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LITTLE SISTERS OF THE POOR Inspection Report, Violations & Safety Grade (SAINT PAUL, Minnesota)

330 EXCHANGE STREET SOUTH, SAINT PAUL, Minnesota 55102

Phone: 6512270336

CMS Overall:3/5

Overview & Bed Count

Certified Beds
73
Avg Residents/Day
39.4
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Ramsey
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health2/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityMinnesota AvgDifference
RN Hours per Resident per Day0.561.08-0.52
Total Nurse Hours per Resident per Day4.524.27+0.25
CMS Staffing Rating4/54.2/5-
Nursing Staff Turnover46.9%42.1%-

Health Citation History

29 health citations on record

DateCategoryDescriptionSeverity
2026-01-28Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-01-28Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-01-28Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-12-11Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-12-11Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-12-11Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2024-12-11Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2024-12-11Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2024-12-11Administration DeficienciesProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D – Moderate Harm Potential
2024-10-03Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2024-10-03Administration DeficienciesEstablish 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.F – Moderate Harm Potential
2024-10-03Administration DeficienciesConduct 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.F – Moderate Harm Potential
2024-10-03Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2024-10-03Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.F – Moderate Harm Potential
2024-10-03Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D – Moderate Harm Potential
2024-10-03Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.C – Minimal Harm Potential
2024-10-03Administration DeficienciesHave 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.C – Minimal Harm Potential
2024-02-07Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-02-01Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2024-02-01Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-02-01Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2024-02-01Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-02-01Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-02-01Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyC – Minimal Harm Potential
2023-10-04Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2023-10-04Quality of Life and Care DeficienciesEnsure the activities program is directed by a qualified professional.E – Moderate Harm Potential
2023-10-04Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-10-04Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-10-04Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D – Moderate Harm Potential

Fire Safety Citation History

15 fire safety citations on record

DateCategoryDescriptionSeverity
2026-01-28Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2026-01-28Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-12-11Smoke DeficienciesHave an enclosure around a vertical opening shaft.F – Moderate Harm Potential
2024-12-11Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-12-11Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2024-12-11Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-12-11Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.F – Moderate Harm Potential
2024-12-11Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2024-12-11Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2024-02-01Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2024-02-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-02-01Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-02-01Gas, Vacuum, and Electrical Systems DeficienciesEnsure operating rooms are properly protected and written records are maintained and available for inspection.D – Moderate Harm Potential
2024-02-01Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).C – Minimal Harm Potential
2024-02-01Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.C – Minimal Harm Potential

Total Penalties & Fines

$13,265
Total Fine Amount (CMS)
2
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2024-10-03Fine$8,021-
2024-10-03Payment Denial-9 days starting 2024-10-30
2023-11-06Fine$5,244-

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