The Emeralds at St Paul LLC
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 45 Google reviews

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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)
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 detailsStrengths
- 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
Distribution · 49 analyzed
How They Respond to Reviews
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...”
“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”
Staffing
Staffing Hours
per resident/day · Medicare 2026This 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
6
measures
9
measures
2
measures
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents with pressure sores (bedsores)
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine11
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.
Jul 30, 2025Complaint1
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Jul 14, 2025Complaint3
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.
Jun 25, 2025Complaint3
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.
May 5, 2025Complaint6
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.
Apr 23, 2025Complaint6
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.
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
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
The Emeralds at St Paul LLC
for profit
Chain Affiliation
Monarch Healthcare Management
45 facilities nationwide
Chain avg rating: 2.3/5 · Rank 41 of 45 (Worst)
Ownership & Management
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
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
45 reviews from families & visitors
Official Website
Visit monarchmn.com
Medicare data downloads
Original nursing home datasets
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