Episcopal Church Home the Gardens

Nursing Home · Saint Paul, MN

CMS overall rating 2/5 Non profit - Corporation

CMS certification number245625

Contact & location

1860 University Avenue West
Saint Paul, MN 55104
Ramsey County
Phone
(651) 632-8801
ZIP code
55104 – all care providers

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Facility details

Certified beds
60
Residents per day
54.4 (91% occupied)
Ownership
Non profit - Corporation
Legal name
Episcopal Homes on University Avenue, LLC
Medicare certified since
April 15, 2015
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 4.1
Quality measures★★★★★ 3/5
State avg 3.1
Long-stay quality★★★★★ 3/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.69 (state 4.19 · U.S. 3.86)
Registered nurses (RN)
0.57 (state 1.06 · U.S. 0.69)
Licensed practical nurses
0.93 (state 0.61 · U.S. 0.86)
Nurse aides
4.19 (state 2.52 · U.S. 2.32)
Weekend total
5.30 (state 3.71 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
April 9, 2026
Health deficiencies (last cycle)
13.0 (state 7.0 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
33 health · 25 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-09 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-05-11
2026-04-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-11
2026-04-09 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-11
2026-04-09 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-11
2026-04-09 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-11
2026-04-09 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-11
2025-11-20 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-02
2025-08-18 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-29
2025-08-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-29
2025-08-18 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.
F0700 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-22
2025-08-18 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-29
2025-08-18 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.
F0849 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-29
2025-08-18 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.
F0909 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-22
2025-05-19 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-03-26 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-02
2025-03-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-02
2024-09-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-04
2024-09-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-04
2024-09-12 Provide care by qualified persons according to each resident's written plan of care.
F0659 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-04
2024-09-12 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-04
2024-09-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-04
2024-09-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-04
2024-09-12 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-04
2024-09-12 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-04
2024-03-04 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-29
2023-08-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2023-09-12
2023-08-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-09-12
2023-08-03 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-12
2023-08-03 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-12
2023-08-03 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-12
2023-08-03 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-12
2023-08-03 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-12
2023-08-03 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-12

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years.

DateTypeAmount
2025-03-26Payment Denial22 days payment denial

Ownership & management

NameRoleSince
Episcopal Homes on University Avenue, LLC (organization)5%+ Direct Ownership Interest · 100%
Episcopal Home Care and Services (organization)5%+ Indirect Ownership Interest
Episcopal Homes of Minnesota (organization)5%+ Indirect Ownership Interest
Wells Fargo Bank (organization)5%+ Mortgage Interest · NOT APPLICABLE
Cutler, Lois (individual)Corporate Director · NOT APPLICABLE
Forbes, Carol (individual)Corporate Director · NOT APPLICABLE
Gilbertson, Melissa (individual)Corporate Director · NOT APPLICABLE
Gove, Peter (individual)Corporate Director · NOT APPLICABLE
Hawthorne, Rebecca (individual)Corporate Director · NOT APPLICABLE
Hove, Thomas (individual)Corporate Director · NOT APPLICABLE
Huber, James (individual)Corporate Director · NOT APPLICABLE
McGowan, Diane (individual)Corporate Director · NOT APPLICABLE
Nowlin, Sarah (individual)Corporate Director · NOT APPLICABLE
Ostenso, Brian (individual)Corporate Director · NOT APPLICABLE
Slawick, Jerome (individual)Corporate Director · NOT APPLICABLE
Clem, Mary (individual)Corporate Officer · NOT APPLICABLE
Henry, John (individual)Corporate Officer · NOT APPLICABLE
Mork, Steven (individual)Corporate Officer · NOT APPLICABLE
Plakut, Marvin (individual)Corporate Officer · NOT APPLICABLE
Eh Services INC (organization)Operational/managerial Control · NOT APPLICABLE
Franco, Keanan (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Episcopal Church Home the Gardens?

Episcopal Church Home the Gardens has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.

How many beds does Episcopal Church Home the Gardens have?

It has 60 certified beds and cares for about 54 residents per day.

Has Episcopal Church Home the Gardens been fined?

Yes. CMS lists 1 penalty in the last three years.

What is the phone number of Episcopal Church Home the Gardens?

(651) 632-8801. The facility is located at 1860 University Avenue West, Saint Paul, MN 55104.

Other nursing homes in Saint Paul

Compare all nursing homes in Saint Paul, MN →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.