EPISCOPAL CHURCH HOME THE GARDENS
1860 UNIVERSITY AVENUE WEST, SAINT PAUL, MN 55104 · CCN 245625
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- — —
Facility
- Ownership type
- Non profit - Other
- Certified beds
- 60
- Avg residents/day
- 57.1
- Phone
- 6516328801
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-09-12 | 18 | 8.1 | 9.5 | +9.9 worse |
| 2 | 2023-08-03 | 9 | 7.8 | 9.8 | +1.2 worse |
| 3 | 2022-03-24 | 3 | 7.4 | 9.3 | -4.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | — | — |
| RN staffing (reported) | — | — |
| Total nurse staffing (adjusted) | — | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 2
- Payment denials
- 2
Inspection citations (30)1 actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-20 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-18 · Health · corrected 2025-10-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-18 · Health · corrected 2025-10-29
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-08-18 · Health · corrected 2025-10-22
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-08-18 · Health · corrected 2025-10-29
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-08-18 · Health · corrected 2025-10-29
Potential for more than minimal harm
- DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2025-08-18 · Health · corrected 2025-10-22
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-19 · Health · corrected 2025-06-27
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-26 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-26 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0659Provide care by qualified persons according to each resident's written plan of care.2024-09-12 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-12 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-12 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-12 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-09-12 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-09-12 · Health · corrected 2024-11-04
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-12 · Health · corrected 2024-11-04
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-09-12 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-04 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-08-03 · Health · corrected 2023-09-12
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-08-03 · Health · corrected 2023-09-12
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-03 · Health · corrected 2023-09-12
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-08-03 · Health · corrected 2023-09-12
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-03 · Health · corrected 2023-09-12
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-03 · Health · corrected 2023-09-12
Actual harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-08-03 · Health · corrected 2023-09-12
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-08-03 · Health · corrected 2023-09-12
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-03-24 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-03-24 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2022-03-24 · Health · corrected 2022-05-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-03-27 |
| EPISCOPAL HOME CARE AND SERVICES | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2013-03-27 |
| EPISCOPAL HOMES OF MINNESOTA | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2013-03-27 |
| EH SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-03-27 |
| CUTLER, LOIS | Individual | CORPORATE DIRECTOR | — | 2016-11-01 |
| FORBES, CAROL | Individual | CORPORATE DIRECTOR | — | 2016-11-01 |
| GILBERTSON, MELISSA | Individual | CORPORATE DIRECTOR | — | 2016-11-01 |
| GOVE, PETER | Individual | CORPORATE DIRECTOR | — | 2016-11-01 |
| HAWTHORNE, REBECCA | Individual | CORPORATE DIRECTOR | — | 2017-11-01 |
| HOVE, THOMAS | Individual | CORPORATE DIRECTOR | — | 2013-03-27 |
| HUBER, JAMES | Individual | CORPORATE DIRECTOR | — | 2017-11-01 |
| MCGOWAN, DIANE | Individual | CORPORATE DIRECTOR | — | 2013-03-27 |
| NOWLIN, SARAH | Individual | CORPORATE DIRECTOR | — | 2013-03-27 |
| OSTENSO, BRIAN | Individual | CORPORATE DIRECTOR | — | 2015-11-01 |
| SLAWICK, JEROME | Individual | CORPORATE DIRECTOR | — | 2016-11-01 |
| CLEM, MARY | Individual | CORPORATE OFFICER | — | 2017-01-01 |
| HENRY, JOHN | Individual | CORPORATE OFFICER | — | 2015-10-19 |
| MORK, STEVEN | Individual | CORPORATE OFFICER | — | 2016-01-12 |
| PLAKUT, MARVIN | Individual | CORPORATE OFFICER | — | 2013-03-27 |
| FRANCO, KEANAN | Individual | W-2 MANAGING EMPLOYEE | — | 2015-10-27 |
| WELLS FARGO BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2013-05-01 |
Other facilities in SAINT PAUL
| Name | Overall | Beds |
|---|---|---|
| Capitol View Transitional Care Center | ★★★★★ | 32 |
| Carondelet Village Care Center | ★★★★☆ | 45 |
| Shirley Chapman Sholom Home East | ★★★★☆ | 118 |
| Little Sisters Of The Poor | ★★★★☆ | 73 |
| GOOD SAMARITAN SOCIETY - MAPLEWOOD | ★★★☆☆ | 71 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.