Federal inspection record · CMS data as of October 1, 2026
Episcopal Church Home The Gardens
1860 University Avenue West, Saint Paul, MN · (651) 632-8801
- Certified beds
- 60
- Residents per day
- 57
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 15, 2015
1
How this home got 3 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Episcopal Church Home The Gardens carries 55 inspection points. That is fewer than 41% of Minnesota's 335 rated homes.
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
33 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights5D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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.
Pharmacy Service5D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
- D
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.
- D
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
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.
Resident Assessment and Care Planning4D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Provide care by qualified persons according to each resident's written plan of care.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control3F
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1D
- D
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.
Environmental1D
- D
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.
Inspection history
2026-04-09
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-09-12
17 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-08-03
9 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 35 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
5 h 35 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-26 | Payment Denial · 22 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 98.6% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 100.0% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 3.7% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.5 pts worse | 11.6% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 4.1% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts better | 8.1% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.1 pts better | 11.1% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.4 pts worse | 29.2% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.9 pts worse | 30.1% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.9% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 2.3% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.7 pts worse | 30.4% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 3.6% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts worse | 84.3% | 88.1% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.1 pts worse | 5.0% | 1.9% | 1.5% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Episcopal Homes On University Avenue, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Clem, Mary | Corporate Officer · Individual | 0% | 1 facilities |
| Cutler, Lois | Corporate Director · Individual | 0% | 2 facilities |
| Eh Services Inc | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Episcopal Home Care And Services | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Episcopal Homes Of Minnesota | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Forbes, Carol | Corporate Director · Individual | 0% | 2 facilities |
| Franco, Keanan | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Gilbertson, Melissa | Corporate Director · Individual | 0% | 2 facilities |
| Gove, Peter | Corporate Director · Individual | 0% | 2 facilities |
| Hawthorne, Rebecca | Corporate Director · Individual | 0% | 1 facilities |
| Henry, John | Corporate Officer · Individual | 0% | 3 facilities |
| Hove, Thomas | Corporate Director · Individual | 0% | 2 facilities |
| Huber, James | Corporate Director · Individual | 0% | 1 facilities |
| Mcgowan, Diane | Corporate Director · Individual | 0% | 1 facilities |
| Mork, Steven | Corporate Officer · Individual | 0% | 1 facilities |
| Nowlin, Sarah | Corporate Director · Individual | 0% | 1 facilities |
| Ostenso, Brian | Corporate Director · Individual | 0% | 1 facilities |
| Plakut, Marvin | Corporate Officer · Individual | 0% | 1 facilities |
| Slawick, Jerome | Corporate Director · Individual | 0% | 1 facilities |
| Wells Fargo Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- F
Install properly constructed and protected linen or trash chutes.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
·
Other homes nearby
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Episcopal Church Home Of Minnesota
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★★★★★- Worst citation, 3 yrs
- J
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The Estates At Lynnhurst LLC
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- Nursing / resident / day
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-
St Anthony Park Home Inc
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