
Numerator 99 · Denominator 177 |
| Discharge mobility score | 41.81% |
50.94%
9.1 pts worse
|
Numerator 74 · Denominator 177 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 216 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.4% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 162 · Observed rate 2.47% · Lower 95% interval 3.24% |
| Staff COVID-19 vaccination coverage | 13.79% |
8.2%
5.6 pts better
|
Numerator 16 · Denominator 116 |
| Staff flu vaccination coverage | 39.66% |
42%
2.3 pts worse
|
Numerator 46 · Denominator 116 |
| Discharge function score | 51.41% |
56.45%
5 pts worse
|
Numerator 91 · Denominator 177 |
| Transfer of health information to provider | 36.96% |
95.95%
59 pts worse
|
Numerator 17 · Denominator 46 |
| Transfer of health information to patient | 92.26% |
96.28%
4 pts worse
|
Numerator 155 · Denominator 168 |
| Resident COVID-19 vaccinations up to date | 43.52% |
25.2%
18.3 pts better
|
Numerator 47 · Denominator 108 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
88.6%
10.4 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 99.6% · Q3 98.9% · Q4 98.6% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.3% |
14.0%
0.3 pts worse
|
12.0%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 13.7% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.9%
0.1 pts better
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.8% · Q3 1.3% · Q4 1.7% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.0% |
82.7%
12.3 pts better
|
79.7%
15.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.4% |
23.1%
6.3 pts worse
|
23.9%
5.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 24.0% · Expected 19.4% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-10
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-01-10
Health
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.
Corrected 2025-01-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-29
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-02-29
Penalties and ownership
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Nearby options
Saint Paul, MN
3-star overall rating with 2-star inspections with $26,685 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Saint Paul, MN
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Saint Paul, MN
4-star overall rating with 2-star inspections with $17,584 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out