The Emeralds at St Paul LLC: Staffing, Turnover, and Inspection Record
The Emeralds at St Paul LLC is a 100-bed for-profit nursing home in Saint Paul, Minnesota, part of Monarch Healthcare Management. In the CMS August 2026 release it reported 2.26 nurse aide hours per resident per day, 10% below the Minnesota average of 2.52, and 23.6% nursing staff turnover (Minnesota average 42.2%).
The Emeralds at St Paul LLC
420 Marshall AvenueSaint Paul, MN 55102
Ramsey County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Emeralds at St Paul LLC, nurse aides logged 2.26 hours per resident per day, 10% below the Minnesota average. With about 90 residents a day, that works out to roughly 203 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Minnesota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.26 | 2.52 | 2.32 |
| Licensed practical nurses | 0.59 | 0.61 | 0.86 |
| Registered nurses | 1.75 | 1.06 | 0.69 |
| All nursing staff | 4.60 | 4.19 | 3.86 |
| All nursing staff, weekends | 4.24 | 3.71 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
23.6% of nursing staff at The Emeralds at St Paul LLC left over the year CMS measured, against a Minnesota average of 42.2% and a US average of 45.8%. Registered nurse turnover was 33.3%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 30, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Minnesota average 7.0). CMS lists 4 fines totaling $138,736 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 25, 2025 | Payment Denial | 9 days from Aug 12, 2025 |
| Apr 23, 2025 | Fine | $103,461 |
| Apr 23, 2025 | Payment Denial | 65 days from Jun 4, 2025 |
| Jul 19, 2024 | Fine | $8,021 |
| Jul 19, 2024 | Fine | $13,627 |
| Jul 19, 2024 | Fine | $13,627 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Emeralds at St Paul LLC holds 1 of 5 overall; the Minnesota average is 3.2.
About The Emeralds at St Paul LLC
- Ownership: For profit - Corporation
- Chain: Monarch Healthcare Management, 45 homes
- Legal name: The Emeralds at St Paul, LLC
- Medicare and Medicaid certified since: Dec 1, 1985
- Councils: resident and family councils
- Area: urban
Nursing homes near The Emeralds at St Paul LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Villas at St Paul Saint Paul | 0.5 | 105 | 1.54 | 3.21 | 48.1% | 2 | None |
| Little Sisters of the Poor Saint Paul | 0.8 | 73 | 3.28 | 4.95 | 47.9% | 2 | $13,265 |
| Ebenezer Integrated Care & Rehab Saint Paul | 0.9 | 62 | 2.72 | 5.35 | 37.4% | 4 | $31,360 |
| Capital View Transitional Care Center Saint Paul | 1.2 | 32 | 3.31 | 6.76 | 24.2% | 5 | None |
| Cerenity Care Center on Humboldt Saint Paul | 2.0 | 93 | 1.98 | 3.84 | 52.9% | 2 | $69,031 |
| Shirley Chapman Sholom Home East Saint Paul | 2.3 | 118 | 2.72 | 5.21 | 30.1% | 4 | None |
| Hayes Residence Saint Paul | 2.9 | 40 | 1.43 | 2.53 | 57.7% | 2 | None |
| Lyngblomsten Care Center Saint Paul | 2.9 | 225 | 2.48 | 3.79 | 16.7% | 3 | $101,482 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.