Deficiency timeline
The Emeralds at St Paul LLC
Dated inspection findings, penalties, and correction notes for this nursing home in Saint Paul, MN. Newest events first.
- Class IIIPotential for more than minimal harm (D)cms
F0742: Quality of Life and Care
Quality of life & care
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 Aug 20, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Aug 20, 2025
- Class IIIPotential for more than minimal harm (E)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 Aug 20, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Aug 20, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0578: Resident Rights
Resident rights
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 Aug 20, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0605: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected Aug 20, 2025
- 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 Aug 20, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0688: Quality of Life and Care
Quality of life & care
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 Aug 20, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0699: Quality of Life and Care
Quality of life & care
Provide care or services that was trauma informed and/or culturally competent.
Corrected Aug 20, 2025
- Class IIActual harm (G)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Aug 8, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Aug 8, 2025
- 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 Aug 8, 2025
- Class IImmediate jeopardy (J)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 Jun 14, 2025
- 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 Jul 28, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Jul 28, 2025
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0697: Quality of Life and Care
Quality of life & care
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 20, 2025
- Class IImmediate jeopardy (J)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 May 20, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected May 22, 2025
- 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 May 22, 2025
- 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 May 22, 2025
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 20, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Apr 25, 2025
- 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 Apr 25, 2025
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Fine $103,461cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- 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 Apr 25, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0726: Nursing and Physician Services
Nursing & physician services
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 Mar 1, 2025
- 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 Feb 14, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Feb 14, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Dec 15, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0585: Resident Rights
Resident rights
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 Oct 18, 2024
- Class IImmediate jeopardy (J)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 Aug 19, 2024
- 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 Aug 19, 2024
- Fine $13,627cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Aug 19, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0838: Administration
Administration
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 Aug 19, 2024
- Fine $13,627cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $8,021cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- 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 Jun 30, 2024
- 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 Jun 30, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jun 30, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
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 Jun 30, 2024
- Class IIIPotential for more than minimal harm (D)cms
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 Jun 30, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Jun 30, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Jun 30, 2024
- 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 Jun 30, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0693: Quality of Life and Care
Quality of life & care
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 Jun 30, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0696: Quality of Life and Care
Quality of life & care
Provide appropriate care/assistance for a resident with a prosthesis.
Corrected Jun 30, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Jun 30, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0883: Infection Control
Infection control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Jun 30, 2024
- 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 Nov 16, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0640: Resident Assessment and Care Planning
Assessment & care planning
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected Jun 7, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Jun 7, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0645: Resident Assessment and Care Planning
Assessment & care planning
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Jun 7, 2023
- 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 Jun 7, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Jun 7, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0699: Quality of Life and Care
Quality of life & care
Provide care or services that was trauma informed and/or culturally competent.
Corrected Jun 7, 2023
- 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 Jun 7, 2023
- 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 Jun 7, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0919: Environmental
Environment
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Jun 7, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0921: Environmental
Environment
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Jun 7, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jun 7, 2023
- 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 Jun 7, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Jun 7, 2023
- Class IIIPotential for more than minimal harm (E)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 Jun 7, 2023
- Class IIIPotential for more than minimal harm (E)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 Jun 7, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0881: Infection Control
Infection control
Implement a program that monitors antibiotic use.
Corrected Jun 7, 2023
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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