Deficiency timeline

EPISCOPAL CHURCH HOME THE GARDENS

Dated inspection findings, penalties, and correction notes for this nursing home in Saint Paul, MN. Newest events first.

35 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 11, 2026

  2. Class IIIPotential for more than minimal harm (D)cms

    F0554: Resident Rights

    Resident rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected May 11, 2026

  3. Class IIIPotential for more than minimal harm (D)cms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected May 11, 2026

  4. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 11, 2026

  5. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected May 11, 2026

  6. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected May 11, 2026

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Jan 2, 2026

  8. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Oct 29, 2025

  9. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Oct 29, 2025

  10. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0700: Quality of Life and Care

    Quality of life & care

    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 Oct 22, 2025

  11. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Oct 29, 2025

  12. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0909: Environmental

    Environment

    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 Oct 22, 2025

  13. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0849: Administration

    Administration

    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 Oct 29, 2025

  14. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Jun 27, 2025

  15. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Jun 2, 2025

  16. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jun 2, 2025

  17. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  18. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Nov 4, 2024

  19. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Nov 4, 2024

  20. Class IIIPotential for more than minimal harm (D)cms

    F0659: Resident Assessment and Care Planning

    Assessment & care planning

    Provide care by qualified persons according to each resident's written plan of care.

    Corrected Nov 4, 2024

  21. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Nov 4, 2024

  22. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Nov 4, 2024

  23. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Nov 4, 2024

  24. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    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 Nov 4, 2024

  25. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected Nov 4, 2024

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Mar 29, 2024

  27. Class IIActual harm (G)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Sep 12, 2023

  28. Class IIIPotential for more than minimal harm (F)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Sep 12, 2023

  29. Class IIIPotential for more than minimal harm (D)cms

    F0554: Resident Rights

    Resident rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected Sep 12, 2023

  30. Class IIIPotential for more than minimal harm (D)cms

    F0584: Resident Rights

    Resident rights

    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 Sep 12, 2023

  31. Class IIIPotential for more than minimal harm (D)cms

    F0676: Quality of Life and Care

    Quality of life & care

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected Sep 12, 2023

  32. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Sep 12, 2023

  33. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected Sep 12, 2023

  34. Class IIIPotential for more than minimal harm (D)cms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Sep 12, 2023

  35. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile

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