Nursing HomeInspections

Highland Chateau Health and Rehabilitation Center

Nursing home in Saint Paul, MN

Medicare & Medicaid certifiedSpecial Focus Facility (CMS)

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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
43
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

CMS certification number 245028. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

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.

InspectionCitationSeverity
Jun 12, 2026Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 12, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection		F
Potential for more than minimal harm, widespread
Mar 5, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 5, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 5, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 5, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 100. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $68,189 in the last three years.

Feb 13, 2026Fine: $19,120
Mar 5, 2025Fine: $31,958
Jan 25, 2024Fine: $17,111

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.13 hours
Registered nurse (RN) time per resident per day
1.15 hours
Nurse aide time per resident per day
2.29 hours
Total nurse staffing on weekends
3.80 hours
Nursing staff turnover (yearly)
69%
RN turnover (yearly)
71%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Saint Paul

Capital View Transitional Care Center640 Jackson Street · Saint Paul, MN 55101 · (651) 254-0400 · Nonprofit7 health citations in 3 inspection cycles · last standard inspection Nov 19, 2025 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)
Carondelet Village Care Center525 Fairview Avenue South · Saint Paul, MN 55116 · (651) 695-5000 · Nonprofit11 health citations in 3 inspection cycles · last standard inspection Nov 20, 2025 · $9,113 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)
Cerenity Marian of St Paul LLC200 Earl Street · Saint Paul, MN 55106 · (651) 793-2100 · Nonprofit16 health citations in 3 inspection cycles · last standard inspection Mar 18, 2026 · $131,578 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)
Ebenezer Integrated Care & Rehab45 West 10th Street · Saint Paul, MN 55102 · (651) 326-4900 · Nonprofit20 health citations in 3 inspection cycles · last standard inspection Apr 1, 2026 · $26,785 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)
Lyngblomsten Care Center1415 Almond Avenue · Saint Paul, MN 55108 · (651) 646-2941 · Nonprofit20 health citations in 3 inspection cycles · last standard inspection Sep 17, 2026 · $101,482 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)
Shirley Chapman Sholom Home East740 Kay Avenue · Saint Paul, MN 55102 · (651) 328-2008 · Nonprofit28 health citations in 3 inspection cycles · last standard inspection Jul 23, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)
Episcopal Church Home the Gardens1860 University Avenue West · Saint Paul, MN 55104 · (651) 632-8801 · Nonprofit33 health citations in 3 inspection cycles · last standard inspection Apr 9, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)
Good Samaritan Society - Maplewood550 Roselawn Avenue East · Saint Paul, MN 55117 · (651) 774-9765 · Nonprofit34 health citations in 3 inspection cycles · last standard inspection Aug 13, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

All 17 in Saint Paul →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error