Highland Chateau Health and Rehabilitation Center, Saint Paul, Minnesota
- 100
- Citations from health inspectionsMinnesota average: 23 a home
- 5
- Residents harmed or put in dangerMinnesota average: 1.4 a home
- $68,189
- Fines from the federal governmentMinnesota average: $24,507 a home
- No rating given
- Overall rating in starsMinnesota average: 3.2
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
17 inspection visits produced 100 citations. Residents were in immediate danger in four findings. Residents were found hurt in one case. Federal fines came to $68,189 (three fines).
This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.
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- The home's overall star rating
- No rating is given while the home stays on the Special Focus list
- Rating for health inspections
- No rating is given while the home stays on the Special Focus list
- Rating for staffing
- No rating is given while the home stays on the Special Focus list
- Rating for quality of care
- No rating is given while the home stays on the Special Focus list
- Nurse time for each resident
- 4.02 hours each dayThe Minnesota average is 4.19 hours
- Time from registered nurses
- 1.30 hours each dayThe Minnesota average is 1.06 hours
- Nursing staff who left during one year
- 68.7%against the Minnesota average of 42.2%
- Beds that are certified
- 64
- Ownership
- Limited Liability company (for profit)
- Chain
- Ephram Lahasky, with 22 homes
- Street address
- 2319 West Seventh Street, Saint Paul, Minnesota 55116
- County
- Ramsey
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Two citations dated June 12, 2026
- F921 A Safe, Clean Building: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
15 citations dated March 5, 2026
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
- F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
- F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, one or a few residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents.
One citation dated Feb. 20, 2026
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Feb. 13, 2026
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Jan. 15, 2026
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 30, 2025
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
27 citations dated Sept. 19, 2025
- F925 Pest Control Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, one or a few residents.
- F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, a pattern, several residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Two citations dated June 6, 2025
27 citations dated April 24, 2025
- F925 Pest Control Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F807 Drinks to Keep Residents Hydrated: risk of harm, no one found hurt, one or a few residents.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F730 Review Nurse Aide Performance and Training: minimal risk to residents, widespread.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
- F576 Private Access to Communication Methods: minimal risk to residents, widespread.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated March 7, 2025
Eight citations dated March 5, 2025
- F841 Physician Medical Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F700 Safe Use of Bed Rails: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated Jan. 24, 2025
- F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated June 27, 2024
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated April 8, 2024
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Feb. 13, 2024
- F925 Pest Control Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
Two citations dated Feb. 2, 2024
- F741 Staff Skilled in Behavioral Health Needs: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Jan. 25, 2024
- F805 Food Prepared to Meet Individual Needs: immediate danger to residents, one or a few residents, found on a complaint visit.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Feb. 13, 2026 | Fine | $19,120 |
| March 5, 2025 | Fine | $31,958 |
| Jan. 25, 2024 | Fine | $17,111 |
Ownership and Management of the Home
The CMS ownership file names no owner or operator for this home.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 245028. Other homes in Minnesota.