Little Sisters of the Poor

Name: Little Sisters of the Poor
Address: 330 EXCHANGE STREET SOUTH, Saint Paul, MN, 55102, US
Telephone: 6512270336

330 Exchange Street South, Saint Paul, MN 55102 · Ramsey County · 73 certified beds · avg 36 residents/day · certified since Feb 1, 1988

2/5

Health inspection rating (on-site)

Serious findings on record

$13,265

Fines, last 3 years

6.58

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Oct 3, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Nov 8, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 28, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jan 28, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 28, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 11, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 11, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Dec 11, 2024	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Dec 11, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Dec 11, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Dec 11, 2024	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them.
Oct 3, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 3, 2024	F · Potential for harm, facility-wide	The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · from a complaint
Oct 3, 2024	F · Potential for harm, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint
Oct 3, 2024	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · from a complaint
Oct 3, 2024	F · Potential for harm, facility-wide	The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · from a complaint
Oct 3, 2024	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint
Oct 3, 2024	C · Minimal risk, facility-wide	The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint
Oct 3, 2024	C · Minimal risk, facility-wide	The facility did not have an agreement with at least one Medicare- or Medicaid-certified hospital to ensure residents can be transferred quickly when they need hospital care. · from a complaint
Feb 7, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 1, 2024	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · from a complaint
Feb 1, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 1, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Feb 1, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 1, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 1, 2024	C · Minimal risk, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Oct 4, 2023	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint
Oct 4, 2023	E · Potential for harm, repeated	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. · from a complaint
Oct 4, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Oct 4, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Oct 4, 2023	D · Potential for harm, one-off	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	0	E
2024	21	1	J ▲
2026	3	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $13,265, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Oct 3, 2024	Fine	$8,021
Oct 3, 2024	Payment Denial	9 days from Oct 30, 2024
Nov 6, 2023	Fine	$5,244

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Minnesota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.58	4.83	3.95	top 4% in Minnesota; top 2% in the U.S.
Registered Nurse hours	0.98	1.22	0.69	bottom 33% in Minnesota; top 16% in the U.S.
Weekend total nurse staffing	6.15	4.27	3.50	top 2% in Minnesota; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.69	0.48	bottom 44% in Minnesota; top 28% in the U.S.
Total nursing staff turnover (%)	47.9	42.2	45.8	bottom 32% in Minnesota; bottom 42% in the U.S.
RN turnover (%)	81.8	38.6	42.9	bottom 4% in Minnesota; bottom 5% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.95, RN 0.74, weekend 4.63. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Kannangara, Donna Marie	Individual	5% or Greater Direct Ownership Interest	100%	10/01/2024
Donacik, Ronald	Individual	Corporate Officer	NOT APPLICABLE	10/10/2024
Donacik, Ronald	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2024
Donacik, Ronald	Individual	ADP of the SNF	NOT APPLICABLE	10/10/2024
Kannangara, Donna Marie	Individual	Trustee of the SNF	NOT APPLICABLE	10/01/2024
Kannangara, Donna Marie	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2024
Sharma, Himanshu	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2000
Sharma, Himanshu	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2000

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Ebenezer Integrated Care & Rehab	0.6 mi	Saint Paul, MN	★★★★☆	3/5
The Emeralds at St Paul LLC	0.8 mi	Saint Paul, MN	★☆☆☆☆	1/5
The Villas at St Paul	1.0 mi	Saint Paul, MN	★★☆☆☆	2/5
Capital View Transitional Care Center	1.1 mi	Saint Paul, MN	★★★★★	5/5
Cerenity Care Center on Humboldt	1.2 mi	Saint Paul, MN	★★☆☆☆	2/5
Shirley Chapman Sholom Home East	2.2 mi	Saint Paul, MN	★★★★☆	3/5
Cerenity Marian of St Paul LLC	2.4 mi	Saint Paul, MN	★★★★☆	3/5
Walker Methodist Westwood Ridge II	2.9 mi	West Saint Paul, MN	★★☆☆☆	2/5
Hayes Residence	3.2 mi	Saint Paul, MN	★★☆☆☆	2/5
Carondelet Village Care Center	3.7 mi	Saint Paul, MN	★★★★★	4/5
Episcopal Church Home of Minnesota	3.8 mi	Saint Paul, MN	★☆☆☆☆	1/5
Episcopal Church Home the Gardens	3.8 mi	Saint Paul, MN	★★☆☆☆	2/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 245524.

The Care File

Visit checklist — Little Sisters of the Poor

330 Exchange Street South, Saint Paul, MN 55102 · 6512270336

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $13,265

Most serious findings on record:

▲ Oct 3, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 245524 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)