Skilled nursing · Saint Paul, MN

The Emeralds at St Paul LLC

420 MARSHALL AVENUE, Saint Paul, MN 55102

1 / 5CMS 100 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. The Emeralds at St Paul LLC carries a Palmelle Clarity Score of 0 out of 100, derived from federal CMS Care Compare data plus Minnesota state records. Health inspection rating sits at 1-star, staffing at 4-star, quality measures at 2-star. Long-stay antipsychotic prescribing is at 18.1 percent, above the 14 percent national median. Long-stay sedative prescribing is at 17.1 percent, above the 15 percent national median. RN coverage is 1.7 hours per resident per day. Nurse turnover 24 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Minnesota DPH

Your trusted senior advocate

Independent senior placement and family advocacy.

Palmelle helps families check facility safety, vet nursing home red flags, and find the right placement after a hospital discharge. We index all 67,750 U.S. facilities, including the ones with active CMS violations or open complaints. The data is on the page so families can see what's actually there.

Call (888) 282-7256 to talk with a Placement Specialist. Intake Monday, written recommendation Thursday, follow-up Friday.

In their own words

No operator description yet.

Claim this listing →

Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

1.7

National

0.78

Annual nurse turnover

This

24%

National

53%

Worth asking about

Antipsychotic, long-stay

This

18.1%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Minnesota state data

The full inspection record.

Federal CMS ratings

Overall★★★★★1 / 5

Health inspection★★★★★1 / 5

Staffing★★★★★4 / 5

Quality measures★★★★★2 / 5

Staffing

RN hours per resident, daily

This

1.7

Nat

0.78

Total nurse hours / resident, daily

This

4.49

Nat

3.62

Annual nurse turnover

This

24%

Nat

53%

Annual RN turnover

This

24%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

18.1%

Nat

14%

Sedative / sleep med

This

17.1%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

0.0%

Nat

1.6%

Penalties & status

No abuse iconSFF CandidateInspection current$35,275 in fines (3)

Identity & licensing

CMS ID245295

OwnershipFor profit - Corporation

ChainIndependent

Beds100

Avg residents89

Citations · last 36 months

Flagged by CMS data
This facility reports 4.0-star staffing levels but resident outcomes are only 2.0 stars. High staffing ratings with poor resident outcomes suggest the staffing numbers may not reflect the quality of care residents actually receive.
From the latest CMS Care Compare reconcile
Flagged by CMS data
CMS has designated this facility as a Special Focus Facility (SFF Candidate). This designation is given to nursing homes with a history of serious quality problems. Only the worst performers in the country receive this designation.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Minnesota DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for The Emeralds at St Paul LLC?

The Emeralds at St Paul LLC has an overall CMS Care Compare rating of 1 out of 5 stars. It scores 1 of 5 on health inspection, 4 of 5 on staffing, and 2 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has The Emeralds at St Paul LLC been cited for resident harm?

It has $35,275 in federal fines across 3 penalties on record in the last 36 months. CMS data flagged 2 concerns on the latest reconcile. The full record for The Emeralds at St Paul LLC appears in the record section above.

Does The Emeralds at St Paul LLC use antipsychotic medications?

18.1 percent of long-stay residents at The Emeralds at St Paul LLC are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 17.1 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is The Emeralds at St Paul LLC's Palmelle Clarity Score?

The Emeralds at St Paul LLC has a Palmelle Clarity Score of 0 out of 100, putting it below the national median. The score is a composite of federal CMS and Minnesota state inspection data. Higher is better.

How can I tour or contact The Emeralds at St Paul LLC?

The Emeralds at St Paul LLC is located at 420 MARSHALL AVENUE, Saint Paul, MN 55102. Phone: (651) 224-2368. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is The Emeralds at St Paul LLC a special focus facility?

The Emeralds at St Paul LLC carries special focus status (SFF Candidate) on the federal program that identifies facilities with persistent quality problems.

What does F-689 mean on The Emeralds at St Paul LLC's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If The Emeralds at St Paul LLC has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does The Emeralds at St Paul LLC compare to other Saint Paul skilled nursing facilities?

The Emeralds at St Paul LLC holds a Palmelle Clarity Score of 0. Browse the full Saint Paul directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at The Emeralds at St Paul LLC?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on The Emeralds at St Paul LLC and two other facilities on your shortlist.

Not sure if this is the one?

We do the calling. You do the choosing.

A real human compares this facility to two others. Phone calls, pricing, availability, the questions you would not think to ask.

$199 · 3-business-day money-back promise

Get your answer →