Nursing Home · Saint Paul, MN
420 Marshall Avenue, Cathedral Hill · Saint Paul, MN 55102
Medicare overall rating
1 / 5 stars
Inspection records →About this listing
Catalog updated Sep 1, 2026. Current services and availability are unconfirmed.
Monthly cost
Ask for the full monthly cost, including care fees and one-time charges.
Availability
We don't have live openings. Ask about current availability, waiting lists, and move-in timing.
Reported capacity: 100 beds. This is not the number of openings.
Contact information →Care & support
Provides nursing care and help with daily activities. Some offer short-term rehabilitation.
This describes the care category. Confirm support for your family member's needs.
Understand care types →Payment options
Participation is reported in our source data. Confirm eligibility, covered services, and any private-pay costs.
Medicare participation does not mean all stays or services are covered.
Ask about these reported findings and check the latest official record.
Your next step
You don't need to know everything. Start with these questions.
Medicare rates this facility 1 out of 5 overall. Medicare reports an average of 1.75 registered-nurse hours per resident per day. Ask how coverage varies across shifts. The latest standard survey recorded 9 findings, above the MN average of 8.0. Review the inspection findings, ask which corrective actions are complete, and discuss the support your family member would receive.
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.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
Reviews are deeply split between praise for individual kindness and reports of neglectful or abusive behavior.
Families report difficulty getting staff to answer phones or provide updates on loved ones.
Numerous reports of filthy conditions, including urine on floors, fecal matter in showers, and overflowing trash.
Multiple reviewers describe the food as cold, lacking choices, or unsuitable for dietary needs.
Reviewers specifically mention enjoying bingo, karaoke, and live music programming.
Multiple reports of missed medications and incorrect administration.
Scores range from 0 (negative) to 10 (positive). They are model interpretations of reviews and are not clinical, safety, or inspection ratings. Unmentioned topics are omitted.
Strengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 51 analyzed
This facility actively engages with reviewer feedback.
Key Review Excerpts
“Staff could do better about answering call lights, 3 hours, my friend is waiting today. This is disturbing...”
“The building is so rundown, and old and needs investment”
“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”
Reported nursing hours are daily averages per resident. They do not describe a specific shift or guarantee one-to-one care.
Per resident, per day
Nurses and aides combined
Reported by Medicare
Registered nurses
Ask during your visit: Who will help my family member during the day and overnight? How do you plan staffing when residents need more support?
EveryPlace uses reference points of 0.75 registered-nurse hours and 4.1 total nursing hours per resident per day. These are comparison targets, not current federal minimum requirements or a determination that a facility meets a resident's needs.
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
8
measures
4
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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
Fine
Apr 23, 2025
$103,461
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
The Emeralds at St Paul LLC
for profit
Monarch Healthcare Management
45 facilities nationwide
Chain avg rating: 2.3/5 · Rank 41 of 45 (Lowest rating)
Owners
Jca Holdings LLC
Owner · Organization
Nij LLC
Owner · Organization
Spartan Healthcare LLC
Owner · Organization
Wbs Holdings LLC
Owner · Organization
Yazoma Holdings, LLC
Owner · Organization
Halpert, Marc
Owner (parent company)
Jaffa, Noam
Owner (parent company)
Legum, Joshua
Owner (parent company)
Key personnel
Contact the provider directly when you feel ready. Have your questions handy and ask for answers in writing.
Confirm current status with the state licensing agency. A direct record link is not available in this catalog.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
47 reviews from families & visitors
Official Website
Visit monarchmn.com
Medicare data downloads
Original nursing home datasets
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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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