Highland Chateau Health and Rehabilitation Center
2319 West Seventh Street · Saint Paul, MN · 55116 · 6516980793
64 certified beds For profit - Limited Liability company Chain: Ephram Lahasky
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $50,483 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$50,483 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 4.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.24 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 3 · $67,594 |
Inspection citations (99 in the current record)
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Potential for harm · D March 5, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 9, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 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.
Corrected April 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Provide activities to meet all resident's needs.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 9, 2026 · Pharmacy Service
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Potential for harm · D March 5, 2026
Ensure that residents are free from significant medication errors.
Corrected April 9, 2026 · Pharmacy Service
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Potential for harm · D March 5, 2026
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected April 9, 2026 · Administration
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Potential for harm · D March 5, 2026
Provide or obtain dental services for each resident.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 9, 2026 · Nutrition and Dietary
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Potential for harm · D March 5, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 9, 2026 · Resident Rights
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Potential for harm · D March 5, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected April 9, 2026 · Resident Rights
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Potential for harm · D March 5, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 9, 2026 · Resident Rights
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Potential for harm · D February 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 9, 2026 · Quality of Life and Care
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Immediate jeopardy · J February 13, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 10, 2026 · Quality of Life and Care
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Potential for harm · D January 15, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 6, 2026 · Resident Rights
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Potential for harm · D December 30, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · F December 30, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 6, 2026 · Nursing and Physician Services
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Immediate jeopardy · J September 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 20, 2025 · Quality of Life and Care
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Potential for harm · D September 19, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 20, 2025 · Resident Rights
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Potential for harm · E September 19, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 20, 2025 · Resident Rights
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Potential for harm · D September 19, 2025
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.
Corrected November 20, 2025 · Resident Rights
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Potential for harm · D September 19, 2025
Ensure each resident receives an accurate assessment.
Corrected November 20, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 13, 2026 | Fine | $19,120 |
| March 5, 2025 | Fine | $31,363 |
| January 25, 2024 | Fine | $17,111 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245028 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.