Senior Home Review
Home›Browse›Minnesota›Saint Paul›The Emeralds At St Paul
Nursing homeFAID #6512

The Emeralds At St Paul

420 MARSHALL AVENUE, SAINT PAUL, MN, 55102
(651) 224-2368
100 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
Photo of THE EMERALDS AT ST PAUL LLC
Photo via Google · The Emeralds at St. Paul
What we can show you for free.
Bed capacity
100
CMS facility ID
245295
Care type
Nursing home
County
Ramsey
Facility name
The Emeralds At St Paul
Street address
420 MARSHALL AVENUE
City / state / ZIP
Saint Paul, MN 55102
Phone
(651) 224-2368

The Emeralds At St Paul is a Medicare/Medicaid-certified skilled nursing facility in Saint Paul, Minnesota. It is licensed for 100 beds — well above the median for skilled nursing facilities in Minnesota (60 beds).

It is one of 111 senior care facilities in Saint Paul and 338 skilled nursing facilities across Minnesota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Emeralds At St Paul 69 times across 19 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $138,736 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Monarch Healthcare Management
Ownership type
For profit - Corporation

Registered owners & officers

Halpert, Marc
Indirect owner · Officer — 30% stake — since 2019
Legum, Joshua
Indirect owner · Managing employee — 30% stake — since 2019
Spartan Healthcare Llc
Direct owner — 30% stake — since 2019
Yazoma Holdings, Llc
Direct owner — 30% stake — since 2019
Wbs Holdings Llc
Direct owner — 20% stake — since 2019
Jaffa, Noam
Indirect owner · Director — 10% stake — since 2019
Jca Holdings Llc
Direct owner — 10% stake — since 2019
Nij Llc
Direct owner — 10% stake — since 2019
Monarch Healthcare Operating Viii Llc
Operational control — since 2019
Stern, William
Mortgage holder · Officer — since 2019

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-12-01
CMS overall rating
1 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$138,736 total
Last standard inspection
2025-07-30
Nurse staffing
4.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$446 per day (≈ $13,560/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
83% Medicaid · 4% Medicare · 13% private/other
Occupancy
80% (fiscal year 2023)
Vs. state median
10% above the MN median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
100
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-07-30Health inspectionComplaint-triggered9 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-08-20
F-0578
D · No harm found
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.
Corrected 2025-08-20
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-20
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-20
F-0688
D · No harm found
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.
Corrected 2025-08-20
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-08-20
F-0742
D · No harm found
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.
Corrected 2025-08-20
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-20
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-20
2025-07-14Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-08
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-08
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-08
14 earlier / fire-safety inspections (57 citations)
2025-06-25Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-28
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-07-28
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-14
2025-05-05Health inspectionComplaint-triggered6 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-05-22
F-0686
J · Immediate jeopardyFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-20
F-0697
J · Immediate jeopardyFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-20
F-0700
D · No harm foundFrom a complaint
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.
Corrected 2025-05-22
F-0849
J · Immediate jeopardyFrom a complaint
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.
Corrected 2025-05-20
F-0909
D · No harm foundFrom a complaint
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.
Corrected 2025-05-22
2025-04-23Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-25
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-04-25
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-25
2025-01-29Health inspectionComplaint-triggered1 citation
F-0726
E · No harm foundFrom a complaint
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.
Corrected 2025-03-01
2025-01-14Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-14
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-14
2024-11-14Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-15
2024-09-18Health inspectionComplaint-triggered1 citation
F-0585
D · No harm foundFrom a complaint
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.
Corrected 2024-10-18
2024-07-30Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-19
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-19
2024-07-19Health inspectionComplaint-triggered2 citations
F-0695
J · Immediate jeopardyFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-19
F-0838
E · No harm foundFrom a complaint
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.
Corrected 2024-08-19
2024-05-23Health inspectionComplaint-triggered12 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-06-30
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-30
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2024-06-30
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-30
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-30
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-06-30
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-30
F-0693
D · No harm found
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.
Corrected 2024-06-30
F-0696
D · No harm found
Provide appropriate care/assistance for a resident with a prosthesis.
Corrected 2024-06-30
F-0758
D · No harm found
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.
Corrected 2024-06-30
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-06-30
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-06-30
2023-10-27Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-16
2023-04-27Health inspection16 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-06-07
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-06-07
F-0584
D · No harm found
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.
Corrected 2023-06-07
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-06-07
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-06-07
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-06-07
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-07
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-07
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-07
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-06-07
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-06-07
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-07
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-06-07
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2023-06-07
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-06-07
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-06-07
2025-07-30Fire-safety inspection3 citations
K-0225
F · No harm found
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-08-21
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-08-21
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-08-21
2024-05-23Fire-safety inspection4 citations
K-0225
F · No harm found
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-06-30
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-06-30
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-06-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-06-30

Federal penalties

2025-04-23Fine$103,461
2024-07-19Fine$8,021
2024-07-19Fine$13,627
2024-07-19Fine$13,627
2025-06-25Medicare payment denial — 9 days
2025-04-23Medicare payment denial — 65 days
Total fines$138,736
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 245295.
What people say on Google.
3.048 ratings on Google
★★★★★Daniel Peters · 2026-04-28 · via Google

“The entire staff at The Emeralds exemplifies what exceptional care looks like. From the CNAs, nurses, speech therapists, and respiratory therapists to the housekeeping and front desk teams — everyone is professional, compassionate, and genuinely warm. I recently spent several days there with a close friend who is recovering from GBS, and I was consistently impressed by the level of attentiveness …”

★★★★Bonnie Reynolds · 2026-03-12 · via Google

“Leadership under new management is improving the facility daily. Things are more organized and more in tune with what the residents want. Dietary desires are being met, rooms are cleaner, maintenance is done more consistently, and nursing on day and evening shift is much improved. Night shift still needs some improvement. I'm much happier now under the leadership of Crystal. We miss Barron, but wi…”

★★★★★Sandy “Sandra Dee” Voss · 2026-04-29 · via Google

“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 hea…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 69 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered