8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Saint Paul, MN
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1620 Randolph Avenue, Saint Paul, MN
(651) 690-4458
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
40
Certified beds
Average residents
35
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1975-01-01
CMS approved date
Coverage
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
0.34
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
1.30
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
2.33
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.02
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
1.97
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.98
CMS adjusted total nurse staffing hours
Case-mix index
0.80
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 42% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Medicare spending per beneficiary | Not Available |
1.02
|
This provider is not required to submit SNF QRP data. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.0% |
97.3%
14.3 pts worse
|
93.4%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.1% · Q2 82.4% · Q3 83.3% · Q4 79.4% · 4Q avg 83.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.4% |
96.1%
4.7 pts worse
|
95.5%
4.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.9%
0.2 pts better
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 5.6% · Q4 5.9% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.0% |
4.3%
10.7 pts worse
|
11.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 13.3% · Q3 12.5% · Q4 25.8% · 4Q avg 15.0% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
4.1%
1.1 pts worse
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.4% · Q3 3.4% · Q4 3.3% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.1% |
12.4%
14.7 pts worse
|
19.6%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 27.3% · Q3 30.6% · Q4 23.5% · 4Q avg 27.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 53.1% |
17.5%
35.6 pts worse
|
16.7%
36.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 53.1% · 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 | 5.6% |
22.5%
16.9 pts better
|
16.3%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 5.5% · Q3 0.0% · Q4 4.0% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.9% |
18.6%
14.7 pts better
|
14.9%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 3.1% · Q3 3.0% · Q4 0.0% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.3%
2.3 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
2.6%
1.9 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.9% |
24.8%
20.9 pts better
|
19.8%
15.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.3% · Q3 2.4% · Q4 2.5% · 4Q avg 3.9% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
5.4%
3.1 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.8% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-08-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-03
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-03
Inspection history
Health
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.
Corrected 2025-08-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-21
Health
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.
Corrected 2025-08-21
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-08-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-21
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-21
Health
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.
Corrected 2025-08-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-17
Health
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.
Corrected 2024-10-17
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-10-17
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-03
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-10-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-06
Health
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected 2023-08-06
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-07-26
Penalties and ownership
Nearby options
Saint Paul, MN
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4-star overall rating with 3-star inspections with $13,039 in total fines with 9 recent health deficiencies
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