{"schema_version":"1.0.0","facility":{"id":"cms-245255","ccn":"245255","name":"Cerenity Care Center on Humboldt","source_name":"CERENITY CARE CENTER ON HUMBOLDT","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"MN","address":{"line1":"512 Humboldt Avenue","city":"Saint Paul","state":"MN","zip":"55107","county_name":"Ramsey County","county_fips":"27123","county_method":"name_match","ssa_county_code":"610","urban":true},"location":{"lat":44.9306,"lon":-93.085,"method":"cms_published_coordinates"},"phone":"6512278091","certification":{"authority":"CMS","ccn":"245255","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1982-09-13","certified_beds":93,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/245255"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":93,"avg_residents_per_day":78.6},"ownership_type":"Non profit - Corporation","ownership_class":"non_profit","legal_business_name":"CERENITY SENIOR CARE","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Both","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":2},"quality_measures":{"value":3},"long_stay_qm":{"value":3},"short_stay_qm":{"value":3},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.12168,"lpn_hprd":0.9521,"rn_hprd":0.97431,"licensed_hprd":1.92641,"total_nurse_hprd":4.04809,"weekend_total_nurse_hprd":3.53421,"weekend_rn_hprd":0.61329,"pt_hprd":0.08538,"nursing_turnover_pct":52.9,"rn_turnover_pct":65.2,"administrators_left":1,"case_mix_index":1.26452,"case_mix_index_ratio":0.89666,"case_mix_total_nurse_hprd":3.49775,"adjusted_total_nurse_hprd":4.47919,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-03-05","cycle1_deficiencies":9,"cycle1_score":36,"cycle2_date":"2025-01-16","cycle23_deficiencies":30,"cycle23_score":244,"total_weighted_score":88},"cms_penalty_counts":{"fines":2,"fine_total":69031,"payment_denials":1,"total":3},"operator_id":"op-cerenity-senior-care","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/245255","provenance":[{"source_id":"cms_provider_info","source_record_id":"245255","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245255&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"245255","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245255&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":13,"health_count":10,"fire_count":3,"complaint_count":8,"latest_date":"2026-03-05","latest_standard_health":"2026-03-05","earliest_date":"2023-11-30","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":49,"health_count":42,"fire_count":7,"open_count":0,"actual_harm_count":4,"immediate_jeopardy_count":1,"serious_count":5,"complaint_count":26,"by_severity":{"potential":43,"actual_harm":4,"immediate_jeopardy":1,"minimal":1},"by_scope_severity":{"F":10,"D":30,"G":4,"E":3,"J":1,"B":1},"by_concept":{"environment_life_safety":10,"resident_rights":7,"clinical_care":17,"medication":5,"infection_prevention":2,"staffing":2,"administration":1,"food_nutrition":5},"type_ids":["cms-k0351","cms-k0541","cms-k0918","cms-f0584","cms-f0605","cms-f0689","cms-f0693","cms-f0695","cms-f0755","cms-f0756","cms-f0880","cms-f0609","cms-f0725","cms-f0867","cms-f0810","cms-f0842","cms-k0311","cms-f0812","cms-f0550","cms-f0554","cms-f0677","cms-f0684","cms-f0690","cms-f0697","cms-f0699","cms-f0919","cms-f0580","cms-f0908","cms-f0803","cms-f0921","cms-f0686","cms-f0641","cms-f0804","cms-k0353","cms-f0758"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":3,"fines":2,"fine_total":69031,"payment_denials":1,"latest_date":"2025-05-15"},"ownership_summary":{"disclosures":11,"organizations":2,"individuals":9,"not_available":false}},"row":{"id":"cms-245255","ccn":"245255","name":"Cerenity Care Center on Humboldt","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MN","city":"Saint Paul","zip":"55107","county_fips":"27123","county_name":"Ramsey County","address":"512 Humboldt Avenue","beds":93,"residents":78.6,"ownership":"non_profit","operator_id":"op-cerenity-senior-care","operator_name":"Cerenity Senior Care","lat":44.9306,"lon":-93.085,"overall":2,"health_rating":2,"staffing_rating":4,"qm_rating":3,"nurse_hprd":4.05,"turnover":52.9,"inspections":13,"last_inspection":"2026-03-05","deficiencies":49,"serious":5,"ij":1,"open":0,"penalties":3,"fines_total":69031,"deficiency_type_ids":["cms-k0351","cms-k0541","cms-k0918","cms-f0584","cms-f0605","cms-f0689","cms-f0693","cms-f0695","cms-f0755","cms-f0756","cms-f0880","cms-f0609","cms-f0725","cms-f0867","cms-f0810","cms-f0842","cms-k0311","cms-f0812","cms-f0550","cms-f0554","cms-f0677","cms-f0684","cms-f0690","cms-f0697","cms-f0699","cms-f0919","cms-f0580","cms-f0908","cms-f0803","cms-f0921","cms-f0686","cms-f0641","cms-f0804","cms-k0353","cms-f0758"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-cerenity-senior-care","name":"Cerenity Senior Care","legal_name":"CERENITY SENIOR CARE","facility_count":1,"states":["MN"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-fairview-bethesda-hospital","owner_type":"organization","owner_name":"Fairview Bethesda Hospital","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":50,"percentage_raw":"50%","association_date":"2005-07-01"},{"owner_id":"org-benedictine-health-system","owner_type":"organization","owner_name":"Benedictine Health System","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2005-07-01"},{"owner_type":"individual","owner_name":"Gerald Carley","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-01-02","owner_name_raw":"CARLEY, GERALD"},{"owner_type":"individual","owner_name":"William Foussard","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2010-06-24","owner_name_raw":"FOUSSARD, WILLIAM"},{"owner_type":"individual","owner_name":"Joan Grzywinski","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2014-06-13","owner_name_raw":"GRZYWINSKI, JOAN"},{"owner_type":"individual","owner_name":"Dawn Ksepka","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2013-06-13","owner_name_raw":"KSEPKA, DAWN"},{"owner_type":"individual","owner_name":"Jonathan Lundberg","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-03-01","owner_name_raw":"LUNDBERG, JONATHAN"},{"owner_type":"individual","owner_name":"Tricia Bergien","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2016-11-16","owner_name_raw":"BERGIEN, TRICIA"},{"owner_type":"individual","owner_name":"Jennifer Bruhn","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2019-11-25","owner_name_raw":"BRUHN, JENNIFER"},{"owner_type":"individual","owner_name":"Kevin Rymanowski","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2005-07-01","owner_name_raw":"RYMANOWSKI, KEVIN"},{"owner_type":"individual","owner_name":"Frank Robinson","role":"managing_employee","role_raw":"CONTRACTED MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2021-07-09","owner_name_raw":"ROBINSON, FRANK"}],"inspections":[{"id":"cms-245255-20260305-fire","ccn":"245255","date":"2026-03-05","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0351","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-16","std":1,"tv":"New"},{"t":"cms-k0541","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-16","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-16","std":1,"tv":"New"}]},{"id":"cms-245255-20260305-health","ccn":"245255","date":"2026-03-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-14","std":1},{"t":"cms-f0605","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-14","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-14","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-14","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-14","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-14","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-14","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-14","std":1}]},{"id":"cms-245255-20251118-health","ccn":"245255","date":"2025-11-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-10","cmp":1}]},{"id":"cms-245255-20250515-health","ccn":"245255","date":"2025-05-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":6,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2025-05-12","cmp":1},{"t":"cms-f0725","ss":"G","sl":3,"cs":"corrected","cd":"2025-06-17","cmp":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-17","cmp":1},{"t":"cms-f0810","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-17","cmp":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-17","cmp":1},{"t":"cms-f0867","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-17","cmp":1}]},{"id":"cms-245255-20250116-fire","ccn":"245255","date":"2025-01-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0311","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-25","std":1,"tv":"New"},{"t":"cms-k0351","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-25","std":1,"tv":"New"},{"t":"cms-k0541","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-25","std":1,"tv":"New"}]},{"id":"cms-245255-20250116-health","ccn":"245255","date":"2025-01-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-25","cmp":1,"std":1},{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-25","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-25","cmp":1,"std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-25","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-25","cmp":1,"std":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-25","cmp":1,"std":1},{"t":"cms-f0699","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-25","std":1},{"t":"cms-f0725","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-25","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-25","cmp":1,"std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-25","std":1},{"t":"cms-f0919","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-25","std":1}]},{"id":"cms-245255-20241205-health","ccn":"245255","date":"2024-12-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"J","sl":4,"cs":"past_noncompliance","cd":"2024-12-03","cmp":1}]},{"id":"cms-245255-20240827-health","ccn":"245255","date":"2024-08-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-01","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-01","cmp":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-01","cmp":1},{"t":"cms-f0803","ss":"B","sl":1,"cs":"corrected","cd":"2024-10-01","cmp":1}]},{"id":"cms-245255-20240808-health","ccn":"245255","date":"2024-08-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-12","cmp":1}]},{"id":"cms-245255-20240711-health","ccn":"245255","date":"2024-07-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"G","sl":3,"cs":"corrected","cd":"2024-08-07","cmp":1},{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2024-08-07","cmp":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-07","cmp":1}]},{"id":"cms-245255-20240522-health","ccn":"245255","date":"2024-05-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1}]},{"id":"cms-245255-20231130-fire","ccn":"245255","date":"2023-11-30","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-18","std":1,"tv":"New"}]},{"id":"cms-245255-20231130-health","ccn":"245255","date":"2023-11-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-15","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-15","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-15","std":1}]}],"deficiency_types":{"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0541":{"code":"K-0541","title":"Install properly constructed and protected linen or trash chutes.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0693":{"code":"F-0693","title":"Ensure that feeding tubes are  not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0867":{"code":"F-0867","title":"Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0810":{"code":"F-0810","title":"Provide special eating equipment and utensils for residents who need them and appropriate assistance.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0311":{"code":"K-0311","title":"Have an enclosure around a vertical opening shaft.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0699":{"code":"F-0699","title":"Provide care or services that was trauma informed and/or culturally competent.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0919":{"code":"F-0919","title":"Make sure that a working call system is available in each resident's  bathroom and bathing area.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0758":{"code":"F-0758","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"penalties":[{"id":"cms-245255-pen-f53937","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-05-15","amount":51948,"fine_id":"53937","evidence_class":"VERIFIED","source_record_id":"245255|Fine|53937"},{"id":"cms-245255-pen-f53876","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-12-05","amount":17083,"fine_id":"53876","evidence_class":"VERIFIED","source_record_id":"245255|Fine|53876"},{"id":"cms-245255-pen-d20240522","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2024-05-22","denial_start":"2024-08-08","denial_days":4,"evidence_class":"VERIFIED","source_record_id":"245255|Payment Denial|2024-08-08"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245255&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245255&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245255&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245255&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245255&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245255&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MN","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":3.2,"staffing_rating":4.2,"avg_residents_per_day":60.3,"cycle1_health_deficiencies":7.2,"cycle1_fire_deficiencies":4.1,"nurse_aide_hprd":2.58,"lpn_hprd":0.61,"rn_hprd":1.08396,"licensed_hprd":1.69,"total_nurse_hprd":4.26848,"weekend_total_nurse_hprd":3.73264,"weekend_rn_hprd":0.71,"pt_hprd":0.07,"nursing_turnover_pct":42.1,"rn_turnover_pct":39.3,"administrators_left":0.5,"case_mix_index":1.2089,"fines":0.7,"fine_amount":24560,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MN","name":"Minnesota"},"county":{"fips":"27123","name":"Ramsey County"},"zip":"55107","city":"Saint Paul"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-245524","ccn":"245524","name":"Little Sisters of the Poor","address":"330 Exchange Street South","city":"Saint Paul","state":"MN","zip":"55102","beds":73,"overall":3,"inspections":9,"last_inspection":"2026-01-28","deficiencies":44,"serious":1,"ij":1,"open":0,"fines_total":13265,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.9},{"id":"cms-245587","ccn":"245587","name":"Ebenezer Integrated Care & Rehab","address":"45 West 10th Street","city":"Saint Paul","state":"MN","zip":"55102","beds":62,"overall":4,"inspections":10,"last_inspection":"2026-04-01","deficiencies":30,"serious":2,"ij":1,"open":0,"fines_total":26785,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.4},{"id":"cms-245534","ccn":"245534","name":"Capital View Transitional Care Center","address":"640 Jackson Street","city":"Saint Paul","state":"MN","zip":"55101","beds":32,"overall":5,"inspections":7,"last_inspection":"2025-11-19","deficiencies":7,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":2.9},{"id":"cms-245365","ccn":"245365","name":"Cerenity Marian of St Paul LLC","address":"200 Earl Street","city":"Saint Paul","state":"MN","zip":"55106","beds":90,"overall":4,"inspections":7,"last_inspection":"2026-03-18","deficiencies":26,"serious":2,"ij":1,"open":0,"fines_total":131578,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.9},{"id":"cms-245295","ccn":"245295","name":"The Emeralds at St Paul LLC","address":"420 Marshall Avenue","city":"Saint Paul","state":"MN","zip":"55102","beds":100,"overall":1,"inspections":17,"last_inspection":"2026-08-19","deficiencies":66,"serious":8,"ij":6,"open":13,"fines_total":138736,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.3},{"id":"cms-245340","ccn":"245340","name":"The Villas at St Paul","address":"445 Galtier Avenue","city":"Saint Paul","state":"MN","zip":"55103","beds":105,"overall":2,"inspections":11,"last_inspection":"2026-06-26","deficiencies":44,"serious":1,"ij":1,"open":0,"fines_total":15940,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.4},{"id":"cms-245618","ccn":"245618","name":"Walker Methodist Westwood Ridge II","address":"61 Thompson Avenue West","city":"West Saint Paul","state":"MN","zip":"55118","beds":37,"overall":2,"inspections":9,"last_inspection":"2026-04-15","deficiencies":47,"serious":1,"ij":1,"open":0,"fines_total":15914,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":3.4},{"id":"cms-245411","ccn":"245411","name":"Shirley Chapman Sholom Home East","address":"740 Kay Avenue","city":"Saint Paul","state":"MN","zip":"55102","beds":118,"overall":4,"inspections":7,"last_inspection":"2026-07-23","deficiencies":41,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.3}]}}