01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-01 | 5 | 2026-04-01 | 1 |
| Cycle 2 | 2025-02-27 | 10 | 2025-02-27 | 5 |
| Cycle 3 | 2024-03-21 | 5 | 2024-03-21 | 4 |
CMS CCN 2455872026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Ebenezer Integrated Care & Rehab
45 West 10Th Street · Saint Paul, MN 55102 · Ramsey County
Certified beds62CMS provider file
Recent citation rows30current CMS citation release
Penalty rows2current 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
30 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-01 · 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 · 2026-05-222026-04-01 · 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 · 2026-05-22 · complaint2026-04-01 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2026-05-222026-04-01 · FIREK0311Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2026-05-042025-12-05 · HEALTHF0689Severity G · isolated actual 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: Past Non-Compliance · 2025-11-11 · complaint2025-12-05 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-17 · complaint2025-02-27 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-27 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-27 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-03-27 · complaint2025-02-27 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-03-27 · complaint2025-02-27 · 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 · 2025-03-272025-02-27 · HEALTHF0806Severity J · isolated immediate jeopardy
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2025-03-27 · complaint2025-02-27 · 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 · 2025-03-272025-02-27 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-27 · HEALTHF0883Severity E · pattern; 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 · 2025-03-272025-02-27 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-27 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-27 · 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 · 2025-03-272025-02-27 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-27 · 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 · 2025-03-272024-10-01 · 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 · 2024-11-01 · complaint2024-07-25 · 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 · 2024-09-02 · complaint2024-07-25 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-09-26 · complaint2024-03-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-05-1003 / 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 |
|---|---|---|---|
| 2025-12-05 | Fine | $14,015 | 0 |
| 2025-02-27 | Fine | $17,345 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CARLSON-WEINBERG, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/31/2019
- FAUST, KIMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- HEREFORD, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2017
- JACOBSON, CAROLYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2018
- KVENVOLD, GAYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/23/2024
- LANDREVILLE, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/21/2024
- MILIUS, MARGARETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/21/2024
- PIPER, KENNETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/31/2022
- WALKER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/31/2022
- WORDELMAN, SCOTTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/24/2017
- ANDERSON, BRETTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/05/2024
- WILLETT, TODDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/24/2016
- EBENEZER MANAGEMENT SERVICES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2022
- BELL, BRITTANYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2022
- CHEBLI, YASSERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2022
- DIGIACOMO, NICOLETTAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2023
- EBENEZER MANAGEMENT SERVICES INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/30/2025
- CHEBLI, YASSERIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/16/2025
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 hours5.35per resident day
RN hours2.19per resident day
Weekend nurse hours4.75per resident day
Staff turnover37.4%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 rowsCarondelet Village Care Center45 beds · CMS overall 5/534 citation rowsCerenity Care Center On Humboldt93 beds · CMS overall 2/549 citation rowsCerenity Marian Of St Paul Llc90 beds · CMS overall 4/526 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