Federal inspection record · CMS data as of October 1, 2026
Little Sisters Of The Poor
330 Exchange Street South, Saint Paul, MN · (651) 227-0336
- Certified beds
- 73
- Residents per day
- 39
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1988
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
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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.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Little Sisters Of The Poor carries 65.75 inspection points. That is fewer than 34% 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
29 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)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Administration7F
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- F
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- C
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.
- C
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Quality of Life and Care6E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- E
Ensure the activities program is directed by a qualified professional.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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 each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation3D
- 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.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Infection Control3F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services2D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Observe each nurse aide's job performance and give regular training.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspection history
2026-01-28
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-12-11
14 health deficiencies · 7 fire-safety deficiencies
Top issue: Administration (6 deficiencies)
2024-02-01
12 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 31 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
4 h 31 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 75% 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
$13,265 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-03 | Fine | $8,021 |
| 2024-10-03 | Payment Denial · 9 day denial | $0 |
| 2023-11-06 | Fine | $5,244 |
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 vaccine33.9 pts worse | 63.4% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.1 pts worse | 85.3% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 1.5% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.2 pts better | 1.9% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 1.0% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.7 pts better | 0.0% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.2 pts better | 12.0% | 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 worsened8.8 pts better | 10.0% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.6 pts better | 14.6% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 1.5% | 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 incontinence4.6 pts better | 19.1% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.5 pts better | 0.6% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine39.5 pts worse | 48.6% | 88.1% | 82.3% |
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Who owns and runs it
8 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 |
|---|---|---|---|
| Kannangara, Donna Marie | 5% Or Greater Direct Ownership Interest · Individual | 100% | 1 facilities |
| Donacik, Ronald | Corporate Officer · Individual | 0% | 2 facilities |
| Donacik, Ronald | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Donacik, Ronald | Adp Of The SNF · Individual | 0% | 2 facilities |
| Kannangara, Donna Marie | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Kannangara, Donna Marie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sharma, Himanshu | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sharma, Himanshu | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Have an enclosure around a vertical opening shaft.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress3F
- F
Have properly located and lighted "Exit" signs.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- C
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.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1C
- C
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Ebenezer Integrated Care & Rehab
Saint Paul, MN · Ebenezer Senior Living
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 24 min
- Fines
- $26,785
-
The Emeralds At St Paul LLC
Saint Paul, MN · Monarch Healthcare Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 34 min
- Fines
- $138,736
-
The Villas At St Paul
Saint Paul, MN · Monarch Healthcare Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 13 min
- Fines
- $15,940