Saint Paul, MN

The Villas At St Paul

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

445 Galtier Avenue, Saint Paul, MN

(651) 224-1848

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Monarch Healthcare Management

Operator or chain grouping

Approved since

1986-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

45 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

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

0.63

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

1.51

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

3.21

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.70

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.95

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.83

CMS adjusted RN staffing hours

Adjusted total hours

4.27

CMS adjusted total nurse staffing hours

Case-mix index

1.03

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,046

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

Performance score

21.62

Composite VBP score used to determine payment impact.

Payment multiplier

0.9827

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.48

Baseline 72.55% · Performance 63.09% · Measure score 1.48 · Achievement 0 · Improvement 1.48

Adjusted total nurse staffing

2.84

Baseline 3.78 hours · Performance 3.89 hours · Measure score 2.84 · Achievement 2.84 · Improvement 0.01

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.36%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 37 · Observed rate 8.11% · Lower 95% interval 5.55%
Discharge to community	29.28%	50.57% 21.3 pts worse	Worse than the National Rate · Eligible stays 43 · Observed rate 16.28% · Lower 95% interval 18.98%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	93.94%	95.27% 1.3 pts worse	Numerator 31 · Denominator 33
Falls with major injury	3.03%	0.77% 2.3 pts worse	Numerator 1 · Denominator 33
Discharge self-care score	40.91%	53.69% 12.8 pts worse	Numerator 9 · Denominator 22
Discharge mobility score	45.45%	50.94% 5.5 pts worse	Numerator 10 · Denominator 22
Pressure ulcers or injuries, new or worsened	6.06%	2.29% 3.8 pts worse	Numerator 2 · Denominator 33 · Adjusted rate 7.44%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 50
Staff flu vaccination coverage	46.84%	42% 4.8 pts better	Numerator 37 · Denominator 79
Discharge function score	63.64%	56.45% 7.2 pts better	Numerator 14 · Denominator 22
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	87.3%	97.3% 10 pts worse	93.4% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 78.6% · Q2 93.1% · Q3 89.2% · Q4 88.1% · 4Q avg 87.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.8%	96.1% 9.3 pts worse	95.5% 8.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.8%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	3.9% 2.9 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.4% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.5%	4.3% 0.2 pts worse	11.4% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.5% · Q3 4.4% · Q4 6.8% · 4Q avg 4.5%
Percentage of long-stay residents who lose too much weight	4.5%	4.1% 0.4 pts worse	5.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 2.9% · Q3 2.8% · Q4 3.7% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	5.5%	12.4% 6.9 pts better	19.6% 14.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.3% · Q3 6.9% · Q4 6.1% · 4Q avg 5.5%
Percentage of long-stay residents who received an antipsychotic medication	17.1%	17.5% 0.4 pts better	16.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 18.8% · Q3 13.0% · Q4 14.3% · 4Q avg 17.1% · 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	12.7%	22.5% 9.8 pts better	16.3% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 7.4% · Q3 5.1% · Q4 20.4% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.7%	18.6% 8.9 pts better	14.9% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 4.5% · Q3 4.2% · Q4 12.5% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	2.3% 1.8 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.5% · 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 2.9% · Q2 0.0% · 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	18.1%	24.8% 6.7 pts better	19.8% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 19.9% · Q3 6.0% · Q4 15.9% · 4Q avg 18.1%
Percentage of long-stay residents with pressure ulcers	5.1%	5.4% 0.3 pts better	5.1% About the same	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.1% · Q3 6.8% · Q4 8.8% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	70.4%	88.6% 18.2 pts worse	81.7% 11.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 65.8% · Q2 58.2% · Q3 74.4% · Q4 90.0% · 4Q avg 70.4%
Percentage of short-stay residents who had an outpatient emergency department visit	10.5%	14.0% 3.5 pts better	12.0% 1.5 pts better	Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 12.9% · Expected 13.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	1.9% 0.2 pts better	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.1% · Q3 1.8% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	51.0%	82.7% 31.7 pts worse	79.7% 28.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 51.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.8%	23.1% 1.3 pts better	23.9% 2.1 pts better	Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 25.8% · Expected 28.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

7 health deficiencies

Top issue: Infection Control (2 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-06-27 · Fire 2024-06-27

14 health deficiencies

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

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

12 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-03

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-05-15

F · Potential for more than minimal harm 2025-04-03

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-15

F · Potential for more than minimal harm 2025-04-03

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-15

F · Potential for more than minimal harm 2025-04-03

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-05-15

F · Potential for more than minimal harm 2025-04-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-15

F · Potential for more than minimal harm 2025-04-03

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-15

F · Potential for more than minimal harm 2024-06-27

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-07-30

F · Potential for more than minimal harm 2024-06-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-30

F · Potential for more than minimal harm 2024-06-27

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 2024-07-30

D · Potential for more than minimal harm 2024-06-27

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-07

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-03

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 2025-05-15

E · Potential for more than minimal harm 2025-04-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-04-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-15

E · Potential for more than minimal harm 2025-03-28

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 2025-04-30

E · Potential for more than minimal harm 2025-03-28

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-03-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-10

D · Potential for more than minimal harm 2024-09-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-09-23

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-09-23

F729 · Nursing and Physician Services Deficiencies

Health

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-09-23

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-07-23

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-06

D · Potential for more than minimal harm 2024-06-27

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-27

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-27

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 2024-07-30

D · Potential for more than minimal harm 2024-06-27

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-27

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-27

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 2024-07-30

D · Potential for more than minimal harm 2024-06-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-27

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-30

E · Potential for more than minimal harm 2023-03-16