Federal inspection record · CMS data as of October 1, 2026

Carondelet Village Care Center

525 Fairview Avenue South, Saint Paul, MN · (651) 695-5000

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
45
Residents per day
43
Ownership
Non-Profit
Chain
Presbyterian Homes & Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 27, 2012

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Minnesota homes

Carondelet Village Care Center carries 15 inspection points. That is fewer than 81% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 15 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–30 pts
  • 3★ 30–54 pts
  • 2★ 54–92 pts
  • 1★ over 92 pts

Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

11 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 0 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    February 11, 2025 · Complaint inspection · Quality of Life and Care · F678 · Corrected February 7, 2025

Everything else, by area of care

Quality of Life and Care4D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 20, 2025 · Standard · F689 · Corrected January 13, 2026

  2. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    November 16, 2023 · Standard · F676 · Corrected December 22, 2023

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 16, 2023 · Standard · F684 · Corrected December 29, 2023

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 16, 2023 · Standard · F689 · Corrected December 29, 2023

Infection Control2D
  1. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    November 20, 2025 · Standard · F883 · Corrected January 13, 2026

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    November 16, 2023 · Standard · F883 · Corrected December 29, 2023

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 17, 2024 · Standard · F812 · Corrected November 4, 2024

  2. D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    November 16, 2023 · Standard · F810 · Corrected December 22, 2023

Resident Rights1D
  1. D

    Keep residents' personal and medical records private and confidential.

    November 16, 2023 · Standard · F583 · Corrected December 22, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    November 16, 2023 · Standard · F604 · Corrected December 22, 2023

Inspection history

  1. 2025-11-20

    2 health deficiencies · 4 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-10-17

    2 health deficiencies · 5 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  3. 2023-11-16

    7 health deficiencies · 14 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 20 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.

This home

4 h 20 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 40% of nursing staff and 67% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$9,113 in federal fines on record over the past three years.

DatePenaltyAmount
2025-02-11Fine$9,113

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better98.8%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better97.8%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse5.5%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms8.7 pts worse12.8%4.1%13.5%
Percentage of long-stay residents who lose too much weight1.1 pts better2.8%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.5 pts better8.2%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.1 pts better16.1%17.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.5 pts worse25.3%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.5 pts worse26.7%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same1.7%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection2.4 pts worse5.0%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.9 pts worse34.6%23.7%18.3%
Percentage of long-stay residents with pressure ulcers0.8 pts worse5.9%5.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.9 pts better100.0%88.1%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts better0.0%1.9%1.5%

·

Who owns and runs it

24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Carondelet Village Inc5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Presbyterian Homes And Services5% Or Greater Indirect Ownership Interest · Organization50%11 facilities
Sisters Of St. Joseph Of Carondelet, St. Paul Province5% Or Greater Indirect Ownership Interest · Organization50%1 facilities
Belanger, MargaretCorporate Director · Individual0%1 facilities
Belanger, MargaretCorporate Officer · Individual0%1 facilities
Computershare Corporate Trust Company, Na5% Or Greater Mortgage Interest · Organization0%59 facilities
Fletcher, JonathanOperational/Managerial Control · Individual0%18 facilities
Fletcher, JonathanIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%18 facilities
Fletcher, JonathanAdp Of The SNF · Individual0%18 facilities
Larson, DuaneCorporate Director · Individual0%7 facilities
Linn, LuannOperational/Managerial Control · Individual0%1 facilities
Linn, LuannAdp Of The SNF · Individual0%1 facilities
Meyer, MarkCorporate Director · Individual0%21 facilities
Meyer, MarkCorporate Officer · Individual0%21 facilities
Meyer, MarkOperational/Managerial Control · Individual0%21 facilities
Meyer, MarkAdp Of The SNF · Individual0%21 facilities
Mielke, JohnOperational/Managerial Control · Individual0%10 facilities
Mielke, JohnAdp Of The SNF · Individual0%10 facilities
Peterson, HeidiOperational/Managerial Control · Individual0%18 facilities
Peterson, HeidiAdp Of The SNF · Individual0%18 facilities
Phs Management, LLCOperational/Managerial Control · Organization0%21 facilities
Phs Management, LLCAdp Of The SNF · Organization0%21 facilities
Reetz, JamesCorporate Director · Individual0%1 facilities
Reetz, JamesCorporate Officer · Individual0%1 facilities

·

Fire safety

23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems6F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    November 20, 2025 · K918 · Corrected January 2, 2026

  2. F

    Have proper medical gas storage and administration areas.

    November 20, 2025 · K923 · Corrected January 2, 2026

  3. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    November 16, 2023 · K914 · Corrected February 2, 2024

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    November 16, 2023 · K918 · Corrected December 29, 2023

  5. F

    Have proper medical gas storage and administration areas.

    November 16, 2023 · K923 · Corrected December 29, 2023

  6. E

    Ensure proper usage of power strips and extension cords.

    November 16, 2023 · K920 · Corrected December 29, 2023

Smoke6F
  1. F

    Provide properly protected cooking facilities.

    November 16, 2023 · K324 · Corrected February 2, 2024

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    November 16, 2023 · K345 · Corrected December 29, 2023

  3. F

    Properly provide smoke detection systems in areas open to corridors.

    November 16, 2023 · K347 · Corrected December 29, 2023

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 16, 2023 · K353 · Corrected February 2, 2024

  5. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    November 16, 2023 · K355 · Corrected December 29, 2023

  6. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    November 16, 2023 · K372 · Corrected February 2, 2024

Miscellaneous4F
  1. F

    Have simulated fire drills held at unexpected times.

    November 20, 2025 · K712 · Corrected January 2, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    October 17, 2024 · K712 · Corrected November 27, 2024

  3. F

    Have simulated fire drills held at unexpected times.

    November 16, 2023 · K712 · Corrected December 29, 2023

  4. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    November 16, 2023 · K761 · Corrected February 2, 2024

Services3F
  1. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    November 20, 2025 · K521 · Corrected January 2, 2026

  2. F

    Have properly installed electrical wiring and gas equipment.

    October 17, 2024 · K511 · Corrected November 27, 2024

  3. F

    Install properly constructed and protected linen or trash chutes.

    November 16, 2023 · K541 · Corrected February 2, 2024

Egress2F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    October 17, 2024 · K291 · Corrected January 2, 2025

  2. F

    Have properly located and lighted "Exit" signs.

    October 17, 2024 · K293 · Corrected November 27, 2024

Electrical1F
  1. F

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    October 17, 2024 · K901 · Corrected January 2, 2025

Emergency Preparedness1C
  1. C

    Implement emergency and standby power systems.

    November 16, 2023 · E41 · Corrected December 22, 2023

·

Other homes nearby

  1. Hayes Residence

    Saint Paul, MN

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    2 h 37 min
    Fines
    $0
  2. Highland Chateau Health And Rehabilitation Center

    Saint Paul, MN · Ephram Lahasky · Special Focus

    Not rated
    Worst citation, 3 yrs
    J
    Nursing / resident / day
    4 h 8 min
    Fines
    $68,189
  3. Worst citation, 3 yrs
    J
    Nursing / resident / day
    5 h 48 min
    Fines
    $0