Episcopal Church Home The Gardens: Medication Errors - MN
The citation, classified under F0760, identified problems with how the home handled medication errors affecting a small number of residents. Inspectors determined the harm level as minimal or potential for actual harm, meaning the failures had not yet produced serious injury but created conditions where they could.
The facility's own written correction plan, submitted in response to the findings, described the gap plainly. Reports of medication and treatment errors were not reaching the director of nursing immediately, as they should have been. The plan called for all such reports to be turned in to the director of nursing right away going forward, with each error then reviewed by both the medical director and the consulting pharmacist.
That two additional layers of oversight, a medical director and a consulting pharmacist, were being written into the correction plan suggests the existing review process had not been functioning as designed.
The correction plan also acknowledged that the director of nursing would need to counsel staff involved in errors and address any disciplinary matters. Education would be provided where necessary, with documentation kept on file.
What the inspection record does not contain is an account of what any specific resident experienced as a result of the errors, how many errors occurred before the complaint was filed, or how long the reporting breakdown had been in place before inspectors arrived.
The complaint investigation was completed August 18, 2025. Episcopal Church Home The Gardens is located at 1860 University Avenue West in Saint Paul and carries the provider identification number 245625.
The facility's correction plan, as written, places the burden of fixing the problem almost entirely on internal reporting and counseling. Whether the errors that prompted the original complaint were ever fully accounted for, or whether the residents affected were notified, the inspection record does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Episcopal Church Home the Gardens from 2025-08-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 16, 2026 · Our methodology
EPISCOPAL CHURCH HOME THE GARDENS in SAINT PAUL, MN was cited for violations during a health inspection on August 18, 2025.
The citation, classified under F0760, identified problems with how the home handled medication errors affecting a small number of residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.