Hayes Residence
1620 Randolph Avenue, Saint Paul, MN 55105 · Ramsey County · (651) 690-4458
40 certified beds, about 31 residents a day · For profit - Corporation · Medicaid since 1975
Certified for Medicaid
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 24E508 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2025, inspectors cited 8 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 15 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.53 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
57.7% 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.
308/23
409/24
806/25
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
2E
4F
Potential for minimal harm
0A
0B
0C
June 26, 2025Standard inspection · 8 citations
- J 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.
Inspectors wroteBased on interview and document review, the facility failed to ensure a resident's wishes for resuscitation were accurately documented in all areas of the medical record for 1 of 36 residents (R24) reviewed for advanced directives. This resulted in an IJ for R24 who would have received CPR against his wishes in the absence of a pulse or respirations. The IJ began on [DATE], when the facility failed to accurately document a resident's code status in the EMR. The facility administrator and owner were notified of the IJ on [DATE] at 5:20 p.m. The IJ was removed on [DATE] at 3:44 p.m. but non-compliance remained at the lower scope and severity of a level D, no actual harm with potential for more than minimal harm, that is not immediate jeopardy.
- 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 resident snack refrigerator temperatures were maintained to prevent food and drink items from spoiling and items in the snack refrigerator were labeled and dated. Furthermore, the facility failed to ensure the dishwasher was reaching temperatures required for proper sanitization and expired milk was removed from the main kitchen refrigerator. This had the potential to affect all residents who reside in the facility.
- E 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.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure a comfortable environment, having hot water available for 4 of 4 residents (R36, R34, R31, R15) who were received for concerns with cold showers.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation interview and record review the facility failed to ensure call lights were accessible to 1 of 1 resident (R3).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide quality of care for 1 of 1, resident (R34) to ensure bruises were adequately assessed, monitored and documented.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and document review the facility failed to ensure weekly monitoring and measurement of pressure ulcers were completed for 1 of 1 resident (R3).
- 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 record review the facility failed to ensure a root cause analysis and ensure interventions were implemented for 1 of 1 residents (R5) reviewed for falls.
- 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.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure separately purchased bed rails and bed frame were compatible for 1 of 1 resident who was reviewed for bed rail use.
September 24, 2024Standard inspection · 4 citations
- 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 document review the facility failed to ensure food items were properly labeled and dated and disposed of. Furthermore, the facility failed to maintain clean cooking equipment. This had the potential to affect all residents who ate food from the kitchen.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and document review the facility failed to ensure clean linen was transported and stored in a manner to prevent the spread of infection. This had the potential to impact all 31 residents who reside in the facility.
- 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.
Inspectors wroteBased on observation, interview, and document review, the facility failed to comprehensively assess, discuss risks and benefits, and attempt alternatives prior to installation of grab bars for 1 of 1 residents (R31) who were observed to have grab bars affixed to their bed.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review the facility failed to ensure 2 of 5 residents (R31, R1) were accurately assessed and offered the pneumococcal vaccination according to the Centers of Disease Control (CDC).
August 31, 2023Standard inspection · 3 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure proper infection control practices were maintained during medication administration and laundry services. This had the potential to affect all 31 residents residing in the facility.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure physician orders for orthostatic blood pressures (BPs) (BPs-measured while sitting and standing to detect a significant drop upon standing which may cause dizziness or light-headedness and may contribute to falls) were transcribed into the electronic medical record (EMR) and carried out for 6 of 7 sampled residents (R7, R13, R14, R26, R29, R30) receiving antipsychotic medications.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteR2's quarterly Minimum Data Set (MDS) dated [DATE], indicated R2 was cognitively intact and had delusions. R2 required extensive assistance with bed mobility and toileting, limited assistance with transfers, supervision when walking in corridor, and was independent when walking in room. Diagnoses included diabetes mellitus and schizophrenia. R2's care plan dated 8/7/23, indicated R2 had potential for skin breakdown related to daily bladder and occasional bowel incontinence and refused repositioning. Staff were directed to monitor skin weekly to ensure intact, provide good peri cares with each incontinent episode and apply protective barrier cream for skin protection. R2's physician orders dated 8/8/18, directed staff to apply Bacitracin ointment 500 unit/gm applied topically as needed for skin tears and/or abrasions. [...]
Fire safety inspections
10 fire safety citations on file: 3 on June 26, 2025, 4 on September 24, 2024, 3 on August 31, 2023.
Every fire safety citation10 citations
- F Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C Have simulated fire drills held at unexpected times.
- C Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 2.53 | 4.19 | 3.86 |
| Registered nurses | 0.33 | 1.06 | 0.69 |
| All nursing staff on weekends | 2.30 | 3.71 | 3.42 |
| Nurse aides | 1.43 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 57.7% | 42.2% | 45.8% |
| Registered nurse turnover | 60.0% | 38.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.28 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 2.62 on weekdays and 2.30 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.10 in April to June 2025 to 2.53 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 | 2.53 | 0.33 | 2.62 | 2.30 | 1.6% | 0 of 90 | 31 |
| Oct to Dec 2025 | 2.75 | 0.45 | 2.95 | 2.24 | 0.1% | 2 of 92 | 32 |
| Jul to Sep 2025 | 2.33 | 0.34 | 2.47 | 1.97 | 0.3% | 1 of 92 | 35 |
| Apr to Jun 2025 | 2.10 | 0.30 | 2.21 | 1.81 | 0.2% | 0 of 91 | 37 |
| 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 | 3.1 | 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 | 3.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 4.0 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.1 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 44.4 | 17.1 | 15.4 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 5 problems in this area, most recently on June 26, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on June 26, 2025: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on September 24, 2024: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 26, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.30 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Carondelet Village Care Center Saint Paul, 0.5 mi · 5 of 5 stars · 11 citations
- Highland Chateau Health and Rehabilitation Center Saint Paul, 1.6 mi · not rated · 100 citations
- Shirley Chapman Sholom Home East Saint Paul, 1.6 mi · 4 of 5 stars · 28 citations
- Episcopal Church Home of Minnesota Saint Paul, 2 mi · 1 of 5 stars · 38 citations
- The Estates at Lynnhurst LLC Saint Paul, 2.1 mi · 2 of 5 stars · 49 citations
- Mn Veterans Home-Mpls Minneapolis, 2.1 mi · 3 of 5 stars · 22 citations
- Episcopal Church Home the Gardens Saint Paul, 2.1 mi · 3 of 5 stars · 33 citations
- The Emeralds at St. Paul LLC Saint Paul, 2.9 mi · 1 of 5 stars · 62 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 Hayes Residence's Medicare star rating?
- CMS rates Hayes Residence 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hayes Residence get at its last inspection?
- 8 health deficiencies at the standard inspection on June 26, 2025. The Minnesota average is 7.1.
- Has Hayes Residence been fined?
- CMS lists no fines in the last three years.
- Does Hayes Residence accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Hayes Residence?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.