Little Sisters of the Poor
330 Exchange Street South · Saint Paul, MN · 55102 · 6512270336
73 certified beds Non profit - Corporation
Why this verdict
- Federal penalties on record: $8,021 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.83 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 4.54 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $13,265 |
Inspection citations (29 in the current record)
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Potential for harm · D January 28, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 18, 2026 · Resident Rights
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Potential for harm · D January 28, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 18, 2026 · Quality of Life and Care
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Potential for harm · D January 28, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 18, 2026 · Pharmacy Service
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Potential for harm · D December 11, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 9, 2025 · Pharmacy Service
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Potential for harm · D December 11, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 9, 2025 · Pharmacy Service
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Potential for harm · D December 11, 2024
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected January 9, 2025 · Administration
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Potential for harm · F December 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 9, 2025 · Nutrition and Dietary
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Immediate jeopardy · J October 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 8, 2024 · Quality of Life and Care
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Potential for harm · F October 3, 2024 · found via complaint
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected November 8, 2024 · Administration
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Potential for harm · F October 3, 2024 · found via complaint
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 November 8, 2024 · Administration
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Potential for harm · F October 3, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected November 8, 2024 · Administration
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Potential for harm · F October 3, 2024 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected November 8, 2024 · Administration
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Potential for harm · D October 3, 2024 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected November 8, 2024 · Nursing and Physician Services
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No harm found · C October 3, 2024 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected November 8, 2024 · Nursing and Physician Services
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No harm found · C October 3, 2024 · found via complaint
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected November 8, 2024 · Administration
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Potential for harm · D February 7, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F February 1, 2024 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected February 23, 2024 · Infection Control
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Potential for harm · D February 1, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 23, 2024 · Quality of Life and Care
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Potential for harm · E February 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 23, 2024 · Nutrition and Dietary
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Potential for harm · D February 1, 2024
Provide and implement an infection prevention and control program.
Corrected February 23, 2024 · Infection Control
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Potential for harm · E February 1, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 23, 2024 · Infection Control
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No harm found · C February 1, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected February 23, 2024 · Administration
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Potential for harm · D October 4, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 17, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 3, 2024 | Fine | $8,021 |
| October 3, 2024 | Payment Denial | 9 days |
| November 6, 2023 | Fine | $5,244 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245524 · certified since February 1, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.