01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-28 | 3 | 2026-01-28 | 2 |
| Cycle 2 | 2024-12-11 | 14 | 2024-12-11 | 7 |
| Cycle 3 | 2024-02-01 | 12 | 2024-02-01 | 6 |
CMS CCN 2455242026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Little Sisters Of The Poor
330 Exchange Street South · Saint Paul, MN 55102 · Ramsey County
Certified beds73CMS provider file
Recent citation rows44current CMS citation release
Penalty rows3current 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
44 rows in the current release
1 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.
2026-01-28 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-02-182026-01-28 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-02-182026-01-28 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-02-182026-01-28 · 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 · 2026-02-202026-01-28 · 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 · 2026-02-202024-12-11 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-01-092024-12-11 · HEALTHF0744Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Correction field: Deficient, Provider has date of correction · 2025-01-092024-12-11 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-01-092024-12-11 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-01-092024-12-11 · HEALTHF0773Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Correction field: Deficient, Provider has date of correction · 2025-01-092024-12-11 · 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 · 2025-01-092024-12-11 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-01-172024-12-11 · 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 · 2025-01-172024-12-11 · 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 · 2025-01-172024-12-11 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-01-172024-12-11 · FIREK0362Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Correction field: Deficient, Provider has date of correction · 2025-01-172024-12-11 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-01-172024-12-11 · 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 · 2025-01-172024-10-03 · HEALTHF0689Severity J · isolated immediate jeopardy
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 · 2024-11-08 · complaint2024-10-03 · HEALTHF0730Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2024-11-08 · complaint2024-10-03 · HEALTHF0837Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Correction field: Deficient, Provider has date of correction · 2024-11-08 · complaint2024-10-03 · HEALTHF0838Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Correction field: Deficient, Provider has date of correction · 2024-11-08 · complaint2024-10-03 · HEALTHF0843Severity C · widespread; potential for minimal harm
Administration Deficiencies
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Correction field: Deficient, Provider has date of correction · 2024-11-08 · complaint2024-10-03 · HEALTHF0851Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2024-11-08 · complaint03 / 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 |
|---|---|---|---|
| 2024-10-03 | Fine | $8,021 | 0 |
| 2024-10-03 | Payment Denial | $0 | 9 |
| 2023-11-06 | Fine | $5,244 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- KANNANGARA, DONNA MARIEIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 10/01/2024
- DONACIK, RONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/10/2024
- DONACIK, RONALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2024
- SHARMA, HIMANSHUIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2000
- KANNANGARA, DONNA MARIEIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 10/01/2024
- DONACIK, RONALDIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/10/2024
- KANNANGARA, DONNA MARIEIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/01/2024
- SHARMA, HIMANSHUIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2000
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 hours4.95per resident day
RN hours0.74per resident day
Weekend nurse hours4.63per resident day
Staff turnover47.9%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 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 rows