15 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Saint Paul, MN
2-star overall rating with 1-star inspections with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1879 Feronia Avenue, Saint Paul, MN
(651) 209-8519
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
131
Certified beds
Average residents
113
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
383
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
71.11
Composite VBP score used to determine payment impact.
Payment multiplier
1.0229
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.92
Baseline 19.62% · Performance 21.00% · Measure score 0.92 · Achievement 0.92 · Improvement 0
Healthcare-associated infections
8.99
Baseline 5.39% · Performance 5.15% · Measure score 8.99 · Achievement 8.99 · Improvement 5.67
Total nurse turnover
8.53
Performance 28.81% · Measure score 8.53 · Achievement 8.53 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
10
Baseline 5.04 hours · Performance 6.08 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.95% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 285 · Observed rate 7.37% · Lower 95% interval 7.12% |
| Discharge to community | 67.08% |
50.57%
16.5 pts better
|
Better than the National Rate · Eligible stays 283 · Observed rate 69.96% · Lower 95% interval 62.18% |
| Medicare spending per beneficiary | 0.65 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 97.45% |
95.27%
2.2 pts better
|
Numerator 153 · Denominator 157 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 157 |
| Discharge self-care score | 58.45% |
53.69%
4.8 pts better
|
Numerator 83 · Denominator 142 |
| Discharge mobility score | 41.55% |
50.94%
9.4 pts worse
|
Numerator 59 · Denominator 142 |
| Pressure ulcers or injuries, new or worsened | 5.1% |
2.29%
2.8 pts worse
|
Numerator 8 · Denominator 157 · Adjusted rate 6.35% |
| Healthcare-associated infections requiring hospitalization | 5.15% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 146 · Observed rate 1.37% · Lower 95% interval 2.8% |
| Staff COVID-19 vaccination coverage | 16.78% |
8.2%
8.6 pts better
|
Numerator 51 · Denominator 304 |
| Staff flu vaccination coverage | 40.45% |
42%
1.5 pts worse
|
Numerator 125 · Denominator 309 |
| Discharge function score | 68.31% |
56.45%
11.9 pts better
|
Numerator 97 · Denominator 142 |
| Transfer of health information to provider | 74.38% |
95.95%
21.6 pts worse
|
Numerator 90 · Denominator 121 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 51.22% |
25.2%
26 pts better
|
Numerator 42 · Denominator 82 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.7
0.4 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.4 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.0
0.6 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.0 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% |
97.3%
1.4 pts worse
|
93.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 97.6% · Q3 94.2% · Q4 95.3% · 4Q avg 95.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
96.1%
0.7 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.9%
1 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.2% · Q3 3.5% · Q4 4.7% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
4.3%
3.7 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.3% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 2.1% |
4.1%
2 pts better
|
5.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.4% · Q3 2.7% · Q4 1.4% · 4Q avg 2.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.9% |
12.4%
7.5 pts better
|
19.6%
14.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.8% · Q3 4.1% · Q4 4.2% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.4% |
17.5%
10.1 pts better
|
16.7%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 9.7% · Q3 8.1% · Q4 3.3% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.1% |
22.5%
10.4 pts better
|
16.3%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 15.4% · Q3 9.5% · Q4 6.4% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.0% |
18.6%
8.6 pts better
|
14.9%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 10.7% · Q3 9.3% · Q4 14.5% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.4% |
2.3%
2.1 pts worse
|
1.0%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.6% · Q3 5.9% · Q4 3.4% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
2.6%
0.9 pts better
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.2% · Q3 0.0% · Q4 3.5% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.8% |
24.8%
5 pts worse
|
19.8%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 40.0% · Q3 25.7% · Q4 21.6% · 4Q avg 29.8% |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
5.4%
1.4 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.4% · Q3 2.6% · Q4 4.4% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.1% |
88.6%
3.5 pts worse
|
81.7%
3.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.2% · Q2 85.8% · Q3 83.0% · Q4 83.4% · 4Q avg 85.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.5% |
14.0%
5.5 pts better
|
12.0%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 7.3% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.9%
1.1 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.5% · Q3 1.0% · Q4 0.6% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.1% |
82.7%
1.6 pts worse
|
79.7%
1.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.0% |
23.1%
6.1 pts better
|
23.9%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.0% · Observed 12.8% · Expected 18.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-07
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-04-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-07
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-02-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-02-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-02-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-02-26
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-02-26
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-02-26
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-02-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-26
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-02-26
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-02-26
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-26
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-02-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-26
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-02-26
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2022-12-23
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-12-23
Inspection history
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-23
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2026-01-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-19
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2026-01-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-07
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-07
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-07
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-07
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-07
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-04-07
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-04-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-24
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-24
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-26
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-02-26
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-02-26
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-02-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-26
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-02-26
Health
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.
Corrected 2024-02-26
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-26
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-23
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-12-23
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-12-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-23
Health
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.
Corrected 2022-12-23
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-12-23
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-12-23
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Nearby options
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Saint Paul, MN
2-star overall rating with 1-star inspections with $13,580 in total fines with 18 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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