Shirley Chapman Sholom Home East
Saint Paul, Minnesota · CCN 245411
24 surveys since 2011, 5 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 95
- Surveys
- 24
- Harm or worse
- 5
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 118
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Ramsey
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 18 not-for-profit facilities of 100–127 beds in Minnesota.
Last survey on record
Jul 23, 2026
109 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.21 | 4.27 |
| Registered-nurse hours per resident day | 1.47 | — |
| Annual nurse turnover | 30.1% | 33.8% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K12.8% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2775.0% | E513.9% | F25.6% |
| No harm, potential for minimal | A— | B— | C12.8% |
Most frequently cited here
In CMS’s current monthly file.
- F8805×
Provide and implement an infection prevention and control program.
- F5543×
Allow residents to self-administer drugs if determined clinically appropriate.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6922×
Provide enough food/fluids to maintain a resident's health.
In the surveyor’s words
From the most serious findings on record at Shirley Chapman Sholom Home East, in the surveyor’s own words.
- Immediate jeopardy, patternF578Mar 30, 2023
Based on interview and document review, the facility failed to ensure residents wishes regarding code status were accurately reflected throughout medical records for 4 of 94 residents (R25, R41, R86, R349). The facility staff also lacked a consistent process on where to find the code status. This failure resulted in an immediate jeopardy (IJ) for R25, R41, R86, R349, when their medical records failed to identify the residents' wishes accurately. The IJ began on [DATE], when R25's providers order for life sustaining treatment (POLST) signed by provider indicated do not resuscitate (DNR) with selective treatment. However, the physician orders dated [DATE], indicated full code. The code status was not reflected consistently in R25, R86, R41, and R349's medical record. […]
- Immediate jeopardy, isolatedF600Mar 31, 2022
Based on interview, and document review the facility failed to protect 1 of 1 resident (R3) from resident to resident sexual abuse when R3 had an incident of sexual touch without consent occurred. The facility failed to report the abuse and implement interventions to prevent further abuse, as a result a second incident of sexual touch occurring one day later. This resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 3/16/22, when R4's hand was rubbing R3's thigh and R4's hand went up R3's thigh and began tugging on R3's shirt as though wanting to go under the shirt. Facility staff failed to report the incident of sexual abuse and no interventions or protections were put into place to prevention further abuse. […]
- Immediate jeopardy, isolatedF678Mar 31, 2022
Based on interview and document review, the facility failed to initiate cardiopulmonary resuscitation (CPR) in accordance with physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in an immediate jeopardy (IJ) situation. The IJ began on [DATE], at approximately 5:40 a.m. when the facility failed to provide CPR for R1 after R1 was found unresponsive without a pulse or respirations, and CPR was not initiated. The Chief Operating Officer, the Corporate Director of Clinical Services and administrator intern were notified of the IJ on [DATE], at 2:18 p.m. The facility had implemented corrective action to prevent recurrence by [DATE], therefore the deficiency is being cited as past non-compliance. Findings include: R1's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]
- No harm, potential for more than minimal, widespreadF732Mar 30, 2023
Based on observation, interview, and document review, the facility failed to ensure the required nurse staff information was posted daily. This had the potential to affect all of the 94 residents residing in the facility and/or their visitors who may wish to view this information. Findings include: On 3/27/23, at 11:59 a.m. the facility's posted nursing hours for 3/23/23, were observed on a wall located on the main floor by the water fountain. On 3/28/23, at 9:00 a.m. the facility's posted nursing hours for 3/28/23, were observed on a wall located on the main floor by the water fountain. On 3/29/23, at 12:29 p.m. the facility's posted nursing hours for 3/28/23, were observed on a wall located on the main floor by the water fountain. On 3/30/23, at 9:00 a.m. […]
- No harm, potential for more than minimal, widespreadF867Mar 30, 2023
Based on interview and document review the facility failed to ensure the Quality Assessment and Assurance (QAA)/Quality Assurance Process improvement (QAPI) committee was effective in implementing appropriate action plans to correct a quality deficiency identified during a previous survey related to advanced directives which resulted in a deficiency identified during this survey. This deficient practice had the potential to affect all 95 residents currently residing in the facility. Findings include: A facility quality assurance (QA) task force was developed to review the deficient practices as well as areas of concern that were identified during the survey process. Weekly meetings were scheduled to identify and review the identified areas of focus. […]
Read 25 findings in full →The most serious and the most recent: 25 of 95 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 23, 2026Standard10 findings
- Apr 17, 2025Standard9 findings
- Sep 25, 2024Complaint2 findings
- Jun 13, 2024Standard7 findings
- Mar 30, 2023Standard8 findings · 1 harm
- Mar 31, 2022Complaint3 findings · 2 harm
- Feb 17, 2022Complaint1 finding
- Dec 1, 2021Complaint1 finding
Show the 16 earlier surveys
- Jul 12, 2021Complaint2 findings
- May 6, 2021Standard and complaint6 findings
- Mar 30, 2021Complaint1 finding
- Oct 13, 2020Infection control1 finding
- Oct 6, 2020Complaint1 finding
- Aug 12, 2020Complaint3 findings · 1 harm
- Jul 19, 2019Complaint2 findings
- May 9, 2019Standard3 findings
- Mar 22, 2019Complaint3 findings
- Jul 20, 2018Standard6 findings
- Sep 1, 2016Standard2 findings
- Sep 3, 2015Standard5 findings
- Jul 24, 2014Standard4 findings
- May 22, 2013—2 findings
- Mar 16, 2012—5 findings
- Apr 7, 2011—8 findings · 1 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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