Nursing homeActive
The Emeralds At St Paul LLC
420 Marshall Avenue, Saint Paul, MN 551026512242368100 certified beds · 90 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
14
since 2023
Deficiencies
62
● 0● 55● 7
Penalties · 3 yrs
$138,736
4 fines · 2 actions
Last survey
2025-07-30
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-07-30 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2025-07-14 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2025-06-25 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2025-05-05 | Complaint | 033 | CMS-2567 (Care Compare) | — |
| 2025-04-23 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-01-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-14 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-11-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-30 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-07-19 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-05-23 | Standard | 0120 | CMS-2567 (Care Compare) | — |
| 2023-10-27 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-04-27 | Standard | 0160 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 245295-20250730-F558
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 245295-20250730-F578
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 245295-20250730-F605
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 245295-20250730-F677
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 245295-20250730-F688
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 245295-20250730-F699
F742Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 245295-20250730-F742
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 245295-20250730-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 245295-20250730-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-08-08Record 245295-20250714-F686
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 245295-20250714-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 245295-20250714-F842
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-06-14Record 245295-20250625-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-28Record 245295-20250625-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-28Record 245295-20250625-F610
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-20Record 245295-20250505-F686
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-20Record 245295-20250505-F697
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity JHarm
Records
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-20Record 245295-20250505-F849
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 245295-20250505-F641
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 245295-20250505-F700
F909Regularly 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.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 245295-20250505-F909
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 245295-20250423-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 245295-20250423-F610
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 245295-20250423-F684
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-01Record 245295-20250129-F726
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 245295-20250114-F600
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 245295-20250114-F656
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-15Record 245295-20241114-F755
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 245295-20240918-F585
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-08-19Record 245295-20240730-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-19Record 245295-20240730-F609
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-08-19Record 245295-20240719-F695
F838Conduct 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.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-19Record 245295-20240719-F838
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F554
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F580
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F658
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F684
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F693
F696Provide appropriate care/assistance for a resident with a prosthesis.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F696
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F758
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245295-20240523-F883
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-16Record 245295-20231027-F609
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F554
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F580
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F584
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F640
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F645
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F692
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F699
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F881
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F919
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-07Record 245295-20230427-F921
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-06-25 | Denial of payment for new admissions Payment denial for 9 days, from 2025-08-12 | — | CMS · Penalties |
| 2025-04-23 | Civil money penalty | $103,461 | CMS · Penalties |
| 2025-04-23 | Denial of payment for new admissions Payment denial for 65 days, from 2025-06-04 | — | CMS · Penalties |
| 2024-07-19 | Civil money penalty | $13,627 | CMS · Penalties |
| 2024-07-19 | Civil money penalty | $13,627 | CMS · Penalties |
| 2024-07-19 | Civil money penalty | $8,021 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.75
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.60
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours4.24
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover24%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover33%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 9.0% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 25.5% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.2% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 7.5% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.3% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.1% | 12.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Jca Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| Nij LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| Spartan Healthcare LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | — | — |
| Wbs Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | — | — |
| Yazoma Holdings, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | — | — |
| Halpert, Marc Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | — | — |
| Jaffa, Noam Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | — | — |
| Legum, Joshua Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | — | — |
| Monarch Healthcare Operating Viii LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Halpert, Marc Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jaffa, Noam Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Legum, Joshua Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Stern, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stern, William Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Monarch Healthcare Management — 45 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.
No county cost figures on file for Ramsey.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Villas At St Paul Saint Paul | 0.5 mi | 2026-06-26 | 0331 |
| Little Sisters Of The Poor Saint Paul | 0.8 mi | 2026-01-28 | 3251 |
| Ebenezer Integrated Care & Rehab Saint Paul | 0.9 mi | 2026-04-01 | 0182 |
| Capital View Transitional Care Center Saint Paul | 1.2 mi | 2025-11-19 | 070 |
| Shirley Chapman Sholom Home East Saint Paul | 2.3 mi | 2025-04-17 | 0180 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |