Nursing homes › Minnesota › Episcopal Church Home the Gardens
1860 University Avenue West, Saint Paul, MN 55104 · 6516328801 · 60 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 5.69 (Minnesota median: 4.16). RN hours: 0.57. Weekend total: 5.30.
All-time on record: 33 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-05-11 |
| 2026-04-09 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-05-11 |
| 2026-04-09 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2026-05-11 |
| 2026-04-09 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2026-05-11 |
| 2026-04-09 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-05-11 |
| 2026-04-09 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2026-05-11 |
| 2025-11-20 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-01-02 |
| 2025-08-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-10-29 |
| 2025-08-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-10-29 |
| 2025-08-18 | 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. | D | complaint | corrected 2025-10-22 |
| 2025-08-18 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-10-29 |
| 2025-08-18 | 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. | D | complaint | corrected 2025-10-29 |
| 2025-08-18 | 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. | D | complaint | corrected 2025-10-22 |
| 2025-05-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-27 |
| 2025-03-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-06-02 |
| 2025-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-06-02 |
| 2024-09-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-11-04 |
| 2024-09-12 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-11-04 |
| 2024-09-12 | Provide care by qualified persons according to each resident's written plan of care. | D | Health | corrected 2024-11-04 |
| 2024-09-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-11-04 |
| 2024-09-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-11-04 |
| 2024-09-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-11-04 |
| 2024-09-12 | 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. | D | Health | corrected 2024-11-04 |
| 2024-09-12 | Ensure 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. | D | Health | corrected 2024-11-04 |
| 2024-03-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-03-29 |
| 2023-08-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2023-09-12 |
| 2023-08-03 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-09-12 |
| 2023-08-03 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2023-09-12 |
| 2023-08-03 | 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. | D | Health | corrected 2023-09-12 |
| 2023-08-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-09-12 |
| 2023-08-03 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2023-09-12 |
| 2023-08-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-09-12 |
| 2023-08-03 | Ensure 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. | D | Health | corrected 2023-09-12 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-26 | Payment Denial | 22 days payment denial |
| 2023-08-03 | Payment Denial | 3 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/27/2013 |
| EPISCOPAL HOME CARE AND SERVICES | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/27/2013 |
| EPISCOPAL HOMES OF MINNESOTA | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/27/2013 |
| CUTLER, LOIS | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2016 |
| FORBES, CAROL | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2016 |
| GILBERTSON, MELISSA | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2016 |
| GOVE, PETER | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2016 |
| HAWTHORNE, REBECCA | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2017 |
| HOVE, THOMAS | Corporate Director | Individual | NOT APPLICABLE | since 03/27/2013 |
| HUBER, JAMES | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2017 |
| MCGOWAN, DIANE | Corporate Director | Individual | NOT APPLICABLE | since 03/27/2013 |
| NOWLIN, SARAH | Corporate Director | Individual | NOT APPLICABLE | since 03/27/2013 |
| OSTENSO, BRIAN | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2015 |
| SLAWICK, JEROME | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2016 |
| CLEM, MARY | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2017 |
| HENRY, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 10/19/2015 |
| MORK, STEVEN | Corporate Officer | Individual | NOT APPLICABLE | since 01/12/2016 |
| PLAKUT, MARVIN | Corporate Officer | Individual | NOT APPLICABLE | since 03/27/2013 |
| EH SERVICES INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/27/2013 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245625. Corrections: data@carerecords.org.