Ramsey County, Minnesota · Nursing home
Little Sisters of the Poor
2 of 5 overall from CMS
330 Exchange Street South, Saint Paul, MN 55102
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 4.95 hours Above the state average of 4.19
- Nursing staff who left in a year 47.9% Above the state average of 42.2%
- Health citations, last 3 inspection cycles 29 1 at the harm level or above
- Fines in 3 years $13,265 2 fines
- Certified beds in use 48.8% of 73 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Little Sisters of the Poor is a 73-bed nursing home in Saint Paul, Minnesota (Ramsey County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.95 nurse staffing hours per resident per day, above the Minnesota average of 4.19. CMS lists 2 fines totaling $13,265 in the past three years.
- Certified beds
- 73
- Residents per day (average)
- 35.6
- Certified since
- 1988 (38 yrs)
Non profit - Corporation Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Little Sisters of the Poor
Chosen from this home's public data.
- CMS lists 2 fines totaling $13,265 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 47.9%, above the Minnesota average of 42.2%. How often would the same aides care for my relative?Turnover in CMS data
- About 48.8% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Minnesota average 3.2
- Health inspections 2 of 5 Minnesota average 2.8
- Staffing 4 of 5 Minnesota average 4.1
- Quality measures 4 of 5 Minnesota average 3.1
The vertical line marks the Minnesota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.95 h Minnesota average 4.19
- Nurse aides 3.28 h Minnesota average 2.52
- Licensed practical nurses 0.93 h Minnesota average 0.61
- Registered nurses 0.74 h Minnesota average 1.06
- All staff, weekends 4.63 h Minnesota average 3.71
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Minnesota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover47.9%
- Minnesota average42.2%
- Registered nurse turnover81.8%
- Minnesota average38.6%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Minnesota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 15.9% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.0% | 4.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.4% | 2.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 4.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% | 4.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 69.6% | 97.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 16.6% | 20.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 0.0% | 12.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.7% | 5.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.9% | 24.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.5% | 17.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.61 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.90 | 1.78 |
Short-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 37.5% | 88.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 82.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 23.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 14.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 29 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 15 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 3, 2024: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 28, 2026 | 3 | 2 |
| Dec 11, 2024 | 14 | 7 |
| Feb 1, 2024 | 12 | 6 |
Minnesota homes averaged 7.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (29)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Feb 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Feb 18, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 9, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 9, 2025)
Show 24 more
-
DPotential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 9, 2025)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jan 9, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jan 9, 2025)
-
DPotential for more than minimal harm, isolated
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration · Deficient, Provider has date of correction (Jan 9, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 8, 2024)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 8, 2024)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 8, 2024)
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 8, 2024)
-
FPotential for more than minimal harm, widespread
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Nov 8, 2024)
-
CPotential for minimal harm, widespread
Observe each nurse aide's job performance and give regular training.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Nov 8, 2024)
-
CPotential for minimal harm, widespread
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 8, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 23, 2024)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Feb 23, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 23, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Feb 23, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 23, 2024)
-
CPotential for minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Feb 23, 2024)
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 17, 2023)
-
EPotential for more than minimal harm, pattern
Ensure the activities program is directed by a qualified professional.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 17, 2023)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 17, 2023)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 17, 2023)
-
DPotential for more than minimal harm, isolated
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 17, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 3, 2024 | Fine | $8,021 |
| Oct 3, 2024 | Payment Denial | 9 days |
| Nov 6, 2023 | Fine | $5,244 |
Minnesota homes averaged 0.8 fines and $24,507 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Minnesota
Common questions
What is the CMS star rating for Little Sisters of the Poor?
Little Sisters of the Poor has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 4 and quality measures is 4.
How many beds does Little Sisters of the Poor have?
Little Sisters of the Poor has 73 certified beds. It averages 35.6 residents per day, about 48.8% of its certified beds.
How much nursing care do residents get at Little Sisters of the Poor?
The home reports 4.95 hours of nurse staffing per resident per day, including 0.74 hours from registered nurses. The Minnesota average is 4.19 hours and 1.06 hours from registered nurses.
Has Little Sisters of the Poor been fined?
Yes. CMS lists 2 fines totaling $13,265 in the past three years. It also lists 1 payment denial.
Does Little Sisters of the Poor accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Ebenezer Integrated Care & Rehab 62beds 92.3%in use 5.35nurse hours a day
- 1 of 5 The Emeralds at St Paul LLC 100beds 89.5%in use 4.60nurse hours a day
- 2 of 5 The Villas at St Paul 105beds 84.3%in use 3.21nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Ramsey County
Who to call in Minnesota
These offices serve residents of every nursing home in Minnesota.
- Long-term care ombudsman Office of Ombudsman for Long-Term Care (OOLTC) 1-800-657-3591 (Also 651-431-2555. Calls answered 8:00 AM - 4:00 PM, Monday to Friday. TDD/TTY: 711. Email MBA.OOLTC@state.mn.us; fax 651-431-7452.) An advocate for residents and their families.
- File a complaint about a nursing home Office of Health Facility Complaints (OHFC) 651-201-4200 (Email: health.ohfc-complaints@state.mn.us. MDH directs suspected maltreatment of a vulnerable adult (abuse, neglect, financial exploitation, unexplained injury) to the Minnesota Adult Abuse Reporting Center (MAARC), 844-880-1574 (toll free).) The state agency that inspects nursing homes.
Minnesota staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 245524. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.