The Emeralds at St Paul LLC
Nursing home in St. Paul, Minnesota, CMS certification number 245295
420 Marshall Avenue, St. Paul, MN 55102 · Ramsey County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 100
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 19, 2026
- Deficiencies at that inspection
- 7
- Fines in 3 years
- $138,736 (4)
Does The Emeralds at St Paul LLC take Medicare and Medicaid?
Yes to both. The Emeralds at St Paul is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours The Emeralds at St Paul reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.57
- Registered nurse hours
- 1.71
- Licensed practical nurse hours
- 0.64
- Nurse aide hours
- 2.22
- Weekend total hours
- 4.19
- Nursing staff turnover
- 18.9%
- Registered nurse turnover
- 26.5%
- Administrators who left
- 3
Health inspections and complaints
Inspectors last made a standard visit on August 19, 2026 and cited 7 deficiencies, plus 2 from complaint visits.
The visit before, on July 30, 2025, found 9.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined The Emeralds at St Paul 4 times in the past 3 years, for $138,736 in total.
It also had 2 payment denials, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 88.3 residents live here, about 88% of its 100 certified beds.
- Certified beds
- 100
- Average residents per day
- 88.3
- Certified since
- December 1, 1985
- Resident or family council
- Both
Who owns The Emeralds at St Paul LLC
- Legal business name
- The Emeralds at St Paul, LLC
- Ownership type
- For profit - Corporation
- Chain
- 45 homes nationally under Monarch Healthcare Management, 2.1-star chain average
Other nursing homes near The Emeralds at St Paul LLC
- The Villas at St Paul445 Galtier Avenue, St. Paul 55103
- Little Sisters of the Poor330 Exchange Street South, St. Paul 55102
- Ebenezer Integrated Care & Rehab45 West 10th Street, St. Paul 55102
- Capital View Transitional Care Center640 Jackson Street, St. Paul 55101
- Cerenity Care Center on Humboldt512 Humboldt Avenue, St. Paul 55107
See also all nursing homes in St. Paul.
Who inspects nursing homes in Minnesota
Minnesota's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Minnesota, the 17 in St. Paul, or see how assisted living and nursing homes differ.
Is this your facility?
If you run The Emeralds at St Paul LLC, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about The Emeralds at St Paul
What is the CMS star rating of The Emeralds at St Paul LLC?
1 out of 5 stars overall.
Does The Emeralds at St Paul LLC accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at The Emeralds at St Paul LLC?
7 cited at the last standard visit.
Who owns The Emeralds at St Paul LLC?
The Emeralds at St Paul, LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.