About The Emeralds At St Paul LLCThe Emeralds At St Paul Llc is located at 420 Marshall Avenue, Saint Paul, MN, reachable at (651) 224-2368. This For profit – Corporation facility operates 100.0 certified beds and serves an average of 86 residents per day. It is part of the Monarch Healthcare Management network (45 facilities nationwide). Medicare and Medicaid services have been provided since 1985-12-01. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
#13484 of 14703 nationally – #321 of 338 in Minnesota
Who Is This Facility Best For?
The Emeralds At St Paul Llc may be considered for families with limited options in Saint Paul, MN, but its lower CMS ratings suggest careful due diligence is warranted. Above-average staffing levels make it a good option for residents needing intensive nursing care.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★1 / 5
Health Inspection
★★★★★1 / 5
Staffing Rating
★★★★★4 / 5
Quality Measures (QM)
★★★★★1 / 5
Long-Stay QM Rating
★★★★★2 / 5
Short-Stay QM Rating
★★★★★1 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightThe Emeralds At St Paul Llc currently provides 4 hours 37 minutes of total nurse staffing per resident per day, including 1 hour 41 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover is 34.0%, near the national average.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing4 hours 37 minutes
Nurse Aide Hours2 hours 18 minutes
Licensed Practical Nurse (LPN) Hours39 minutes
Registered Nurse (RN) Hours1 hour 41 minutes
Physical Therapist Hours4 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 3 fine(s) totaling $35,275. 17 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 2 Medicare payment denial(s) in the current period.
Nationally, The Emeralds At St Paul Llc ranks 13484th out of 14,703 facilities (composite score: 53.8/100), placing it in the bottom 25% nationwide. Within MN, it ranks 321st out of 338 nursing homes. In Saint Paul, it ranks 16th out of 17 facilities. Among facilities sharing its ZIP code, it ranks 4th of 4. For 2026 staffing: total nurse hours rank #2,028 nationally and RN hours rank #396 nationally (#26 in MN).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MN State Rank
Note
2022
4.86
#1,342 / 14,703
#53 / 338
Top 10%
2023
4.68
#1,682 / 14,703
#65 / 338
Top 25%
2024
4.38
#2,492 / 14,703
#108 / 338
Top 25%
2025
4.79
#1,574 / 14,703
#62 / 338
Top 25%
2026
4.61
#2,028 / 14,703
#94 / 338
Top 25%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MN State Rank
Note
2022
1.75
#376 / 14,703
#22 / 338
Top 5%
2023
1.77
#287 / 14,703
#14 / 338
Top 5%
2024
1.66
#373 / 14,703
#20 / 338
Top 5%
2025
1.39
#670 / 14,703
#41 / 338
Top 5%
2026
1.68
#396 / 14,703
#26 / 338
Top 5%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
The Emeralds At St Paul Llc is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1985-12-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (651) 224-2368 or your local Medicaid office to verify current eligibility.
The Emeralds At St Paul Llc holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (4★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 53.8/100, placing it #13484 of 14703 facilities nationally and #321 of 338 in Minnesota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at The Emeralds At St Paul Llc receives a reported average of 4 hours 37 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 41 minutes; Licensed Practical Nurse (LPN) — 39 minutes; Nurse Aide — 2 hours 18 minutes. On weekends, total nurse staffing is 4 hours 17 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 34.0%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 3 fine(s) totaling $35,275. 17 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 2 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 3 fine(s) totaling $35,275, and 2 Medicare payment denial(s). Total penalties: 5. The Total Weighted Health Survey Score is 300.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, The Emeralds At St Paul Llc ranks 13484th out of 14,703 facilities (composite score: 53.8/100), placing it in the bottom 25% nationwide. Within MN, it ranks 321st out of 338 nursing homes. In Saint Paul, it ranks 16th out of 17 facilities. Among facilities sharing its ZIP code, it ranks 4th of 4. For 2026 staffing: total nurse hours rank #2,028 nationally and RN hours rank #396 nationally (#26 in MN). Our composite quality score of 53.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Saint Paul, visit: https://nursinghomesnearme.org/minnesota/saint-paul/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.