St Paul Elder Services, INC

Inspection findings

1. Mar 26, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Apr 6, 2026 · CMS health inspection

2. Jun 16, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jun 17, 2025 · CMS health inspection

3. Apr 2, 2025 Health · 10 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Apr 25, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Apr 25, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 25, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 25, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Apr 25, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Apr 25, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Apr 25, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Apr 25, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Apr 25, 2025 · CMS fire safety

4. Sep 26, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Oct 11, 2024 · CMS health inspection

5. Mar 20, 2024 Fire Safety · 7 findings
   • Not serious Scope/severity F

     K0161 Construction Deficiencies

     Use approved construction type or materials.

     Corrected Apr 15, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0222 Egress Deficiencies

     Add 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.

     Corrected Apr 15, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Apr 15, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Apr 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Apr 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Apr 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Apr 15, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• ABEL, JACKIE — operational/managerial control, NOT APPLICABLE, since 01/01/2015
• ABEL, JACKIE — corporate director, NOT APPLICABLE, since 01/01/2015
• ABEL, JACKIE — adp of the snf, NOT APPLICABLE, since 01/01/2015
• ACKER, CHARLEEN — corporate director, NOT APPLICABLE, since 03/01/2017
• ACKER, CHARLEEN — operational/managerial control, NOT APPLICABLE, since 03/01/2017
• ACKER, CHARLEEN — adp of the snf, NOT APPLICABLE, since 03/01/2017
• BRADY, NICOLE — adp of the snf, NOT APPLICABLE, since 03/01/2019
• BRADY, NICOLE — corporate director, NOT APPLICABLE, since 03/01/2019
• BRADY, NICOLE — operational/managerial control, NOT APPLICABLE, since 03/01/2019
• EITING, CLAY — operational/managerial control, NOT APPLICABLE, since 03/01/2024
• EITING, CLAY — adp of the snf, NOT APPLICABLE, since 03/01/2024
• EITING, CLAY — corporate director, NOT APPLICABLE, since 03/01/2024
• GAGE, MICHAEL — adp of the snf, NOT APPLICABLE, since 03/01/2019
• GAGE, MICHAEL — operational/managerial control, NOT APPLICABLE, since 03/01/2019
• GAGE, MICHAEL — corporate director, NOT APPLICABLE, since 03/01/2019
• HIETPAS, PAT — corporate director, NOT APPLICABLE, since 03/01/2018
• HIETPAS, PAT — operational/managerial control, NOT APPLICABLE, since 03/01/2018
• HIETPAS, PAT — adp of the snf, NOT APPLICABLE, since 03/01/2018
• KIENERT, KELSEY — operational/managerial control, NOT APPLICABLE, since 10/01/2024
• KIENERT, KELSEY — adp of the snf, NOT APPLICABLE, since 10/01/2024
• KOHLMANN, JOELLEN — corporate director, NOT APPLICABLE, since 03/01/2024
• KOHLMANN, JOELLEN — adp of the snf, NOT APPLICABLE, since 03/01/2024
• KOHLMANN, JOELLEN — operational/managerial control, NOT APPLICABLE, since 03/01/2024
• LEMKE, KARMEN — adp of the snf, NOT APPLICABLE, since 06/02/2025
• LEMKE, KARMEN — operational/managerial control, NOT APPLICABLE, since 06/02/2025
• LEMKE, KARMEN — corporate director, NOT APPLICABLE, since 06/02/2025
• MASHL, MEGAN — adp of the snf, NOT APPLICABLE, since 06/26/2017
• MASHL, MEGAN — operational/managerial control, NOT APPLICABLE, since 06/26/2017
• NEVILLE, RYAN — adp of the snf, NOT APPLICABLE, since 02/13/2025
• NEVILLE, RYAN — operational/managerial control, NOT APPLICABLE, since 02/13/2025
• SABIN-WILSON, LISA — operational/managerial control, NOT APPLICABLE, since 09/15/2025
• SCHROEDER, AMBER — corporate officer, NOT APPLICABLE, since 07/19/2022
• SCHROEDER, AMBER — adp of the snf, NOT APPLICABLE, since 07/19/2022
• SCHROEDER, AMBER — operational/managerial control, NOT APPLICABLE, since 07/19/2022
• VANDEHEY, PAULA — corporate director, NOT APPLICABLE, since 03/01/2024
• VANDEHEY, PAULA — operational/managerial control, NOT APPLICABLE, since 03/01/2024
• VANDEHEY, PAULA — adp of the snf, NOT APPLICABLE, since 03/01/2024
• AMERGIS HEALTHCARE STAFFING, INC — operational/managerial control, NOT APPLICABLE, since 07/01/2025
• AMERGIS HEALTHCARE STAFFING, INC — adp of the snf, NOT APPLICABLE, since 01/13/2026
• DAVIS CLINICAL CONSULTING — adp of the snf, NOT APPLICABLE, since 12/23/2025
• DAVIS CLINICAL CONSULTING — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. — operational/managerial control, NOT APPLICABLE, since 03/15/2010
• FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. — adp of the snf, NOT APPLICABLE, since 12/23/2025
• P&M HOLDING GROUP LLP — operational/managerial control, NOT APPLICABLE, since 01/01/2011
• P&M HOLDING GROUP LLP — adp of the snf, NOT APPLICABLE, since 01/13/2026
• PRN HEALTH SERVICES, INC. — operational/managerial control, NOT APPLICABLE, since 10/01/2022
• PRN HEALTH SERVICES, INC. — adp of the snf, NOT APPLICABLE, since 01/13/2026