Highland Chateau Health and Rehabilitation Center
A nursing home in Saint Paul, Minnesota 55116
2319 West Seventh Street, Saint Paul, Minnesota 55116. (651) 698-0793.
- On CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- Not rated CMS’s overall rating
- 22 health citations at the latest inspection cycle Minnesota average: 7.2
- 4.13 nurse hours per resident per day Minnesota average: 4.27
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
22 health citations at the latest inspection cycle
The Minnesota average is 7.2.
Last standard inspection Mar 5, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Feb 13, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
100 citations in 14 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 100 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 39 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 12, 2026: complaint inspection2 citations
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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.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Mar 5, 2026: standard inspection12 citations
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide activities to meet all resident’s needs.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Ensure that residents are free from significant medication errors.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
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Provide or obtain dental services for each resident.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Mar 5, 2026: standard and complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
Feb 20, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 13, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 15, 2026: complaint inspection1 citation
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
Dec 30, 2025: complaint inspection2 citations
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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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.
Sep 19, 2025: standard inspection26 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Allow residents to self-administer drugs if determined clinically appropriate.
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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.
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Provide enough food/fluids to maintain a resident’s health.
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Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate pain management for a resident who requires such services.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
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Provide or obtain dental services for each resident.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Sep 19, 2025: standard and complaint inspection1 citation
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jun 6, 2025: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that residents are free from significant medication errors.
Apr 24, 2025: standard inspection23 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure each resident receives an accurate assessment.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough food/fluids to maintain a resident’s health.
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Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Ensure residents have reasonable access to and privacy in their use of communication methods.
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Observe each nurse aide’s job performance and give regular training.
Apr 24, 2025: standard and complaint inspection4 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Mar 7, 2025: complaint inspection2 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Mar 5, 2025: complaint inspection8 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide activities to meet all resident’s needs.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Jan 24, 2025: complaint inspection2 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jun 27, 2024: complaint inspection5 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
-
Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide safe and appropriate respiratory care for a resident when needed.
-
Ensure that residents are free from significant medication errors.
Apr 8, 2024: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 13, 2024: complaint inspection1 citation
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Feb 2, 2024: complaint inspection2 citations
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Jan 25, 2024: complaint inspection1 citation
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1967.
- On CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 64 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $68,189 in all.
- No Medicare payment denials in the last three years.
- 39 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 13, 2026 | Fine | $19,120 |
| Mar 5, 2025 | Fine | $31,958 |
| Jan 25, 2024 | Fine | $17,111 |
Who does the caring?
4.13 nurse hours per resident per day
The Minnesota average is 4.27.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Minnesota average |
|---|---|---|
| Nurse hours per resident per day | 4.13 | 4.27 |
| Of which registered nurses | 1.15 | 1.08 |
| At weekends | 3.80 | 3.73 |
| Nursing staff turnover | 68.6% | 42.1% |
| Registered nurse turnover | 70.6% | 39.3% |
| Administrators who left | 1 | Not given |
Who owns it?
- 3 owners or officers are people: Marcus Bradley Parence (managing employee (on the payroll), 100%); Ephram M Lahasky (owns 5% or more directly, 100%); Ephram M Lahasky (corporate officer, 100%).
- Part of Ephram Lahasky (22 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
How do residents fare?
- CMS hasn’t rated this home’s quality measures.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | Not rated |
| Health inspections | Not rated |
| Staffing | Not rated |
| Quality measures | Not rated |
How does it compare nearby?
- Among the 12 nearest homes, within 4.2 miles, this one had the 1st most health citations at the latest inspection cycle (22; the middle value was 7.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Highland Chateau Health and Rehabilitation Center This nursing home | 22 | |
| Carondelet Village Care Center | 1.6 | 2 |
| Hayes Residence | 1.6 | 8 |
| Shirley Chapman Sholom Home East | 1.7 | 10 |
| Minnesota Veterans Home-Minneapolis | 2.1 | 5 |
| Episcopal Church Home of Minnesota | 3.5 | 15 |
| The Estates at Lynnhurst LLC | 3.6 | 20 |
| Episcopal Church Home the Gardens | 3.7 | 7 |
| Walker Methodist Westwood Ridge II | 3.8 | 6 |
| The Emeralds at St Paul LLC | 3.8 | 7 |
| Little Sisters of the Poor | 3.9 | 3 |
| Providence Place | 4.2 | 19 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.