Highland Chateau Health and Rehabilitation Center
Nursing home in Saint Paul, MN
Medicare & Medicaid certifiedSpecial Focus Facility (CMS)
Public-record details
- Address
- 2319 West Seventh Street, Saint Paul, MN 55116
- Phone
- (651) 698-0793
- Listed under
- For-profit
- Medicare CCN
- 245028
- Overall star rating
- Not rated by CMS
- Certified beds
- 64
- Average residents per day
- 50
- Ownership
- For-profit, limited Liability company
- Legal business name
- Highland Operations LLC
- Chain
- Ephram Lahasky (22 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 1, 1967
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 5, 2026. CMS lists 100 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 25, 2024 to Jun 12, 2026): 39 from complaint inspections, 5 at the “actual harm” level or higher, including 4 at “immediate jeopardy”. CMS has placed this facility in its Special Focus Facility program for nursing homes with a persistent record of serious inspection problems; it gets more frequent inspections.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 12, 2026 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E |
| Jun 12, 2026 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| Mar 5, 2026 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D |
| Mar 5, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| Mar 5, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D |
| Mar 5, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| Mar 5, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| Mar 5, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Mar 5, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| Mar 5, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Mar 5, 2026 | Provide activities to meet all resident's needs. | D |
| Mar 5, 2026 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
Fines and payment denials
CMS records 3 fines totalling $67,594 in the last three years.
| Feb 13, 2026 | Fine: $19,120 |
| Mar 5, 2025 | Fine: $31,363 |
| Jan 25, 2024 | Fine: $17,111 |
Staffing
- Total nurse staffing per resident per day
- 4.02 hours
- Registered nurse (RN) time per resident per day
- 1.30 hours
- Nurse aide time per resident per day
- 2.23 hours
- Total nurse staffing on weekends
- 3.81 hours
- Nursing staff turnover (yearly)
- 69%
- RN turnover (yearly)
- 75%
- Administrators who left in the past year
- 1
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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