C B
Jun 2026
The Emeralds of St. Paul, Minnesota is a great care center. When I call they go out of their way to make sure I speak with my love one. Their physical therapy is consistent and regiment. I appreciate their services.
1 / 5Quick Facts
- Medicare rating
- 1 of 5
- Ownership
- For profit, Corporation
- Certified beds
- 100
- Inspections
- View history (69 citations)
- Specialized capability
- Cares for ventilator and tracheostomy-dependent residents
- Neighborhood
- Located in the historic Cathedral Hill area of St. Paul
CMS Care Compare
What Families Think
Reviews for The Emeralds at St. Paul are sharply divided: many families and residents praise the nursing, therapy, and activities staff as caring and attentive, especially for complex cases like ventilator and tracheostomy care, while a large number of other reviewers report serious safety, sanitation, and staffing problems. Several reviewers note that conditions have improved since a change in facility leadership, though concerns about call-light response times and cleanliness persist in more recent reviews.
The Good
- Staff frequently described as caring, warm, and attentive
- Physical and occupational therapy praised by many residents
- Experience caring for ventilator and tracheostomy patients
- Activities program (bingo, karaoke, cookouts) well-liked
- Some reviewers note real improvement under newer management
The Bad
- Multiple reports of slow call-light response, sometimes hours
- Several reviews describe unsanitary conditions, including waste in rooms
- Multiple reports of medication errors or missed doses
- Building described by several reviewers as old and rundown
- Reports of understaffing, especially night shift and housekeeping
AI-generated from reviews and community data.
The Emeralds at St. Paul is a senior living community in SAINT PAUL, Minnesota offering Skilled Nursing / Long Term Care. Amenities include Emergency Call System, Wheelchair Accessible and 24-Hour Staff. Families rate it 3.0 out of 5 across 46 reviews.
About The Emeralds at St. Paul
The Emeralds at St. Paul is a skilled nursing facility located in the Cathedral Hill neighborhood of historic St. Paul, Minnesota. It is operated by Monarch Healthcare Management, which manages a variety of healthcare locations throughout Minnesota.
The community provides skilled nursing care along with patient-focused rehabilitation services designed to meet individual needs. Services range from short-term rehabilitation stays intended to help residents return home, to support for maintaining independence, to 24-hour nursing staff for those requiring ongoing care.
The facility emphasizes a resident-first approach, aiming to treat each person as more than just a medical diagnosis. Its mission centers on innovative care and attentive customer service, with a focus on putting residents, tenants, and families first.
Situated in the historic Cathedral Hill area of St. Paul, the community is part of a neighborhood known for its historic character.
Types of Care at The Emeralds at St. Paul
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Emergency Call System
- Wheelchair Accessible
Community Amenities
- 24-Hour Staff
- Medication Management
- On-Site Nurse (RN)
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Help Me ChooseReviews of The Emeralds at St. Paul
3overall · 46 ratings combined
3★ on Google (46)
CheriBomzArt (CheriBom)
Jun 2026
I'm putting in an update. SOME of the staff were doing their job. Not sure if they have enough help. NURSING HOMES not like when I was a CNA. Check in on your family members if you can. Therapists have been sporadically helpful.<br>Staff could do better about answering call lights, 3 hours, my friend is waiting today. This is disturbing... He had breathing issues at times. I decided to buy an alert one bracelet for my friend. In Case he had an emergency. I also recommend marking items. I had quite a few items gone missing. He was on a ventilator with a trach most of his time there. Hand splints were not put on. He likes to play guitar, he can't now. His left hand is contracted. His fingers touch palms. Painful. He tells me of instances where he couldn't speak to get his needs met. He went home prematurely. He couldn't take it anymore there. Waiting for help from the county. It's been over a year. He's in constant pain. Not walking. Not using wheelchair. (Sharon N., former CNA, PCA, HOME HEALTH AIDE, TMA).
YEVHEN MARCHENKO
May 2026
Уютно и комфортно
Rhonda RoseMary
Apr 2026
My dad is on vent for GBS and is expected to make a full recovery. The whole team treats my dad and my family with dignity and respect. They care about him as a person, not another body in a bed. Don't pay much attention to the negative comments out there- -feel free to reach me personally if you need more detail, or are apprehensive about this facility. (I am on socials.)
Sandy “Sandra Dee” Voss
Apr 2026
My husband is at The Emeralds at St.Paul with Gillaine Barre syndrom.I have 2 daughter's that switch off to be there with my husband,as I can't travel there myself. They have relayed messages and videos of staff DOING for my husband! They are kind,knowledgeable,on the ball,love my husband,sanitary and my daughters know them ALL on a 1st name basis.I Thank them all from the bottom of my broken heart and ask them to keep caring for my husband until he can come closer MY WAY. God Bless you ALL..Sandy A 5 star is very deserving!
Government Inspection History
14 inspection visits in the last three years, 69 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Jul 30, 2025Fire Safety StandardHealth ComplaintHealth Standard12 citations
Provide properly protected cooking facilities.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 21, 2025
Install corridor and hallway doors that block smoke.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 21, 2025
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 20, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2025
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 20, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2025
Provide care or services that was trauma informed and/or culturally competent.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 20, 2025
Jul 14, 2025Health Complaint3 citations
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2025
Jun 25, 2025Health Complaint3 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jun 14, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 28, 2025
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 28, 2025
May 5, 2025Health Complaint6 citations
Provide safe, appropriate pain management for a resident who requires such services.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 20, 2025
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.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 20, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 20, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 22, 2025
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 22, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 22, 2025
Apr 23, 2025Health Complaint3 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2025
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2025
Jan 29, 2025Health Complaint1 citation
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 1, 2025
Jan 14, 2025Health Complaint2 citations
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 14, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 14, 2025
Nov 14, 2024Health Complaint1 citation
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 15, 2024
Sep 18, 2024Health Complaint1 citation
Honor 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 18, 2024
Jul 30, 2024Health Complaint2 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 19, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 19, 2024
Jul 19, 2024Health Complaint2 citations
Provide safe and appropriate respiratory care for a resident when needed.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 19, 2024
Conduct 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 19, 2024
May 23, 2024Fire Safety StandardHealth ComplaintHealth Standard16 citations
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 30, 2024
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 30, 2024
Install an approved automatic sprinkler system.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 30, 2024
Have properly located and lighted "Exit" signs.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 30, 2024
Provide appropriate care/assistance for a resident with a prosthesis.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Honor 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 30, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Provide activities to meet all resident's needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Ensure 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Implement 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024
Oct 27, 2023Health Complaint1 citation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 16, 2023
Apr 27, 2023Fire Safety StandardHealth Standard16 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 7, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 7, 2023
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 7, 2023
Provide enough food/fluids to maintain a resident's health.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Provide care or services that was trauma informed and/or culturally competent.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Implement a program that monitors antibiotic use.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Honor 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does The Emeralds at St. Paul offer?
The Emeralds at St. Paul offers Skilled Nursing / Long Term Care.
How much does The Emeralds at St. Paul cost?
The Emeralds at St. Paul has not published its pricing. For context, communities in SAINT PAUL that publish rates start around $3,298 per month at the median. Final costs depend on care needs and apartment selection, so contact the community for a quote.
Where is The Emeralds at St. Paul located?
The Emeralds at St. Paul is located at 420 MARSHALL AVENUE in SAINT PAUL, Minnesota.
What do families say about The Emeralds at St. Paul?
Reviews for The Emeralds at St. Paul are sharply divided: many families and residents praise the nursing, therapy, and activities staff as caring and attentive, especially for complex cases like ventilator and tracheostomy care, while a large number of other reviewers report serious safety, sanitation, and staffing problems. Several reviewers note that conditions have improved since a change in facility leadership, though concerns about call-light response times and cleanliness persist in more recent reviews.
How did The Emeralds at St. Paul do on recent health and safety inspections?
The Emeralds at St. Paul had 14 government inspection visits in the last three years, with 69 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit The Emeralds at St. Paul?
Submit the Request Information form on this page to connect with The Emeralds at St. Paul and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at The Emeralds at St. Paul? Claim this listing to update photos, pricing, and details. It's free.
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