Highland Chateau Health and Rehabilitation Center

2319 WEST SEVENTH STREET, SAINT PAUL, MN 55116 · CCN 245028 · 64 certified beds · Data as of 2026-07-01

CMS overallnot ratedCMS inspectionsnot ratedCMS staffingnot ratedCMS qualitynot rated

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2026-02-13 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-09-19 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-06-06 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-03-05 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-01-25 — IMMEDIATE JEOPARDY (tag F0805, severity J)

Nutrition and Dietary Deficiencies · correction not recorded in CMS data

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Staffing, from payroll records

Nursing hours / resident / day

3.83

state median 3.48

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

1.10

registered nurses only

Contract (agency) staff

29%

share of all nursing hours

Nursing staff turnover

69%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $67,594 in fines.

Date	Type	Amount
2026-02-13	Fine	$19,120
2025-03-05	Fine	$31,363
2024-01-25	Fine	$17,111

Ownership

Ownership type: For profit - Limited Liability company. Part of the EPHRAM LAHASKY chain.

Other facilities under the same ownership, with their CMS overall ratings:

KNOLLWOOD HEALTHCARE (MOBILE, AL) — CMS overallnot rated
CENTER FOR ADVANCED REHAB AT PARKSIDE, THE (ROSSVILLE, GA) — CMS overall3 of 5
CALVERT COUNTY NURSING CTR. (PRINCE FREDERICK, MD) — CMS overall2 of 5
CHAPEL HILL NURSING CENTER (RANDALLSTOWN, MD) — CMS overall1 of 5
FITCHBURG REHABILITATION AND NURSING CENTER (FITCHBURG, MA) — CMS overall1 of 5
Leominster Rehabilitation and Nursing Center (LEOMINSTER, MA) — CMS overall1 of 5
POET'S SEAT HEALTHCARE CENTER (GREENFIELD, MA) — CMS overall3 of 5
Watertown Rehabilitation and Nursing Center (WATERTOWN, MA) — CMS overall2 of 5

Full citation history

By severity: No harm, potential for minimal harm: 2 · Actual harm: 1 · Potential for more than minimal harm: 91 · Immediate jeopardy: 4

Survey date	Tag	Category	Severity	Corrected
2026-03-05	F0561	Resident Rights Deficiencies	D	not recorded
2026-03-05	F0580	Resident Rights Deficiencies	D	not recorded
2026-03-05	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-05	F0627	Resident Rights Deficiencies	D	not recorded
2026-03-05	F0628	Resident Rights Deficiencies	D	not recorded
2026-03-05	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-05	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-05	F0677	Quality of Life and Care Deficiencies	D	not recorded
2026-03-05	F0679	Quality of Life and Care Deficiencies	D	not recorded
2026-03-05	F0698	Quality of Life and Care Deficiencies	D	not recorded
2026-03-05	F0757	Pharmacy Service Deficiencies	D	not recorded
2026-03-05	F0760	Pharmacy Service Deficiencies	D	not recorded
2026-03-05	F0770	Administration Deficiencies	D	not recorded
2026-03-05	F0791	Quality of Life and Care Deficiencies	D	not recorded
2026-03-05	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2026-02-20	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-02-13	F0689	Quality of Life and Care Deficiencies	J	not recorded
2026-01-15	F0628	Resident Rights Deficiencies	D	not recorded
2025-12-30	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-30	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2025-09-19	F0550	Resident Rights Deficiencies	D	not recorded
2025-09-19	F0554	Resident Rights Deficiencies	E	not recorded
2025-09-19	F0584	Resident Rights Deficiencies	D	not recorded
2025-09-19	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-19	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-19	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-19	F0676	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0688	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-09-19	F0692	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0693	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0697	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0698	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2025-09-19	F0759	Pharmacy Service Deficiencies	D	not recorded
2025-09-19	F0760	Pharmacy Service Deficiencies	D	not recorded
2025-09-19	F0791	Quality of Life and Care Deficiencies	D	not recorded
2025-09-19	F0805	Nutrition and Dietary Deficiencies	D	not recorded
2025-09-19	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-09-19	F0867	Administration Deficiencies	F	not recorded
2025-09-19	F0880	Infection Control Deficiencies	F	not recorded
2025-09-19	F0881	Infection Control Deficiencies	D	not recorded
2025-09-19	F0883	Infection Control Deficiencies	D	not recorded
2025-09-19	F0925	Environmental Deficiencies	F	not recorded
2025-06-06	F0684	Quality of Life and Care Deficiencies	G	not recorded
2025-06-06	F0760	Pharmacy Service Deficiencies	D	not recorded
2025-04-24	F0550	Resident Rights Deficiencies	D	not recorded
2025-04-24	F0576	Resident Rights Deficiencies	C	not recorded
2025-04-24	F0580	Resident Rights Deficiencies	D	not recorded
2025-04-24	F0584	Resident Rights Deficiencies	D	not recorded
2025-04-24	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-24	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-24	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-24	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-24	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0692	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0693	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2025-04-24	F0726	Nursing and Physician Services Deficiencies	F	not recorded
2025-04-24	F0730	Nursing and Physician Services Deficiencies	C	not recorded
2025-04-24	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-04-24	F0801	Nutrition and Dietary Deficiencies	F	not recorded
2025-04-24	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2025-04-24	F0807	Nutrition and Dietary Deficiencies	D	not recorded
2025-04-24	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-04-24	F0880	Infection Control Deficiencies	D	not recorded
2025-04-24	F0919	Environmental Deficiencies	D	not recorded
2025-04-24	F0925	Environmental Deficiencies	F	not recorded
2025-03-07	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-07	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-03-05	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2025-03-05	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-05	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-03-05	F0679	Quality of Life and Care Deficiencies	D	not recorded
2025-03-05	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-03-05	F0700	Quality of Life and Care Deficiencies	E	not recorded
2025-03-05	F0838	Administration Deficiencies	F	not recorded
2025-03-05	F0841	Nursing and Physician Services Deficiencies	F	not recorded
2025-01-24	F0554	Resident Rights Deficiencies	D	not recorded
2025-01-24	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2024-06-27	F0554	Resident Rights Deficiencies	D	not recorded
2024-06-27	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-06-27	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-06-27	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-06-27	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-04-08	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-02-13	F0925	Environmental Deficiencies	F	not recorded
2024-02-02	F0740	Quality of Life and Care Deficiencies	E	not recorded
2024-02-02	F0741	Quality of Life and Care Deficiencies	E	not recorded
2024-01-25	F0805	Nutrition and Dietary Deficiencies	J	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Highland Chateau Health and Rehabilitation Center, SAINT PAUL” at medicare.gov/care-compare.