Federal inspection record · CMS data as of October 1, 2026
The Emeralds At St Paul LLC
420 Marshall Avenue, Saint Paul, MN · (651) 224-2368
- Certified beds
- 100
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Monarch Healthcare Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1985
1
How this home got 1 star
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
★★★★★no change
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
The Emeralds At St Paul LLC carries 164.5 inspection points. That is fewer than 6% 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
53 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 (8)
-
G
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Provide safe, appropriate pain management for a resident who requires such services.
-
J
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.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide safe and appropriate respiratory care for a resident when needed.
Everything else, by area of care
Quality of Life and Care14D
- D
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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or obtain dental services for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- 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 activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide appropriate care/assistance for a resident with a prosthesis.
Resident Rights8E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 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.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
Freedom from Abuse, Neglect, and Exploitation8D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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.
Resident Assessment and Care Planning6D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Nursing and Physician Services1E
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Administration1E
- E
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.
Inspection history
2026-08-19
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-07-30
28 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2024-05-23
18 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 34 min of nursing staff time a day, 1 h 42 min of it from a registered nurse.
This home
4 h 34 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 19% of nursing staff and 27% of registered nurses left in the past year, along with 3 administrators.
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
$138,736 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-25 | Payment Denial · 9 day denial | $0 |
| 2025-04-23 | Fine | $103,461 |
| 2025-04-23 | Payment Denial · 65 day denial | $0 |
| 2024-07-19 | Fine | $8,021 |
| 2024-07-19 | Fine | $13,627 |
| 2024-07-19 | Fine | $13,627 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days2.2 pts worse | 3.7 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts worse | 3.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts worse | 93.8% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts better | 96.9% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.1 pts better | 0.0% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.7 pts worse | 10.8% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts worse | 7.1% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.3 pts worse | 18.0% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.7 pts worse | 25.9% | 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 worsened10.1 pts better | 8.7% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.4 pts better | 7.8% | 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 infection1.4 pts better | 1.2% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts better | 19.3% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts worse | 8.3% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts worse | 72.6% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts worse | 17.9% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.9% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.8 pts worse | 76.5% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts worse | 28.8% | 23.0% | 23.4% |
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Who owns and runs it
14 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 |
|---|---|---|---|
| Halpert, Marc | 5% Or Greater Indirect Ownership Interest · Individual | 30% | 45 facilities |
| Legum, Joshua | 5% Or Greater Indirect Ownership Interest · Individual | 30% | 45 facilities |
| Spartan Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 30% | 45 facilities |
| Yazoma Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 30% | 44 facilities |
| Wbs Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 20% | 26 facilities |
| Jaffa, Noam | 5% Or Greater Indirect Ownership Interest · Individual | 10% | 45 facilities |
| Jca Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 10% | 8 facilities |
| Nij LLC | 5% Or Greater Direct Ownership Interest · Organization | 10% | 44 facilities |
| Halpert, Marc | Corporate Officer · Individual | 0% | 45 facilities |
| Jaffa, Noam | Corporate Director · Individual | 0% | 45 facilities |
| Legum, Joshua | Contracted Managing Employee · Individual | 0% | 45 facilities |
| Monarch Healthcare Operating Viii LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Stern, William | 5% Or Greater Mortgage Interest · Individual | 0% | 45 facilities |
| Stern, William | Corporate Officer · Individual | 0% | 45 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Have an enclosure around a vertical opening shaft.
- F
Provide properly protected cooking facilities.
- F
Install corridor and hallway doors that block smoke.
- F
Install an approved automatic sprinkler system.
Egress4F
- D
Have properly located and lighted "Exit" signs.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness1F
- F
Provide primary/alternate means for communication.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
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
-
Little Sisters Of The Poor
Saint Paul, MN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 31 min
- Fines
- $13,265
-
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