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Home / Minnesota / Saint Paul

Episcopal Church Home the Gardens

1860 University Avenue West, Saint Paul, MN 55104 · Ramsey County · (651) 632-8801

60 certified beds, about 54 residents a day · Non profit - Corporation · Medicare and Medicaid since 2015

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245625 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 9, 2026, inspectors cited 6 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

Of 33 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.69 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.

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.

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 33 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
27D
2E
3F
Potential for minimal harm
0A
0B
0C
April 9, 2026Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure foods were stored in a manner to prevent spoilage and freezer burn and failed to ensure food items in 6 out of 6 kitchenettes were sealed, labeled and dated. This had the potential to affect all residents who reside in the facility.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on observation, interview, and document review the facility failed to ensure appropriate glove use and hand hygiene for 1 of 1 resident (R19) during personal cares. The facility further failed to implement enhanced barrier precautions (EBP) for 1 of 1 resident (R19) who had a nephrostomy tube and for 1 of 1 resident (R4) who had a catheter and was receiving catheter cares. The facility also failed to ensure 1 of 1 resident (R54) on droplet precautions was wearing a mask when out of her room. This had the potential to affect all 10 residents residing on the 3rd floor.
  3. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure residents were safe for self-administration of medication (SAM) for 1 of 1 residents (R36) observed with a medication at the bedside.
  4. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure personal privacy was maintained for 1 of 1 residents (R19) observed during personal cares.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure oxygen therapy was administered and maintained as ordered by the provider for 1 of 2 residents (R15) reviewed for respiratory care.
  6. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on interview and document review, the facility failed to ensure pharmacy recommendations were addressed timely for 1 of 5 residents (R10) reviewed for unnecessary medications.
November 20, 2025Complaint inspection · 1 citation
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2026
    Inspectors wroteBased on observation, interviews and document review, the facility failed to follow professional standards when a staff crushed delayed release medications and crushed pill capsules with other medications instead of opening and emptying the pill capsules for 1 of 3 (R2) residents reviewed for medication administration.
August 18, 2025Complaint inspection · 6 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 29, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 3 of 3 residents (R1, R2, and R3) reviewed had a dignified existence when the three residents had been told to use an incontinent brief to toilet rather than staff assisting them to the bathroom.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 29, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide adequate supervision to reduce the risk of accidents for residents 2 of 3 (R1 and R2) reviewed for supervision. The facility did not assess and document the aimed use for the intent of alarms to be used temporarily to assess patterns and routines of the residents. R1 and R2's family requested the alarms following multiple falls and concerns about adequate supervision.
  3. D
    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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to attempt alternative devices before using bedrails on residents beds. The failed to accurately assess the residents for risk of entrapment by assessing residents medical diagnosis, size and weight, cognition, communication, and mobility for 3 of 3 residents (R1, R2, and R3) reviewed for bed rails. In addition, R2 had side rails used in conjunction with an air mattress.
  4. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 29, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure a system to reduce the risk of significant medication errors for transdermal opioid patches for 1 of 3 residents (R1) reviewed for medication administration. R1 was ordered by her hospice agency to have a transdermal opioid patch (narcotic medicated patch that slowly releases the medication into the body) placed on her skin every seven days. On two occasions the nursing staff failed to remove the old patch from her skin when the new patch was placed on her.
  5. D
    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.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 29, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to establish a communication process between the facility and the hospice provider to ensure that the needs of a resident were addressed and met for 1 of 3 residents (R1) reviewed for hospice services. R1 did not receive the necessary care and services when she had the same medication error occur twice. In addition, the facility failed to have a designated member of the interdisciplinary team who was responsible to work with hospice to ensure residents receiving hospice services needs were met.
  6. D
    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.
    F909 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to conduct regular inspections of all bed frames, mattresses, and bed rails as a part of the regular maintenance program to identify areas of possible entrapment for 3 of 3 residents (R1, R2, and R3) reviewed. The bed manufacturer guidelines indicated to visually inspect the bed and accessories monthly and indicated to follow the FDA guidance.
May 19, 2025Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 27, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure an allegation of abuse was reported immediately to the state agency and administrator of the facility, but not later than two hours after the allegation is made for 1 of 3 residents (R1) reviewed for abuse. R1 reported to multiple staff members the care she received was rough causing pain, staff yelled at her, and a staff member heard another staff member yelling at R1.
March 26, 2025Complaint inspection · 2 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 2, 2025
    Inspectors wroteBased on observation, interview, and document review the facility failed to revise the care plan for 1 of 3 residents (R2) who were reviewed for falls.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 2, 2025
    Inspectors wroteBased on observation, interview, and document review the facility failed to comprehensively assess and monitor a skin tear (a traumatic wound that occurs when the top layer of skin separates from the underlying layers) for 1 of 1 resident (R3) reviewed for injury of unknown origin.
September 12, 2024Standard inspection, Complaint inspection · 8 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to have a process in place to monitor refrigerator, dishwasher and breakfast food temperatures in all six unit kitchens in the care facility. In addition the facility failed to ensure opened food and beverage containers were dated to prevent unsafe consumption by residents. This had the ability to affect all 55 residents residing in the care facility.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to the facility failed to ensure proper use of gloves while providing personal cares for 1 of 1 resident (R35) observed for personal cares. In addition, the facility failed to sanitize a standing lift sling shared by residents for 2 of 2 residents (R35 and R9) observed for infection control practices.
  3. D
    Provide care by qualified persons according to each resident's written plan of care.
    F659 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure unqualified staff did not administer as needed (PRN) medication used for skin rash for 1 of 1 resident (R1) reviewed for qualified staffing.
  4. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure assistance with personal hygiene for 2 of 2 residents (R6, R44 ) reviewed for activities of daily living (ADLs) for dependent residents.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview and document review the facility failed to assess and implement interventions to assist a resident, who was unable to maintain positioning for 1 of 1 resident (R40) reviewed for positioning.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview and document review the facility failed to implement, and care plan, new and appropriate fall interventions to prevent falls for 2 of 2 residents (R40 and R51) reviewed for falls.
  7. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to monitor orthostatic blood pressures during the use of an antipsychotic medication (used to manage delusions, hallucinations, paranoia, or disordered thought) for 1 of 5 residents (R51) reviewed for antipsychotic medications.
  8. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure mediations were safely and securely stored for 1 of 1 resident (R38) reviewed for medication storage.
March 4, 2024Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 29, 2024
    Inspectors wroteBased on interview and record review the facility failed to develop a care plan for one of one resident (R3) reviewed for care plans when interventions were not put into the care plan following a care conference that led to a fall.
August 3, 2023Standard inspection · 8 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) September 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement individualized fall interventions for 2 of 3 residents (R27, R35) and failed to ensure a route cause analysis was completed and new interventions were implemented following a fall for 1 of 1 resident (R6), who was at risk for and had a history of falls. This resulted in harm when R6 had a subsequent fall on 5/16/23 and sustained a lumbar fracture.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 12, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure appropriate personal protective equipment (PPE) was utilized to prevent the spread of infection when rinsing contaminated laundry. Furthermore, the facility failed to transport clean laundry in a manner which ensured protection from dust and soil. This had the potential to impact all 60 residents who reside in the facility.
  3. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 12, 2023
    Inspectors wroteBased on observation, interview, 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 1 of 1 resident (R14) observed with medications at bedside. Findings inclued: R14's annual Minimum Data Set (MDS) dated [DATE], indicated R14 had intact cognition and diagnoses of mild intermittent asthma, heart disease , and chronic kidney disease. It further indicated R6 required extensive assistance with all activities of daily living (ADL) except walking in room/corridor in which she required limited assistance. R14's medical record lacked a doctor's order to be able to self administer her medication. R14's Self Administration of Medications assessment dated [DATE], indicated R14 had no desire to self administer medications. [...]
  4. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 12, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to maintain sanitary equipment for 1 of 1 residents (R45) reviewed for environmental cleanliness.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 12, 2023
    Inspectors wroteBased on interview and document review, the facility failed to report a fall with major injury for 2 of 5 residents (R6, R27) reviewed for accidents.
  6. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 12, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to maintain a walking program for 1 of 1 residents (R25) reviewed for restorative rehabilitation.
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 12, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to monitor, assess, and ensure provider wound care orders were followed for 1 of 1 resident (R51) who had facility acquired pressure ulcers.
  8. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 12, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure an antibiotic medication was properly labeled and secured for 1 of 1 residents (R38) reviewed for antibiotic use.

Fire safety inspections

25 fire safety citations on file: 2 on April 9, 2026, 8 on September 12, 2024, 15 on August 3, 2023.

Every fire safety citation25 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 9, 2026 · Corrected (the home has a date of correction)
  2. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 9, 2026 · Corrected (the home has a date of correction)
  3. F
    Provide properly protected cooking facilities.
    K 324 · September 12, 2024 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 12, 2024 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 12, 2024 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · September 12, 2024 · Corrected (the home has a date of correction)
  7. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · September 12, 2024 · Corrected (the home has a date of correction)
  8. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · September 12, 2024 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 12, 2024 · Corrected (the home has a date of correction)
  10. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · September 12, 2024 · Corrected (the home has a date of correction)
  11. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 3, 2023 · Corrected (the home has a date of correction)
  12. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · August 3, 2023 · Corrected (the home has a date of correction)
  13. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 3, 2023 · Corrected (the home has a date of correction)
  14. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · August 3, 2023 · Corrected (the home has a date of correction)
  15. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 3, 2023 · Corrected (the home has a date of correction)
  16. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 3, 2023 · Corrected (the home has a date of correction)
  17. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 3, 2023 · Corrected (the home has a date of correction)
  18. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 3, 2023 · Corrected (the home has a date of correction)
  19. F
    Install properly constructed and protected linen or trash chutes.
    K 541 · August 3, 2023 · Corrected (the home has a date of correction)
  20. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 3, 2023 · Corrected (the home has a date of correction)
  21. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 3, 2023 · Corrected (the home has a date of correction)
  22. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 3, 2023 · Corrected (the home has a date of correction)
  23. F
    Ensure proper usage of power strips and extension cords.
    K 920 · August 3, 2023 · Corrected (the home has a date of correction)
  24. F
    Have proper medical gas storage and administration areas.
    K 923 · August 3, 2023 · Corrected (the home has a date of correction)
  25. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 3, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 26, 2025Payment Denial 22 days from June 26, 2025

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.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)5.694.193.86
Registered nurses0.571.060.69
All nursing staff on weekends5.303.713.42
Nurse aides4.19
Licensed practical nurses0.93
Nursing staff turnover (share who left in a year)not reported42.2%45.8%
Registered nurse turnovernot reported38.6%42.9%
Administrators who leftnot reported

CMS expects 3.43 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 5.85 on weekdays and 5.30 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.56 in October to December 2025 to 5.69 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.690.575.855.30 0.0%0 of 9054
Oct to Dec 20255.560.485.715.20 0.0%0 of 9258
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%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.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
32.218.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.31.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.82.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.14.03.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
33.220.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.55.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.117.115.4

Owners and operators

Legal business name: EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC.

NameRoleTypeShareSince
Episcopal Homes on University Avenue, LLC5% or greater direct ownership interestOrganization100%03/27/2013
Episcopal Home Care and Services5% or greater indirect ownership interestOrganization03/27/2013
Episcopal Homes of Minnesota5% or greater indirect ownership interestOrganization03/27/2013
Wells Fargo Bank5% or greater mortgage interestOrganization05/01/2013
Franco, KeananW-2 managing employeeIndividual10/27/2015
Cutler, LoisCorporate directorIndividual11/01/2016
Forbes, CarolCorporate directorIndividual11/01/2016
Gilbertson, MelissaCorporate directorIndividual11/01/2016
Gove, PeterCorporate directorIndividual11/01/2016
Hawthorne, RebeccaCorporate directorIndividual11/01/2017
Hove, ThomasCorporate directorIndividual03/27/2013
Huber, JamesCorporate directorIndividual11/01/2017
McGowan, DianeCorporate directorIndividual03/27/2013
Nowlin, SarahCorporate directorIndividual03/27/2013
Ostenso, BrianCorporate directorIndividual11/01/2015
Slawick, JeromeCorporate directorIndividual11/01/2016
Clem, MaryCorporate officerIndividual01/01/2017
Henry, JohnCorporate officerIndividual10/19/2015
Mork, StevenCorporate officerIndividual01/12/2016
Plakut, MarvinCorporate officerIndividual03/27/2013
Eh Services IncOperational/managerial controlOrganization03/27/2013

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on April 9, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on April 9, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on 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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on November 20, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."

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Common questions

What is Episcopal Church Home the Gardens's Medicare star rating?
CMS rates Episcopal Church Home the Gardens 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Episcopal Church Home the Gardens get at its last inspection?
6 health deficiencies at the standard inspection on April 9, 2026. The Minnesota average is 7.1.
Has Episcopal Church Home the Gardens been fined?
CMS lists no fines in the last three years.
Does Episcopal Church Home the Gardens 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 Episcopal Church Home the Gardens?
CMS lists 21 owners and managers. Legal business name: EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC.

Sources

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