01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-20 | 2 | 2025-11-20 | 4 |
| Cycle 2 | 2024-10-17 | 2 | 2024-10-17 | 5 |
| Cycle 3 | 2023-11-16 | 7 | 2023-11-16 | 14 |
CMS CCN 2456172026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Carondelet Village Care Center
525 Fairview Avenue South · Saint Paul, MN 55116 · Ramsey County
Certified beds45CMS provider file
Recent citation rows34current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
34 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-01-132025-11-20 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-01-132025-11-20 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-11-20 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-11-20 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-11-20 · FIREK0923Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-02-11 · HEALTHF0678Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Past Non-Compliance · 2025-02-07 · complaint2024-10-17 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-042024-10-17 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-01-022024-10-17 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-11-272024-10-17 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-11-272024-10-17 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-11-272024-10-17 · FIREK0901Severity F · widespread; potential for more than minimal harm
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Correction field: Deficient, Provider has date of correction · 2025-01-022023-11-16 · FIREE0041Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2023-12-222023-11-16 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2023-12-222023-11-16 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2023-12-222023-11-16 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2023-12-222023-11-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-11-16 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-11-16 · HEALTHF0810Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Correction field: Deficient, Provider has date of correction · 2023-12-222023-11-16 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-11-16 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-02-022023-11-16 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-11-16 · FIREK0347Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2023-12-2903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-02-11 | Fine | $9,113 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CARONDELET VILLAGE INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/14/2010
- PRESBYTERIAN HOMES AND SERVICESOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 04/14/2010
- SISTERS OF ST. JOSEPH OF CARONDELET, ST. PAUL PROVINCEOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 04/14/2010
- COMPUTERSHARE CORPORATE TRUST COMPANY, NAOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 11/01/2021
- BELANGER, MARGARETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/14/2010
- LARSON, DUANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- MEYER, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/14/2010
- REETZ, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/08/2017
- BELANGER, MARGARETIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/14/2010
- MEYER, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/14/2010
- REETZ, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/08/2017
- PHS MANAGEMENT, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/11/2011
- FLETCHER, JONATHANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2025
- LINN, LUANNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/05/2023
- MEYER, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/14/2010
- MIELKE, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- PETERSON, HEIDIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- FLETCHER, JONATHANIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 03/26/2026
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.44per resident day
RN hours1.01per resident day
Weekend nurse hours3.95per resident day
Staff turnover34.0%CMS reported field
06 / LOCAL RECORDS
Open the Saint Paul ledger →Other published facilities nearby
Capital View Transitional Care Center32 beds · CMS overall 5/57 citation rowsCerenity Care Center On Humboldt93 beds · CMS overall 2/549 citation rowsCerenity Marian Of St Paul Llc90 beds · CMS overall 4/526 citation rowsEbenezer Integrated Care & Rehab62 beds · CMS overall 4/530 citation rowsEpiscopal Church Home Of Minnesota131 beds · CMS overall 1/560 citation rowsEpiscopal Church Home The Gardens60 beds · CMS overall 2/558 citation rowsGood Samaritan Society - Maplewood71 beds · CMS overall 3/553 citation rowsHayes Residence40 beds · CMS overall 2/525 citation rows