Cerenity Marian of St. Paul LLC
200 Earl Street, Saint Paul, MN 55106 · Ramsey County · (651) 793-2100
90 certified beds, about 72 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245365 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 18, 2026, inspectors cited 2 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 16 health citations since April 2024, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $131,578 in the last three years; the largest was $92,124, and the latest is dated February 6, 2025.
Nurses and nurse aides worked 4.15 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.14 of those hours.
50.9% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1004/24
208/24
202/25
203/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
11D
1E
2F
Potential for minimal harm
0A
0B
0C
March 18, 2026Standard inspection · 2 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure the environment was free of potential hazards for 1 of 1 resident (R56) found to have a space heater operating in their room.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteDuring observation, interview, and document review the facility failed to ensure supplemental oxygen was properly maintained for 1 of 1 resident (R40) reviewed for oxygen.
February 6, 2025Standard inspection, Complaint inspection · 2 citations
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and document review the facility failed to ensure medications were administered per physicians' orders for 2 of 2 (R6, R150) residents reviewed for medication errors. This resulted in significant medication errors and actual harm when R6 received the wrong medications resulting emergent care and hospitalization for hypotension (low blood pressure), lethargy, and possible aspiration.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure dishwasher temperatures were within range to ensure resident dishes were sanitized for 3 of 3 kitchenettes located on resident units. Furthermore, the facility failed to ensure expired milk was removed from 1 of 3 kitchenettes (3rd floor) and clean resident dishes were stored to prevent contamination from dust/debris for 1 of 3 kitchenettes located on resident units (4th floor). This had the potential to impact all residents who reside in the facility.
August 16, 2024Complaint inspection · 2 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and document review the facility failed to provide safe transfers according to the care plan, to prevent or mitigate risk of falls and/or falls with major injury, for 4 of 4 residents (R1, R2, R3, R4) who required staff assistance to transfer. This resulted in an immediate jeopardy (IJ) for R1 when she suffered an ankle fracture during a transfer. The IJ began on 7/29/24 when NA-A did not follow R1's care plan to use a standing lift (EZ-Stand) for transfers, R1 became weak and was assisted to the floor resulting in R1's ankle fracture and probable posterior malleolar fracture. The Administrator and director of nursing (DON) were notified of the immediate jeopardy on 8/15/24 at 3:19 p.m. [...]
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interview and document review the facility failed to report an incident involving a fall was immediately reported to the supervisor according to the facility abuse policy for 1 of 4 residents (R1) who suffered a fracture during an unsafe transfer that caused a delay in care and treatment for over 12 hours.
April 18, 2024Standard inspection, Complaint inspection · 10 citations
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview, and document review, the facility failed to provide sufficient staffing to ensure residents received care and assistance they needed. This had the potential to affect all 82 residents who resided in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure proper hand hygiene was completed for 2 of 2 residents (R42, R1) and failed to ensure proper personal protective equipment (PPE) for 2 of 2 residents (R18, R1) observed for contact precautions and enhanced barrier precautions and failed to ensure proper cleaning of a mechanical lift following use was completed for 1 of 1 resident (R42)
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on interview, observation, and document review, the facility failed to ensure a self administration of medication assessment (SAM) was completed to allow residents to safely administer their own medications for 3 of 3 residents (R70, R11, R52).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide timely activity of daily living (ADL) assistance for 2 of 2 residents (R9, R38) who required staff assistance to make it out to meals.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview, and document review, the facility failed to provide timely referral to an outside optometry service to resolve broken eyeglasses and provide a routine follow up appointment for 1 of 1 resident (R9) reviewed whose glasses were broken.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure interventions were in place for 1 of 3 residents reviewed for pressure ulcers.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure use of a bed pan and urinal were offered and in place for 1 of 2 residents (R38) in accordance with the individualized care plan.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview, observation, and document review, the facility failed to provide a therapeutic diet as prescribed and failed to ensure adequate hydration in accordance with the individualized care plan for 1 of 2 residents (R38).
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure food was served at warm, palatable temperatures for 3 of 3 residents (R9, R64, R50).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and document review, the facility failed to label, date and store food in a sanitary manner to prevent food borne illness for food brought into the facility by a resident, family or guest. In addition, the facility failed to properly label, date and store meal trays held after meal service for 2 of 2 meal trays. This deficient practice had the potential to affect 3 of 3 residents residing on the fifth floor.
Fire safety inspections
10 fire safety citations on file: 3 on March 18, 2026, 4 on February 6, 2025, 3 on April 18, 2024.
Every fire safety citation10 citations
- F Have properly located and lighted "Exit" signs.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure proper storage of liquid oxygen.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 6, 2025 | Fine | $39,454 |
| August 16, 2024 | Fine | $92,124 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.15 | 4.19 | 3.86 |
| Registered nurses | 1.14 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.64 | 3.71 | 3.42 |
| Nurse aides | 2.14 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 50.9% | 42.2% | 45.8% |
| Registered nurse turnover | 31.8% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.35 on weekdays and 3.64 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.04 in April to June 2025 to 4.15 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.15 | 1.14 | 4.35 | 3.64 | 3.9% | 0 of 90 | 72 |
| Oct to Dec 2025 | 4.08 | 1.13 | 4.27 | 3.60 | 2.2% | 0 of 92 | 72 |
| Jul to Sep 2025 | 4.13 | 1.06 | 4.33 | 3.61 | 3.1% | 0 of 92 | 77 |
| Apr to Jun 2025 | 4.04 | 1.04 | 4.26 | 3.48 | 7.1% | 0 of 91 | 77 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.7 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.4 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.7 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.6 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.5 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.4 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.5 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.9 | 1.8 |
Owners and operators
Legal business name: CERENITY-MARIAN OF ST. PAUL, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cerenity Senior Care | 5% or greater direct ownership interest | Organization | 100% | 12/15/2017 |
| Benedictine Health System | 5% or greater indirect ownership interest | Organization | 50% | 12/15/2017 |
| Fairview Bethesda Hospital | 5% or greater indirect ownership interest | Organization | 50% | 12/15/2017 |
| Schumacher, Kay | Contracted managing employee | Individual | 01/15/2018 | |
| Carley, Gerald | Corporate director | Individual | 01/02/2018 | |
| Foussard, William | Corporate director | Individual | 06/24/2010 | |
| Grzywinski, Joan | Corporate director | Individual | 06/13/2014 | |
| Ksepka, Dawn | Corporate director | Individual | 06/13/2013 | |
| Lundberg, Jonathan | Corporate director | Individual | 03/01/2018 | |
| Bergien, Tricia | Corporate officer | Individual | 11/16/2016 | |
| Bruhn, Jennifer | Corporate officer | Individual | 11/25/2019 | |
| Rymanowski, Kevin | Corporate officer | Individual | 07/01/2005 | |
| Benedictine Health System | Operational/managerial control | Organization | 12/15/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on March 18, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on February 6, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 6, 2025: "Ensure that residents are free from significant medication errors."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 16, 2024: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.64 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Cerenity Care Center on Humboldt Saint Paul, 1.8 mi · 2 of 5 stars · 42 citations
- Capital View Transitional Care Center Saint Paul, 2 mi · 5 of 5 stars · 7 citations
- Ebenezer Integrated Care & Rehab Saint Paul, 2.2 mi · 4 of 5 stars · 20 citations
- Little Sisters of the Poor Saint Paul, 2.4 mi · 2 of 5 stars · 29 citations
- The Villas at St. Paul Saint Paul, 2.7 mi · 2 of 5 stars · 34 citations
- The Emeralds at St. Paul LLC Saint Paul, 3 mi · 1 of 5 stars · 62 citations
- Walker Methodist Westwood Ridge II West Saint Paul, 3.6 mi · 2 of 5 stars · 30 citations
- Good Samaritan Society - Maplewood Saint Paul, 3.7 mi · 3 of 5 stars · 34 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Cerenity Marian of St. Paul LLC's Medicare star rating?
- CMS rates Cerenity Marian of St. Paul LLC 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cerenity Marian of St. Paul LLC get at its last inspection?
- 2 health deficiencies at the standard inspection on March 18, 2026. The Minnesota average is 7.1.
- Has Cerenity Marian of St. Paul LLC been fined?
- Yes. CMS lists 2 fines totaling $131,578 in the last three years.
- Does Cerenity Marian of St. Paul LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Cerenity Marian of St. Paul LLC?
- CMS lists 13 owners and managers. Legal business name: CERENITY-MARIAN OF ST. PAUL, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.