The Villas at St Paul

Name: The Villas at St Paul
Address: 445 GALTIER AVENUE, Saint Paul, MN, 55103, US
Telephone: 6512241848

445 Galtier Avenue, Saint Paul, MN 55103 · Ramsey County · 105 certified beds · avg 89 residents/day · certified since Sep 1, 1986

Part of chain: MONARCH HEALTHCARE MANAGEMENT (45 facilities, chain avg rating 2.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.28

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 · Jun 26, 2026 · F-0689

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: Aug 31, 2025 (Past Non-Compliance)

All citations in the current public record (34)

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
Jun 26, 2026	▲ 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.
Jun 26, 2026	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.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 26, 2026	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.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Apr 1, 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. · from a complaint
Apr 1, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Apr 3, 2025	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.
Apr 3, 2025	E · Potential for harm, repeated	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.
Apr 3, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 28, 2025	E · Potential for harm, repeated	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. · from a complaint
Mar 28, 2025	E · Potential for harm, repeated	The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · from a complaint
Mar 4, 2025	F · Potential for harm, facility-wide	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. · from a complaint
Mar 4, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 23, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Sep 23, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Sep 23, 2024	D · Potential for harm, one-off	The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. · from a complaint
Sep 23, 2024	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. · from a complaint
Jul 23, 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
Jun 27, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jun 27, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jun 27, 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.
Jun 27, 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.
Jun 27, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2024	14	0	D
2025	7	0	F
2026	13	1	J ▲

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)

No fines or payment denials in the published 3-year window.

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)	4.28	4.83	3.95	bottom 29% in Minnesota; top 29% in the U.S.
Registered Nurse hours	1.22	1.22	0.69	top 40% in Minnesota; top 9% in the U.S.
Weekend total nurse staffing	3.84	4.27	3.50	bottom 32% in Minnesota; top 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.73	0.69	0.48	top 32% in Minnesota; top 14% in the U.S.
Total nursing staff turnover (%)	48.1	42.2	45.8	bottom 31% in Minnesota; bottom 42% in the U.S.
RN turnover (%)	43.8	38.6	42.9	bottom 38% in Minnesota; bottom 46% 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 3.21, RN 0.91, weekend 2.88. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Halpert, Marc	Individual	5% or Greater Indirect Ownership Interest	32%	01/01/2023
Jaffa, Noam	Individual	5% or Greater Indirect Ownership Interest	16%	01/01/2023
Legum, Joshua	Individual	5% or Greater Indirect Ownership Interest	26%	01/01/2023
Nij LLC	Organization	5% or Greater Direct Ownership Interest	16%	01/01/2023
Spartan Healthcare LLC	Organization	5% or Greater Direct Ownership Interest	32%	01/01/2023
Stern, William	Individual	5% or Greater Indirect Ownership Interest	26%	01/01/2023
WBS Holdings LLC	Organization	5% or Greater Direct Ownership Interest	26%	01/01/2023
Yazoma Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	26%	01/01/2023
Halpert, Marc	Individual	Corporate Officer	NOT APPLICABLE	01/01/2023
Halpert, Marc	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Jaffa, Noam	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Legum, Joshua	Individual	Contracted Managing Employee	NOT APPLICABLE	01/01/2023
Monarch Healthcare Operating Xii LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Stern, William	Individual	Corporate Officer	NOT APPLICABLE	01/01/2023

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?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"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
The Emeralds at St Paul LLC	0.5 mi	Saint Paul, MN	★☆☆☆☆	1/5
Ebenezer Integrated Care & Rehab	0.7 mi	Saint Paul, MN	★★★★☆	3/5
Capital View Transitional Care Center	0.7 mi	Saint Paul, MN	★★★★★	5/5
Little Sisters of the Poor	1.0 mi	Saint Paul, MN	★★☆☆☆	2/5
Cerenity Care Center on Humboldt	2.1 mi	Saint Paul, MN	★★☆☆☆	2/5
Cerenity Marian of St Paul LLC	2.7 mi	Saint Paul, MN	★★★★☆	3/5
Shirley Chapman Sholom Home East	2.8 mi	Saint Paul, MN	★★★★☆	3/5
Lyngblomsten Care Center	2.9 mi	Saint Paul, MN	★★★☆☆	2/5
Episcopal Church Home of Minnesota	3.3 mi	Saint Paul, MN	★☆☆☆☆	1/5
Episcopal Church Home the Gardens	3.3 mi	Saint Paul, MN	★★☆☆☆	2/5
Hayes Residence	3.4 mi	Saint Paul, MN	★★☆☆☆	2/5
The Estates at Lynnhurst LLC	3.4 mi	Saint Paul, MN	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 245340.

The Care File

Visit checklist — The Villas at St Paul

445 Galtier Avenue, Saint Paul, MN 55103 · 6512241848

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Jun 26, 2026 (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?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "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 245340 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)