Saint Paul, MN

Shirley Chapman Sholom Home East

4-star overall rating with 3-star inspections with $13,039 in total fines with 9 recent health deficiencies

740 Kay Avenue, Saint Paul, MN

(651) 328-2008

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

118

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1987-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.31

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

1.18

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.76

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

5.25

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

2.49

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

4.71

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

1.03

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.43

CMS adjusted RN staffing hours

Adjusted total hours

5.73

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

30%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,987

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

52.45

Composite VBP score used to determine payment impact.

Payment multiplier

1.0070

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.51

Baseline 20.44% · Performance 21.19% · Measure score 0.51 · Achievement 0.51 · Improvement 0

Healthcare-associated infections

4.30

Baseline 6.69% · Performance 6.55% · Measure score 4.30 · Achievement 4.30 · Improvement 0.35

Total nurse turnover

6.17

Performance 38.46% · Measure score 6.17 · Achievement 6.17 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 5.12 hours · Performance 5.78 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.14%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 227 · Observed rate 11.01% · Lower 95% interval 8.34%
Discharge to community	66.76%	50.57% 16.2 pts better	Better than the National Rate · Eligible stays 228 · Observed rate 60.09% · Lower 95% interval 60.51%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	95.56%	95.27% 0.3 pts better	Numerator 129 · Denominator 135
Falls with major injury	0.74%	0.77% About the same	Numerator 1 · Denominator 135
Discharge self-care score	64.76%	53.69% 11.1 pts better	Numerator 68 · Denominator 105
Discharge mobility score	56.19%	50.94% 5.2 pts better	Numerator 59 · Denominator 105
Pressure ulcers or injuries, new or worsened	2.96%	2.29% 0.7 pts worse	Numerator 4 · Denominator 135 · Adjusted rate 3.02%
Healthcare-associated infections requiring hospitalization	6.55%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 129 · Observed rate 5.43% · Lower 95% interval 4.01%
Staff COVID-19 vaccination coverage	0.39%	8.2% 7.8 pts worse	Numerator 1 · Denominator 259
Staff flu vaccination coverage	6.08%	42% 35.9 pts worse	Numerator 18 · Denominator 296
Discharge function score	61.9%	56.45% 5.4 pts better	Numerator 65 · Denominator 105
Transfer of health information to provider	87.61%	95.95% 8.3 pts worse	Numerator 99 · Denominator 113
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	56.16%	25.2% 31 pts better	Numerator 41 · Denominator 73

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.7 0.2 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.7 · Expected 2.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.0 0.8 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.3%	97.3% About the same	93.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.4% · Q3 97.0% · Q4 94.0% · 4Q avg 97.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	89.9%	96.1% 6.2 pts worse	95.5% 5.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 89.9%
Percentage of long-stay residents experiencing one or more falls with major injury	1.5%	3.9% 2.4 pts better	3.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 0.0% · Q4 3.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.2%	4.3% 3.9 pts worse	11.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 8.3% · Q3 10.7% · Q4 9.1% · 4Q avg 8.2%
Percentage of long-stay residents who lose too much weight	7.7%	4.1% 3.6 pts worse	5.4% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 16.0% · Q3 3.4% · Q4 5.0% · 4Q avg 7.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.4%	12.4% About the same	19.6% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 9.8% · Q3 11.9% · Q4 15.0% · 4Q avg 12.4%
Percentage of long-stay residents who received an antipsychotic medication	19.3%	17.5% 1.8 pts worse	16.7% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 22.5% · Q3 14.6% · Q4 14.9% · 4Q avg 19.3% · 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	22.9%	22.5% 0.4 pts worse	16.3% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 18.0% · Q4 12.8% · 4Q avg 22.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.2%	18.6% 3.4 pts better	14.9% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 18.2% · Q3 10.0% · Q4 13.7% · 4Q avg 15.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.9%	2.3% 0.4 pts better	1.0% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.9%	2.6% 1.3 pts worse	1.7% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.8% · Q3 3.1% · Q4 1.5% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.0%	24.8% 7.8 pts better	19.8% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 21.4% · Q3 7.1% · Q4 13.7% · 4Q avg 17.0%
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 3.3% · Q2 4.7% · Q3 3.4% · Q4 4.5% · 4Q avg 4.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	88.2%	88.6% 0.4 pts worse	81.7% 6.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 90.6% · Q2 87.7% · Q3 87.2% · Q4 87.5% · 4Q avg 88.2%
Percentage of short-stay residents who had an outpatient emergency department visit	14.4%	14.0% 0.4 pts worse	12.0% 2.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 13.1% · Expected 10.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.9% 1 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 1.5% · Q4 1.4% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.5%	82.7% 3.2 pts worse	79.7% 0.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.0%	23.1% 7.9 pts worse	23.9% 7.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.0% · Observed 26.2% · Expected 20.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

9 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-06-13 · Fire 2024-06-13

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2023-03-30 · Fire 2023-03-30

8 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-07-10

F · Potential for more than minimal harm 2024-06-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-07-21

F · Potential for more than minimal harm 2024-06-13

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-07-21

F · Potential for more than minimal harm 2024-06-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-21

F · Potential for more than minimal harm 2024-06-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-07-21

F · Potential for more than minimal harm 2024-06-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-21

F · Potential for more than minimal harm 2024-06-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-07-21

E · Potential for more than minimal harm 2024-06-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-21

C · Minimal harm 2024-06-13

K222 · Egress Deficiencies

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 2024-07-10

F · Potential for more than minimal harm 2023-03-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-04-17

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-04-17

F584 · Resident Rights Deficiencies

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 2025-05-27

D · Potential for more than minimal harm 2025-04-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-04-17

F688 · Quality of Life and Care Deficiencies

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 2025-05-27

D · Potential for more than minimal harm 2025-04-17

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-04-17

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-04-17

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-04-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-27

D · Potential for more than minimal harm 2024-09-25

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-10-22

D · Potential for more than minimal harm 2024-09-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-22

E · Potential for more than minimal harm 2024-06-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-21

E · Potential for more than minimal harm 2024-06-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-21

D · Potential for more than minimal harm 2024-06-13

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-07-21

D · Potential for more than minimal harm 2024-06-13

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-21

D · Potential for more than minimal harm 2024-06-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-07-21

D · Potential for more than minimal harm 2024-06-13

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-07-21

D · Potential for more than minimal harm 2024-06-13

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-07-21

K · Immediate jeopardy 2023-03-30

F578 · Resident Rights Deficiencies

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 2023-05-03

F · Potential for more than minimal harm 2023-03-30

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-03-30

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-30

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-30

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-30

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-30

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-03

Penalties and ownership

What sits behind the stars

$13,039 2023-03-30

Fine

Fine · fine $13,039

Fine

Ownership

Sholom Community Alliance

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1995-07-13

Berryman, David

Operational/Managerial Control · Individual

0% 2 facilities 2016-03-07

Berryman, David

Corporate Officer · Individual

0% 2 facilities 2016-03-07

Furman, Lisa