Nursing homes across Ramsey County, Minnesota, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
New Brighton Care Center runs a for-profit corporate operation with 57 beds, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. That's a real plus, though weekend coverage dips about 10% below its own weekday levels, so care may thin out when families visit. The current inspection record shows 29 deficiencies, two of them abuse-related, with none at the harm or jeopardy level; the last inspection was November 2025. Its two-star inspection and quality ratings are the weak spots against a three-star staffing score. Worth asking specifically how the abuse deficiencies were resolved.
The Villas At New Brighton runs a for-profit operation with 99 certified beds, and the staffing picture is mixed. Nurses provide 3.64 hours per resident day, about 6% under the national average of 3.86, and weekend coverage drops roughly 10% below weekday levels. Staff turnover of 36.5% actually beats the national 45.8%, so retention isn't the problem.
The inspection record is. CMS rated health inspections 1 out of 5, with 61 deficiencies on file, including 6 at the harm or jeopardy level and 4 tied to abuse. Fines total $202,827 across 22 penalties, and the most recent inspection was April 23, 2026. A 4/5 staffing star doesn't offset that inspection history, the problems are documented, recent, and serious.
Cerenity Marian in Saint Paul runs a nonprofit shop with 90 beds, and the staffing numbers look strong on paper, 4.15 nurse hours per resident day, roughly 7% above the national average, and weekends only dip about 12% below its own weekdays, which is better than many homes manage. The trouble sits elsewhere. Staff turnover is 50.9%, well past the 45.8% national figure, so the people delivering that care keep leaving, and CMS has cited 16 deficiencies on the current record, including two at harm or jeopardy level and one tied to abuse, with $130,913 in fines. The last inspection was recent, March 2026, so that record is current, not stale.
Hayes Residence runs on 2.53 nurse staffing hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. Its last inspection was in June 2025, and the record carries 17 deficiencies, two of them serious enough to reach harm or jeopardy level. No abuse citations appear, and the quality measure rating is average, but a for-profit home with that staffing gap, that turnover, and two harm-level findings at its most recent survey is worth a close look before you decide.
Cerenity Care Center on Humboldt runs a nonprofit home of 93 beds in Saint Paul, and its nursing hours land right at the national average, 3.84 per resident day against 3.86 nationally, close enough to call it even. The problem is consistency: weekends dip about 15% below its own weekday staffing, and 52.9% of staff turned over in a year, well above the 45.8% national rate. The inspection record is the heavier concern. Forty-two deficiencies sit on file, five of them at harm or jeopardy level and two tied to abuse, with $96,721 in fines across two penalties. The most recent inspection was March 5, 2026. Staffing looks adequate on paper; everything around it doesn't.
The Emeralds At St Paul runs on a for-profit corporate model, and its nurse staffing sits at 4.60 hours per resident day, about 19% above the national average, with weekend coverage dipping roughly 8% below its own weekday levels. Annual turnover is 23.6%, well under the 45.8% national figure, so the same caregivers are largely sticking around. What pulls the record down is the inspection side: 62 deficiencies on file, 7 of them at harm or jeopardy level and 8 abuse-related, plus four fines totaling $138,736. The most recent inspection was July 30, 2025. Good staffing and a troubled survey history are both true here at once.
Waverly Gardens runs a nonprofit home with 60 beds in North Oaks, and the staffing is where it looks strongest, 4.50 nurse hours per resident day, roughly 17% above the national average, with turnover at 35.5% against a national 45.8%. Weekend coverage dips about 8% below its own weekday level, so the extra hours aren't spread evenly across the week. The inspection record is the real weight here: 11 deficiencies on file, two of them at harm or jeopardy level and three abuse-related, with the last inspection in September 2024. That combination, good staffing numbers sitting alongside a 2/5 inspection rating and 2/5 quality measures, is what keeps the overall picture middling rather than strong.
Highland Chateau runs 4.02 nurse hours per resident day, modestly above the national figure, but that number hides a lot. Staff turnover sits at 68.7 percent against a national average near 46 percent, and weekend coverage dips below the home's own weekday level, so the people at the bedside are constantly changing. The inspection record is the bigger concern: 98 deficiencies logged, five serious enough to involve harm or jeopardy, two tied to abuse, and $67,594 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which the agency reserves for homes with a persistent pattern of poor care.