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Nursing HomeMedicaid Investigative

The Emeralds at St Paul LLC

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

420 Marshall Avenue, Cathedral Hill · Saint Paul, MN 55102100 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 45 Google reviews

5
4
3
2
1
The Emeralds at St Paul LLC Nursing Home in Saint Paul, MN — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (24 vs median 6.5)

Bottom 25% in MN · Meets national RN staffing standard · Above recommended total nurse staffing · Worst in MONARCH HEALTHCARE MANAGEMENT chain · $35,275 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

While the facility has a strong therapy team and some dedicated staff, the recurring reports of neglect, slow response times, and unsanitary conditions are serious red flags. If you are considering this facility, we strongly advise you to visit unannounced, specifically during evening or weekend hours, to observe the actual response times and cleanliness for yourself.

Google Reviews

Google Reviews

45 reviews on Google
The Emeralds at St Paul receives highly polarized feedback, with many families reporting severe concerns regarding cleanliness, slow response times to call lights, and inconsistent medication management. While some reviewers praise specific staff members and the therapy department, others describe the facility as unsanitary, understaffed, and poorly managed. Prospective families should be aware of the significant number of reports regarding neglect and safety issues.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean1.0Activities7.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Helpful and dedicated therapy department
  • Some individual staff members are described as kind and compassionate
  • Active programming and activities

Concerns

  • Extremely slow response times to call lights (mentioned by 6 reviewers)
  • Unsanitary facility conditions and poor hygiene (mentioned by 7 reviewers)
  • Medication management errors or missed doses (mentioned by 4 reviewers)
  • Missing personal belongings and laundry (mentioned by 3 reviewers)
  • Understaffing leading to neglect (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

2341.9'19(8)1.03.7'21(3)4.82.0'23(4)2.51.0'25(7)4.3'26(12)

Distribution · 49 analyzed

5
19
4
6
3
1
2
2
1
21

How They Respond to Reviews

57%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the therapy department is highly regarded; how do you integrate those services into a resident's daily routine to ensure they stay active and engaged?
  • 2Given the recent focus on facility maintenance, what specific protocols are currently in place to ensure high standards of hygiene and cleanliness in resident rooms and common areas?
  • 3Can you walk me through your current process for medication administration and how you ensure accuracy and consistency for each resident?
  • 4When a resident uses their call light, what is your facility's target response time, and how is that monitored to ensure residents feel supported?
  • 5I see that you actively respond to feedback online; how do you use that communication to address family concerns and improve the daily experience for residents?
  • 6How do you manage the tracking of personal belongings and laundry to ensure that items are returned to the correct resident consistently?

Personalized based on this facility's data


Key Review Excerpts

Staff could do better about answering call lights, 3 hours, my friend is waiting today. This is disturbing...

Friend of resident · 2025★★★☆☆

The building is so rundown, and old and needs investment

Visitor · 2024☆☆☆☆

The nurses and aids are wonderful. In fact, the majority of the staff here are awesome. My son is well cared for and when I leave him to go home, I feel comfortable that he is in good han

Parent of resident · 2019★★★★
Source: 45 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.70hrs
OK
Registered nurses for medical care
Total Nursing
4.49hrs
OK
All nurses + aides combined
Staff Turnover
24%
Lower is better (< 30% = good)
RN Turnover
24%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
14.4%
MN
18.6%
Ramsey
18.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
12.1%
MN
4.3%
Ramsey
5.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.6%
Mixed vs Avgs
Here
17.6%
US
19.5%
MN
12.5%
Ramsey
10.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility90.2%
Worse than Avg
Here
90.2%
US
93.4%
MN
97.3%
Ramsey
94.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.8%
Worse than Avg
Here
25.8%
US
19.4%
MN
24.5%
Ramsey
23.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility10.6%
Worse than Avg
Here
10.6%
US
4.9%
MN
5.3%
Ramsey
5.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility67.1%
Worse than Avg
Here
67.1%
US
81.8%
MN
88.3%
Ramsey
86.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility66.7%
Worse than Avg
Here
66.7%
US
79.7%
MN
82.7%
Ramsey
80.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
1.6%
MN
1.8%
Ramsey
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
5penalties
Well above state avg (8.0)
30 complaint-triggered
$35,275 in fines

The Emeralds at St Paul has faced recurring serious problems requiring federal intervention, with 28 of 70 deficiencies triggered by family complaints, indicating ongoing resident safety concerns. The facility repeatedly struggles with accident prevention, pressure ulcer care, and abuse reporting protocols, with violations appearing across multiple surveys. While all deficiencies show correction dates, the persistent pattern of issues across the same care areas suggests systemic quality problems that families should carefully consider before visiting.

Jul 30, 2025Routine
11
0225Potential for harm · WidespreadCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 30, 2025Complaint
1
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Jul 14, 2025Complaint
3
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jun 25, 2025Complaint
3
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

May 5, 2025Complaint
6
0686Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0849Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0909Potential for harm · IsolatedCorrected

Environmental Deficiencies

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.

Apr 23, 2025Complaint
6
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Payment Denial

Jun 25, 2025

9-day denial

Payment Denial

Apr 23, 2025

65-day denial

Fine

Jul 19, 2024

$8,021

Fine

Jul 19, 2024

$13,627

Fine

Jul 19, 2024

$13,627

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Emeralds at St Paul LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Monarch Healthcare Management

Chain Size

45 facilities nationwide

Chain avg rating: 2.3/5 · Rank 41 of 45 (Worst)

Ownership & Management

Owners

Jca Holdings LLC

Owner · Organization

10%

Nij LLC

Owner · Organization

10%

Spartan Healthcare LLC

Owner · Organization

30%

Wbs Holdings LLC

Owner · Organization

20%

Yazoma Holdings, LLC

Owner · Organization

30%

Halpert, Marc

Owner (parent company)

30%

Jaffa, Noam

Owner (parent company)

10%

Legum, Joshua

Owner (parent company)

30%

Key personnel

Stern, William5% or Greater Mortgage InterestLegum, JoshuaContracted Managing EmployeeJaffa, NoamOfficer / DirectorHalpert, MarcOfficer / DirectorStern, WilliamOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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