Episcopal Church Home Gardens
1860 University Avenue West, Saint Paul, MN 55104


Episcopal Church Home Gardens is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245625. The address is 1860 University Avenue West, Saint Paul, MN 55104. The zip code is 55104. The phone number is 6516328801.


Episcopal Church Home Gardens · 1860 University Avenue West, Saint Paul, MN 55104

Federal Provider Number 245625
Provider Name EPISCOPAL CHURCH HOME GARDENS
Address 1860 UNIVERSITY AVENUE WEST
SAINT PAUL, MN 55104
Phone Number 6516328801
SSA County Code 610
County Name Ramsey
Ownership Type Non profit - Corporation
Certified Beds 60
Certified Beds Residents 59
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC
Date First Approved to Provide Medicare Medicaid Services 04/15/2015
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 3
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 4.46356
Reported LPN Staffing Hours per Resident per Day 0.87119
Reported RN Staffing Hours per Resident per Day 0.71186
Reported Licensed Staffing Hours per Resident per Day 1.58305
Reported Total Nurse Staffing Hours per Resident per Day 6.04661
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04746
Expected CNA Staffing Hours per Resident per Day 2.58021
Expected LPN Staffing Hours per Resident per Day 0.53392
Expected RN Staffing Hours per Resident per Day 0.75937
Expected Total Nurse Staffing Hours per Resident per Day 3.87351
Adjusted CNA Staffing Hours per Resident per Day 4.24471
Adjusted LPN Staffing Hours per Resident per Day 1.35429
Adjusted RN Staffing Hours per Resident per Day 0.70045
Adjusted Total Nurse Staffing Hours per Resident per Day 6.2923
Cycle 1 Standard Survey Health Date 03/02/2017
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 03/03/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 44
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 03/10/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 20.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Episcopal Church Home Gardens

Owner Name Role Association Date
ABDULLAI, SAMUEL (Individual) DIRECTOR since 03/27/2013
ASHCROFT, ELIZABETH (Individual) DIRECTOR since 03/27/2013
COLE, DENISE (Individual) DIRECTOR since 03/27/2013
COLE, DENISE (Individual) OFFICER since 03/27/2013
DREW, ALDEN (Individual) DIRECTOR since 03/27/2013
DREW, ALDEN (Individual) OFFICER since 03/27/2013
EH SERVICES INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/27/2013
EPISCOPAL HOME CARE AND SERVICES (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/27/2013
EPISCOPAL HOMES OF MINNESOTA (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/27/2013
EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 03/27/2013
FISTLER, AMY (Individual) OFFICER since 03/27/2013
HENNELLY, KRIS (Individual) DIRECTOR since 03/27/2013
HOVE, THOMAS (Individual) DIRECTOR since 03/27/2013
HOWARD, CHRISTINE (Individual) DIRECTOR since 03/27/2013
HUBER, MARY (Individual) DIRECTOR since 03/27/2013
JOHNSON, JAMES (Individual) DIRECTOR since 03/27/2013
KAREL, MICHAEL (Individual) OFFICER since 03/27/2013
KELLY, ELIZABETH (Individual) DIRECTOR since 03/27/2013
KREBS, ANDREA (Individual) MANAGING EMPLOYEE since 03/27/2013
LILJA, MARY (Individual) DIRECTOR since 03/27/2013
MCCALLISTER, CATHERINE (Individual) DIRECTOR since 03/27/2013
MCCLAY, ROBERT (Individual) DIRECTOR since 03/27/2013
MCGOWAN, DIANE (Individual) DIRECTOR since 03/27/2013
MCKEE, REX (Individual) DIRECTOR since 03/27/2013
MYERS, CATHERINE (Individual) DIRECTOR since 03/27/2013
NOWLIN, SARAH (Individual) DIRECTOR since 03/27/2013
PLAKUT, MARVIN (Individual) OFFICER since 03/27/2013
RINKOFF, RICHARD (Individual) DIRECTOR since 03/27/2013
RINKOFF, RICHARD (Individual) OFFICER since 03/27/2013
SEMSCH, MICHAEL (Individual) DIRECTOR since 03/27/2013
STUPKA, ROBERT (Individual) DIRECTOR since 03/27/2013
STUPKA, ROBERT (Individual) OFFICER since 03/27/2013
VERHEY, CYNTHIA (Individual) DIRECTOR since 03/27/2013
WELLS FARGO BANK NATIONAL ASSOCIATION (Organization) 5% OR GREATER MORTGAGE INTEREST since 05/01/2013

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