The Emeralds At St Paul Llc
420 Marshall Avenue, Saint Paul, MN, 55102
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Monarch Healthcare Management
- Certified beds
- 100 · avg 89 residents/day
- Total nursing staff turnover
- 24.4% — lower than most Minnesota nursing homesMinnesota avg: 42.5% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 24.2% — lower than most Minnesota nursing homesMinnesota avg: 38.5% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Minnesota averageMinnesota avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $138,736 total
- Payment denials
- 2 denials
Medicare certification
- CMS Certification Number
- 245295
- Certified beds
- 100 beds · avg 89 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- The Emeralds At St Paul, Llc
- Chain affiliation
- Monarch Healthcare Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Monarch Healthcare Management chain — 45 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (11 on record)
- Jca Holdings Llc
5% or Greater Direct Ownership Interest · 10% · since 2019
- Jeffrey Arem
5% or Greater Indirect Ownership Interest · 10% · since 2019
- Joshua Legum
5% or Greater Indirect Ownership Interest · 30% · since 2019
- Marc Halpert
Corporate Officer · 30% · since 2019
- Monarch Healthcare Operating Viii Llc
Operational/managerial Control · 100% · since 2019
- Nij Llc
5% or Greater Direct Ownership Interest · 10% · since 2019
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 62)
- D0558·Jul 30, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0880·Jul 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jul 30, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0742·Jul 30, 2025
Quality of Life and Care Deficiencies
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.
- D0699·Jul 30, 2025
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
- D0688·Jul 30, 2025
Quality of Life and Care Deficiencies
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.
- D0677·Jul 30, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0605·Jul 30, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Federal penalties
By year
- 20251 fine · $103K · 2 payment denials
- 20243 fines · $35K
Most recent events
- Jun 25, 2025Payment denial · 9 days · starting Aug 12, 2025
- Apr 23, 2025Payment denial · 65 days · starting Jun 4, 2025
- Apr 23, 2025Fine · $103K
- Jul 19, 2024Fine · $14K
- Jul 19, 2024Fine · $14K
- Jul 19, 2024Fine · $8,021
Largest single fine on record: $103K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Jul 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Emeralds At St Paul Llcinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.