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Nursing homesMinnesota › The Emeralds at St Paul LLC

The Emeralds at St Paul LLC

420 Marshall Avenue, Saint Paul, MN 55102 · 6512242368 · 100 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★★☆ 4/5
Quality measures★★☆☆☆ 2/5

Ownership group

Per CMS filings, this facility is affiliated with Monarch Healthcare Management, a group operating 45 facilities in 1 states. Group record: average rating 2.3/5, 5 abuse citation icons, 0 facilities on the Special Focus list, $1,559,048 in federal fines. This facility rates below its group average (2.3/5).

See all 45 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 4.60 (Minnesota median: 4.16). RN hours: 1.75. Weekend total: 4.24. Nursing staff turnover: 24%.

Inspection deficiencies

All-time on record: 62 deficiency citations, including 6 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-07-30Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-08-20
2025-07-30Reasonably accommodate the needs and preferences of each resident. Dcomplaintcorrected 2025-08-20
2025-07-30Honor 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. DHealthcorrected 2025-08-20
2025-07-30Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. DHealthcorrected 2025-08-20
2025-07-30Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2025-08-20
2025-07-30Provide 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. DHealthcorrected 2025-08-20
2025-07-30Provide care or services that was trauma informed and/or culturally competent. DHealthcorrected 2025-08-20
2025-07-30Provide 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. DHealthcorrected 2025-08-20
2025-07-30Provide and implement an infection prevention and control program. DHealthcorrected 2025-08-20
2025-07-14Provide appropriate pressure ulcer care and prevent new ulcers from developing. Gcomplaintcorrected 2025-08-08
2025-07-14Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2025-08-08
2025-07-14Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2025-08-08
2025-06-25Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2025-06-14
2025-06-25Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-07-28
2025-06-25Respond appropriately to all alleged violations. Dcomplaintcorrected 2025-07-28
2025-05-05Provide appropriate pressure ulcer care and prevent new ulcers from developing. Jcomplaintcorrected 2025-05-20
2025-05-05Provide safe, appropriate pain management for a resident who requires such services. Jcomplaintcorrected 2025-05-20
2025-05-05Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Jcomplaintcorrected 2025-05-20
2025-05-05Ensure each resident receives an accurate assessment. Dcomplaintcorrected 2025-05-22
2025-05-05Try 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. Dcomplaintcorrected 2025-05-22
2025-05-05Regularly 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. Dcomplaintcorrected 2025-05-22
2025-04-23Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-04-25
2025-04-23Respond appropriately to all alleged violations. Dcomplaintcorrected 2025-04-25
2025-04-23Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2025-04-25
2025-01-29Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Ecomplaintcorrected 2025-03-01
2025-01-14Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-02-14
2025-01-14Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2025-02-14
2024-11-14Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2024-12-15
2024-09-18Honor 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. Dcomplaintcorrected 2024-10-18
2024-07-30Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2024-08-19
2024-07-30Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-08-19
2024-07-19Provide safe and appropriate respiratory care for a resident when needed. Jcomplaintcorrected 2024-08-19
2024-07-19Conduct 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. Ecomplaintcorrected 2024-08-19
2024-05-23Allow residents to self-administer drugs if determined clinically appropriate. DHealthcorrected 2024-06-30
2024-05-23Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. DHealthcorrected 2024-06-30
2024-05-23Honor 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. Dcomplaintcorrected 2024-06-30
2024-05-23Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2024-06-30
2024-05-23Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2024-06-30
2024-05-23Provide activities to meet all resident's needs. DHealthcorrected 2024-06-30
2024-05-23Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2024-06-30

Federal penalties

DateTypeAmount
2025-06-25Payment Denial9 days payment denial
2025-04-23Fine$103,461
2025-04-23Payment Denial65 days payment denial
2024-07-19Fine$8,021
2024-07-19Fine$13,627
2024-07-19Fine$13,627

Ownership & control records (CMS filings)

NameRoleType%Since
JCA HOLDINGS LLC5% Or Greater Direct Ownership InterestOrganization10%since 02/01/2019
NIJ LLC5% Or Greater Direct Ownership InterestOrganization10%since 02/01/2019
SPARTAN HEALTHCARE LLC5% Or Greater Direct Ownership InterestOrganization30%since 02/01/2019
WBS HOLDINGS LLC5% Or Greater Direct Ownership InterestOrganization20%since 02/01/2019
YAZOMA HOLDINGS, LLC5% Or Greater Direct Ownership InterestOrganization30%since 02/01/2019
HALPERT, MARC5% Or Greater Indirect Ownership InterestIndividual30%since 02/01/2019
JAFFA, NOAM5% Or Greater Indirect Ownership InterestIndividual10%since 02/01/2019
LEGUM, JOSHUA5% Or Greater Indirect Ownership InterestIndividual30%since 02/01/2019
JAFFA, NOAMCorporate DirectorIndividualNOT APPLICABLEsince 02/01/2019
HALPERT, MARCCorporate OfficerIndividualNOT APPLICABLEsince 02/01/2019
STERN, WILLIAMCorporate OfficerIndividualNOT APPLICABLEsince 02/01/2019
MONARCH HEALTHCARE OPERATING VIII LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 02/01/2019

Compare nearby (Ramsey County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245295. Corrections: data@carerecords.org.