Episcopal Church Home the Gardens
1860 University Avenue West · Saint Paul, MN · 55104 · 6516328801
60 certified beds Non profit - Corporation
- Staffing hours comfortably above national benchmarks.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 5.20 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
-
Potential for harm · D April 9, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 11, 2026 · Resident Rights
-
Potential for harm · D April 9, 2026
Keep residents' personal and medical records private and confidential.
Corrected May 11, 2026 · Resident Rights
-
Potential for harm · D April 9, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 11, 2026 · Quality of Life and Care
-
Potential for harm · D April 9, 2026
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 · Pharmacy Service
-
Potential for harm · F April 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 11, 2026 · Nutrition and Dietary
-
Potential for harm · E April 9, 2026
Provide and implement an infection prevention and control program.
Corrected May 11, 2026 · Infection Control
-
Potential for harm · D November 20, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 2, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D August 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 29, 2025 · Resident Rights
-
Potential for harm · D August 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 29, 2025 · Quality of Life and Care
-
Potential for harm · D August 18, 2025 · found via complaint
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 October 22, 2025 · Quality of Life and Care
-
Potential for harm · D August 18, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 29, 2025 · Pharmacy Service
-
Potential for harm · D August 18, 2025 · found via complaint
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 October 29, 2025 · Administration
-
Potential for harm · D August 18, 2025 · found via complaint
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 October 22, 2025 · Environmental
-
Potential for harm · D May 19, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 26, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 2, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 2, 2025 · Quality of Life and Care
-
Potential for harm · D September 12, 2024
Provide care by qualified persons according to each resident's written plan of care.
Corrected November 4, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 4, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 4, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024
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 November 4, 2024 · Pharmacy Service
-
Potential for harm · D September 12, 2024
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 November 4, 2024 · Pharmacy Service
-
Potential for harm · F September 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 4, 2024 · Nutrition and Dietary
-
Potential for harm · E September 12, 2024
Provide and implement an infection prevention and control program.
Corrected November 4, 2024 · Infection Control
-
Potential for harm · D September 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 4, 2024 · Quality of Life and Care
-
Potential for harm · D March 4, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 29, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2025 | Payment Denial | 22 days |
| August 3, 2023 | Payment Denial | 3 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245625 · certified since April 15, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.