Nursing homeActive
Episcopal Church Home The Gardens
1860 University Avenue West, Saint Paul, MN 55104651632880160 certified beds · 54 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
33
● 0● 32● 1
Penalties · 3 yrs
—
1 action
Last survey
2026-04-09
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
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 |
|---|---|---|---|---|
| 2026-04-09 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2025-11-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-08-18 | Complaint | 060 | CMS-2567 (Care Compare) | — |
| 2025-05-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-26 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2024-03-04 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-03 | Standard | 071 | 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.
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 2026-05-11Record 245625-20260409-F554
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-11Record 245625-20260409-F583
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-11Record 245625-20260409-F695
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 2026-05-11Record 245625-20260409-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-11Record 245625-20260409-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 2026-05-11Record 245625-20260409-F880
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 2026-01-02Record 245625-20251120-F658
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-29Record 245625-20250818-F550
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-29Record 245625-20250818-F689
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 2025-10-22Record 245625-20250818-F700
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-29Record 245625-20250818-F760
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 DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-29Record 245625-20250818-F849
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 2025-10-22Record 245625-20250818-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 2025-06-27Record 245625-20250519-F609
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 245625-20250326-F657
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 2025-06-02Record 245625-20250326-F684
F659Provide care by qualified persons according to each resident's written plan of care.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 245625-20240912-F659
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 2024-11-04Record 245625-20240912-F677
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 2024-11-04Record 245625-20240912-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 245625-20240912-F689
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 2024-11-04Record 245625-20240912-F758
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 245625-20240912-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 245625-20240912-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 2024-11-04Record 245625-20240912-F880
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 2024-03-29Record 245625-20240304-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-12Record 245625-20230803-F689
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 2023-09-12Record 245625-20230803-F554
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 2023-09-12Record 245625-20230803-F584
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 2023-09-12Record 245625-20230803-F609
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-12Record 245625-20230803-F676
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-12Record 245625-20230803-F686
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-12Record 245625-20230803-F761
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-12Record 245625-20230803-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-03-26 | Denial of payment for new admissions Payment denial for 22 days, from 2025-06-26 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.57
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day5.69
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours5.30
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.5% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.1% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.1% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.8% | 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 | 32.2% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.5% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 6.5% | 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 |
|---|---|---|---|---|
| Episcopal Homes On University Avenue, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Episcopal Home Care And Services Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Episcopal Homes Of Minnesota Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Eh Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Clem, Mary Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cutler, Lois Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Forbes, Carol Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Franco, Keanan Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Gilbertson, Melissa Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gove, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hawthorne, Rebecca Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Henry, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hove, Thomas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Huber, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcgowan, Diane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mork, Steven Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Nowlin, Sarah Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ostenso, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Plakut, Marvin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Slawick, Jerome Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wells Fargo Bank Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
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 |
|---|---|---|---|
| Episcopal Church Home Of Minnesota Saint Paul | 0.1 mi | 2026-05-07 | 0323 |
| The Estates At Lynnhurst LLC Saint Paul | 0.1 mi | 2026-07-16 | 0490 |
| St Anthony Park Home Inc Saint Paul | 1.8 mi | 2026-01-14 | 3381 |
| Lyngblomsten Care Center Saint Paul | 1.8 mi | 2025-06-05 | 1112 |
| Carondelet Village Care Center Saint Paul | 2.1 mi | 2025-11-20 | 0101 |
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 |