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Data / Nursing homes / Minnesota / Highland Chateau Health and Rehabilitation Center

Highland Chateau Health and Rehabilitation Center, Saint Paul, MN: not rated, fined $68,189 across 3 fines

Highland Chateau Health and Rehabilitation Center in Saint Paul, MN is run by Highland Operations LLC, with no owner listed in the CMS ownership file, has no overall star rating from Medicare, and was fined $68,189 across 3 fines in the three years to October 1, 2026. CMS lists 100 health citations from inspections in that time, the latest survey on June 12, 2026, and 5 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Minnesota
Address
2319 West Seventh Street, Saint Paul, MN 55116
Overall rating
Not rated
Certified beds
64
Residents per day
43 on average
Ownership type
For profit, limited liability company
Legal business name
Highland Operations LLC
Chain
Ephram Lahasky, 22 facilities
Special focus
Special focus facility
Fines
$68,189 across 3 fines, three years to October 1, 2026
Payment denials
0
Health citations
100, of which 5 with actual harm or immediate jeopardy
Latest survey
June 12, 2026
CMS Certification Number
245028
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 13, 2026Fine$19,120Not listeddata.cms.gov
March 5, 2025Fine$31,958Not listeddata.cms.gov
January 25, 2024Fine$17,111Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 12, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2026data.cms.gov
June 12, 2026F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2026data.cms.gov
March 5, 2026F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F770Provide timely, quality laboratory services/tests to meet the needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
March 5, 2026F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2026data.cms.gov
February 20, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 9, 2026data.cms.gov
February 13, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceFebruary 10, 2026data.cms.gov
January 15, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2026data.cms.gov
December 30, 2025F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2026data.cms.gov
December 30, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2026data.cms.gov
September 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F881Implement a program that monitors antibiotic use.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F693Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 25, 2025data.cms.gov
September 19, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 19, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
June 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJuly 8, 2025data.cms.gov
June 6, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 8, 2025data.cms.gov
April 24, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F730Observe each nurse aide's job performance and give regular training.C: widespread, minimal harm potentialCorrectedMay 30, 2025data.cms.gov
April 24, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F693Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
April 24, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.C: widespread, minimal harm potentialCorrectedMay 30, 2025data.cms.gov
April 24, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
March 7, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
March 7, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
March 5, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedMarch 25, 2025data.cms.gov
March 5, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
March 5, 2025F838Conduct 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
March 5, 2025F700Try 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
March 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
March 5, 2025F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
March 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
March 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
January 24, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
January 24, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
June 27, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 15, 2024data.cms.gov
June 27, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 15, 2024data.cms.gov
June 27, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 15, 2024data.cms.gov
June 27, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 15, 2024data.cms.gov
June 27, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 15, 2024data.cms.gov
April 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 23, 2024data.cms.gov
February 13, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
February 2, 2024F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2024data.cms.gov
February 2, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 23, 2024data.cms.gov
January 25, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.J: isolated, immediate jeopardyPast noncomplianceJanuary 24, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 2 individual or personal trusts (1 managers, 1 officers, directors or trustees). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.