The Emeralds at St Paul LLC
Nursing Home Facility
420 Marshall Avenue, Saint Paul, MN 55102
Bethel Care Center is a 123 bed skilled Medicare/Medicaid, VA certified nursing facility; conveniently located on historic Cathedral Hill.
Operated by Mission Healthcare, which runs 8 communities in our directory.
The Emeralds at St Paul LLC is licensed for 100 beds, about typical for the area, where senior care communities in Saint Paul average about 95 beds.
Federal reporting puts occupancy at about 90% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Saint Paul average of roughly 81%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Saint Paul average about 2.2 stars. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in July 2025 and recorded 9 deficiencies.
Residents receive about 4.6 hours of nursing care per day on average, including 1.7 hours from a registered nurse. Communities in Saint Paul average about 4.1 hours. Nursing staff turnover over the past year was about 24%.
The community is located in Ramsey County, MN.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 62 problems at The Emeralds at St Paul LLC. 7 findings involved harm to a resident, including 6 that put residents in immediate danger. 27 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $138,736. Medicare also stopped paying for new admissions twice in that period.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Quality of Life and 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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care or services that was trauma informed and/or culturally competent.
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Could cause more than minimal harm, one or a few residents
Quality of Life and 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.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
The Emeralds at St Paul LLC offers nursing home care and senior living.
Facility details
- Organization type For profit - Individual
- Beds / units 100
- Religious affiliation Lutheran
- Occupancy 90%
- Nursing hours per resident/day 4.6
- Annual staff turnover 24%
- Last health inspection July 2025
Resident & family reviews
No one has shared a review of The Emeralds at St Paul LLC yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.