The Sanctuary At West St Paul
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

The Sanctuary At West St Paul

CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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The Sanctuary At West St Paul accepts Medicaid, Medicare, and private pay.

Health Inspection History

Inspections since 2023
Total health inspections 15

Minnesota average 6


Last Health inspection on Jul 2025

Total health citations
63 Rank #83 / 86Health citations — State benchmarkedThis home is ranked 83rd out of 86 homes in Minnesota. Shows this facility's total health deficiency citations benchmarked to the Minnesota State average, with a ranking across all 86 MN facilities. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Minnesota average 23.2

Citations per inspection
4.2 Rank #52 / 86Citations per inspection — State benchmarkedThis home is ranked 52nd out of 86 homes in Minnesota. Shows average deficiency citations per CMS inspection for this facility versus the Minnesota mean across 86 facilities with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Minnesota average 3.76


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

35 of 63 citations resulted from standard inspections; 26 of 63 resulted from complaint investigations; and 2 of 63 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
6
757% worse than Minnesota average

Minnesota average: 0.7


Serious health citations
1
100% worse than Minnesota average

Minnesota average: 0.5

6 critical citations Minnesota average: 0.7

1 serious citation Minnesota average: 0.5

56 moderate citations Minnesota average: 21.2

0 minor citations Minnesota average: 0.8
Citations history (last 3 years)
Abuse/Neglect moderate citation Jul 30, 2025
Corrected

Infection Control moderate citation Jul 30, 2025
Corrected

Nutrition moderate citation Jul 30, 2025
Corrected

Quality of Care moderate citation Jul 30, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 179
Employees 123
Contractors 56
Staff to resident ratio 2.11 : 1
0% compared with Minnesota average
Minnesota average ratio: 2.19 : 1 Minnesota average ratio: 2.19 : 1See full Minnesota ranking
Avg staff/day 57
Average shift 8.2 hours
9% better than Minnesota average
Minnesota average: 7.5 hours Minnesota average shift: 7.5 hoursSee full Minnesota ranking
Total staff hours (quarter) 42,817

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 43 total: 32 full-time employees and 11 contractors. 43
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 32 total: 12 full-time employees and 20 contractors. 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 48 total: 47 full-time employees and 1 contractor. 48
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.3%

2,288 contractor hours this quarter

Licensed Practical Nurse: 20 Registered Nurse: 11 Physical Therapy Assistant: 8 Respiratory Therapy Technician: 7 Qualified Social Worker: 2 Physical Therapy Aide: 2 Occupational Therapy Assistant: 2 Certified Nursing Assistant: 1 Medication Aide/Technician: 1 Speech Language Pathologist: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4714816,67792100%8.1
Registered Nurse32114311,71392100%9.1
Licensed Practical Nurse1220324,12992100%7.5
Clinical Nurse Specialist100101,9886672%8.1
Medication Aide/Technician4151,46592100%8.9
Dental Services Staff5051,2416672%7.5
Other Dietary Services Staff4041,2098795%7.1
Administrator2029186368%7.8
Qualified Activities Professional2026516773%8
RN Director of Nursing1014895459%9.1
Qualified Social Worker0224796571%7.4
Occupational Therapy Aide1014435964%7.5
Respiratory Therapy Technician0774285863%6.9
Physical Therapy Aide0223164246%5
Physical Therapy Assistant0883065762%4.7
Nurse Practitioner2022393033%8
Nurse Aide in Training101741011%7.4
Occupational Therapy Assistant0223989%4.9
Medical Director0111233%4
Speech Language Pathologist011333%1.1
48 Certified Nursing Assistant
% of Days 100%
43 Registered Nurse
% of Days 100%
32 Licensed Practical Nurse
% of Days 100%
10 Clinical Nurse Specialist
% of Days 72%
5 Medication Aide/Technician
% of Days 100%
5 Dental Services Staff
% of Days 72%
4 Other Dietary Services Staff
% of Days 95%
2 Administrator
% of Days 68%
2 Qualified Activities Professional
% of Days 73%
1 RN Director of Nursing
% of Days 59%
2 Qualified Social Worker
% of Days 71%
1 Occupational Therapy Aide
% of Days 64%
7 Respiratory Therapy Technician
% of Days 63%
2 Physical Therapy Aide
% of Days 46%
8 Physical Therapy Assistant
% of Days 62%
2 Nurse Practitioner
% of Days 33%
1 Nurse Aide in Training
% of Days 11%
2 Occupational Therapy Assistant
% of Days 9%
1 Medical Director
% of Days 3%
1 Speech Language Pathologist
% of Days 3%

Penalties and fines

Includes penalties issued in 2024-2025

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $35K Rank #63 / 86Federal fines — State benchmarkedThis home is ranked 63rd out of 86 homes in Minnesota. Shows this facility's cumulative CMS federal fine dollars versus the Minnesota average among facilities with fines, and where it ranks among 86 facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
21% lower than Minnesota average

Minnesota average: $44K

Number of fines 3
50% more fines than Minnesota average

Minnesota average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 2
361% more payment denials than Minnesota average

Minnesota average: 0.4

Fines amount comparison
Fines amount comparison
This facility $35K
Minnesota average $44K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

5 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jun 25, 2025
9 days
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Apr 23, 2025
65 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 19, 2024
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 19, 2024
$14K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.8
In line with Minnesota average

Minnesota average: 11.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.7
13% better than Minnesota average

Minnesota average: 22.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.2%
30% better than Minnesota average

Minnesota average: 18.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.4%
In line with Minnesota average

Minnesota average: 23.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.4%
11% better than Minnesota average

Minnesota average: 25.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.3%
91% better than Minnesota average

Minnesota average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.7%
96% worse than Minnesota average

Minnesota average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.2%
54% worse than Minnesota average

Minnesota average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.3%
53% worse than Minnesota average

Minnesota average: 4.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.3%
71% better than Minnesota average

Minnesota average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.2%
17% better than Minnesota average

Minnesota average: 17.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.4%
5% worse than Minnesota average

Minnesota average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3%
In line with Minnesota average

Minnesota average: 96.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.8%
10% worse than Minnesota average

Minnesota average: 88.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.6%
14% better than Minnesota average

Minnesota average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 66.7%
19% worse than Minnesota average

Minnesota average: 82.6%

Breakdown by payment type

Medicare

21% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

46% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 85
Medicare
2
2.4% of residents
Medicaid
76
89.4% of residents
Private pay or other
7
8.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$14.5M
Surplus of revenue
$189.4K
Voluntary non-profit community Operated by a church.
Home revenue
$14.5M Rank #36 / 85Revenue — State benchmarkedThis home is ranked 36th out of 85 homes in Minnesota. Shows this facility's annual revenue compared to the Minnesota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$189.4K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #29 / 85Payroll — State benchmarkedThis home is ranked 29th out of 85 homes in Minnesota. Shows total annual staff payroll benchmarked to the Minnesota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.1M
62.7% of revenue Rank #24 / 85Payroll % — State benchmarkedThis home is ranked 24th out of 85 homes in Minnesota. Shows payroll as a percentage of revenue versus the Minnesota average. Well-run Minnesota facilities typically land around 61–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
Total costs $14.4M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Places of interest near The Sanctuary At West St Paul

Address 2.7 miles from city center Info Estimated distance in miles from West St. Paul's city center to The Sanctuary At West St Paul's address, calculated via Google Maps.

Calculate Travel Distance to The Sanctuary At West St Paul

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Financial Assistance for
Nursing Home in Minnesota

The Sanctuary At West St Paul is located in West St. Paul, Minnesota.
Here are the financial assistance programs available to residents in Minnesota.

Get Financial aid guidance

Elderly Waiver

Minnesota Medicaid EW

Age 65+
General Minnesota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $3,000 individual, higher than most states
MN

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$70/day) Home aides

Essential Community Supports (ECS)

Minnesota ECS

Age 65+
General Minnesota resident, at risk of decline but not nursing home level.
Income Limits ~$1,732/month individual, varies
Asset Limits $3,000 individual
MN

Bridges gap for those ineligible for waivers.

Benefits
In-home support (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Alternative Care (AC) Program

Minnesota Alternative Care Program

Age 65+
General Minnesota resident, NFLOC, not MA-eligible.
Income Limits (2025) ~$1,255-$2,829/month (100%-300% FPL); sliding scale copays.
Asset Limits $3,000 (individual); home equity limit $713,000.
MN

CDCS option; statewide via counties.

Benefits
Personal care (4-6 hours/day) Respite (~5 days/year) Home health Meals Home mods

Minnesota Senior Health Options (MSHO)

Minnesota Senior Health Options

Age 65+
General Minnesota resident, eligible for MA and Medicare Parts A/B.
Income Limits (2025) ~$1,255/month (100% FPL for MA); spenddown allowed.
Asset Limits $3,000 (individual), $6,000 (couple).
MN

7 health plans (e.g., UCare, HealthPartners); care coordinator assigned.

Benefits
Personal care (5-7 hours/day) Medical care Respite Adult day care Home mods $900/year groceries (some plans)

Minnesota Senior Care Plus (MSC+)

Minnesota Senior Care Plus

Age 65+
General Minnesota resident, MA-eligible, not on Medicare.
Income Limits (2025) ~$1,255/month (100% FPL); spenddown allowed.
Asset Limits $3,000 (individual), $6,000 (couple).
MN

Includes EW services; 7 health plans available.

Benefits
Personal care (5-7 hours/day) Respite Adult day care Home mods Limited nursing home care

Consumer Support Grant (CSG)

Minnesota Consumer Support Grant

Age 65+ or disabled
General Minnesota resident, eligible for MA personal care but opts for grant.
Income Limits (2025) ~$1,255/month (MA-eligible); spenddown allowed.
Asset Limits $3,000 individual
MN

Can hire family; statewide via counties.

Benefits
Cash (~$500-$1,500/month) for personal care Respite Home mods Assistive tech

Medicare Savings Program (MSP)

Minnesota Medicare Savings Program

Age 65+ or disabled
General Minnesota resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MN

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Minnesota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Minnesota resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MN

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Compare Nursing Home around Minnesota

The information below is reported by the Minnesota Department of Health, Health Regulation Division.

2 facilities compared · CMS & MN Dept. of Health data

Presbyterian Homes of Bloomington
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Bloomington (West Bloomington)
111
Facility 111
MN AVG 61
Rank #98 / 532
81.1%
Facility 81.1%
MN AVG 79.7%
Rank #136 / 328
+2%
5.39
Facility 5.39
MN AVG 4.77
Rank #14 / 85
+16%+13%
$0
Facility $0
MN AVG $47.9k
Rank #1 / 86
12
Facility 12
MN AVG 23.2
Rank #15 / 86
4.0
Facility 4.0
MN AVG 3.8
Rank #45 / 86
-91
37
Facility 37
MN AVG 43
Rank #357 / 632
Michelle Sullivan
$26.9M
Facility $26.9M
MN AVG $9.9M
Rank #11 / 85
$14.6M
Facility $14.6M
MN AVG $4.9M
Rank #10 / 85
54%
Facility 54%
MN AVG 50.7%
Rank #53 / 85
245556
The Sanctuary At West St Paul
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

West St. Paul
174
Facility 174
MN AVG 61
Rank #17 / 532
--
3.64
Facility 3.64
MN AVG 4.77
Rank #81 / 85
+69%-24%
$35.3k
Facility $35.3k
MN AVG $47.9k
Rank #63 / 86
63
Facility 63
MN AVG 23.2
Rank #83 / 86
4.2
Facility 4.2
MN AVG 3.8
Rank #52 / 86
789
78
Facility 78
MN AVG 43
Rank #56 / 632
-
$14.5M
Facility $14.5M
MN AVG $9.9M
Rank #36 / 85
$9.1M
Facility $9.1M
MN AVG $4.9M
Rank #29 / 85
62.7%
Facility 62.7%
MN AVG 50.7%
Rank #24 / 85
245295

Frequently Asked Questions about The Sanctuary At West St Paul

Is The Sanctuary At West St Paul in a walkable area?

The Sanctuary At West St Paul has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

How many beds does The Sanctuary At West St Paul have?

The Sanctuary At West St Paul has 174 beds.

What is the address of The Sanctuary At West St Paul?

The Sanctuary At West St Paul is located at 1746 Oakdale Avenue.

What is the phone number of The Sanctuary At West St Paul?

(651) 455-6322 will put you in contact with the team at The Sanctuary At West St Paul.

What county is The Sanctuary At West St Paul located in?

The Sanctuary At West St Paul is in Dakota County.

Is The Sanctuary At West St Paul Medicare or Medicaid certified?

Yes — The Sanctuary At West St Paul is a CMS-certified provider of Medicare and Medicaid.

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