8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Saint Paul, MN
3-star overall rating with 2-star inspections with $101,482 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1415 Almond Avenue, Saint Paul, MN
(651) 646-2941
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
225
Certified beds
Average residents
209
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-09-01
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
0.88
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.43
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.58
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
3.88
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.62
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.64
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.02
CMS adjusted RN staffing hours
Adjusted total hours
4.52
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
16%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
204
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
78.17
Composite VBP score used to determine payment impact.
Payment multiplier
1.0254
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
9.32
Baseline 14.55% · Performance 17.11% · Measure score 9.32 · Achievement 9.32 · Improvement 0
Healthcare-associated infections
4.37
Baseline 5.08% · Performance 6.53% · Measure score 4.37 · Achievement 4.37 · Improvement 0
Total nurse turnover
10
Baseline 16.59% · Performance 19.75% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
7.58
Baseline 4.67 hours · Performance 5.23 hours · Measure score 7.58 · Achievement 7.58 · Improvement 4.61
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.67% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 226 · Observed rate 11.95% · Lower 95% interval 8.76% |
| Discharge to community | 56.74% |
50.57%
6.2 pts better
|
Better than the National Rate · Eligible stays 201 · Observed rate 52.24% · Lower 95% interval 50.6% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.73% |
95.27%
2.5 pts better
|
Numerator 129 · Denominator 132 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 132 |
| Discharge self-care score | 54.78% |
53.69%
1.1 pts better
|
Numerator 63 · Denominator 115 |
| Discharge mobility score | 56.52% |
50.94%
5.6 pts better
|
Numerator 65 · Denominator 115 |
| Pressure ulcers or injuries, new or worsened | 1.52% |
2.29%
0.8 pts better
|
Numerator 2 · Denominator 132 · Adjusted rate 1.47% |
| Healthcare-associated infections requiring hospitalization | 6.53% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 134 · Observed rate 5.22% · Lower 95% interval 3.16% |
| Staff COVID-19 vaccination coverage | 16.56% |
8.2%
8.4 pts better
|
Numerator 75 · Denominator 453 |
| Staff flu vaccination coverage | 55% |
42%
13 pts better
|
Numerator 275 · Denominator 500 |
| Discharge function score | 71.3% |
56.45%
14.8 pts better
|
Numerator 82 · Denominator 115 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.59% |
96.28%
1.3 pts better
|
Numerator 81 · Denominator 83 |
| Resident COVID-19 vaccinations up to date | 62.86% |
25.2%
37.7 pts better
|
Numerator 44 · Denominator 70 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
2.0
1.4 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
97.3%
2.1 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.4% · Q3 98.9% · Q4 99.4% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.1%
3.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.9%
1.4 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.7% · Q3 2.3% · Q4 2.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.7% |
4.3%
0.4 pts worse
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 1.9% · Q3 7.1% · Q4 3.8% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 0.5% |
4.1%
3.6 pts better
|
5.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 1.4% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.2% |
12.4%
3.2 pts better
|
19.6%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 6.3% · Q3 11.5% · Q4 11.0% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.4% |
17.5%
4.9 pts worse
|
16.7%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 23.7% · Q3 21.1% · Q4 23.5% · 4Q avg 22.4% · 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 | 25.7% |
22.5%
3.2 pts worse
|
16.3%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.1% · Q2 29.4% · Q3 29.6% · Q4 18.4% · 4Q avg 25.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.0% |
18.6%
0.4 pts worse
|
14.9%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 19.3% · Q3 19.0% · Q4 20.5% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
2.3%
1.3 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.9% · Q4 1.4% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
2.6%
0.5 pts better
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.3% · Q3 1.1% · Q4 3.3% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.2% |
24.8%
1.6 pts better
|
19.8%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 22.2% · Q3 22.0% · Q4 24.5% · 4Q avg 23.2% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.4%
0.1 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 8.2% · Q3 6.7% · Q4 3.5% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
88.6%
7.8 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 95.7% · Q3 97.7% · Q4 97.1% · 4Q avg 96.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.8% |
14.0%
1.2 pts better
|
12.0%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 12.4% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.1% |
1.9%
2.2 pts worse
|
1.6%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.0% · Q3 4.3% · Q4 3.8% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.4% |
82.7%
15.7 pts better
|
79.7%
18.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
23.1%
0.7 pts better
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 19.6% · Expected 20.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Meet other general requirements.
Corrected 2025-07-28
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 2025-07-28
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-09-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-28
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-28
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-08
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-05-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-08
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-05-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-03
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-04-03
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-04-17
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-04-03
Inspection history
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-07-18
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-07-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-18
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-07-18
Health
Provide activities to meet all resident's needs.
Corrected 2025-07-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-18
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-07-18
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 2024-09-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-08
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-05-08
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-03-24
Health
Respond appropriately to all alleged violations.
Corrected 2023-03-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-24
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-03-24
Penalties and ownership
Fine · fine $86,775
Fine
Fine · fine $14,707
Fine
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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
Saint Paul, MN
2-star overall rating with 2-star inspections with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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
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