2259 Rockwood Ave, Saint Paul, MN 55116
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Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Highland Chateau Health And Rehabilitation Center
Saint Paul, MinnesotaMedicare inspection record
About Highland Chateau Health And Rehabilitation Center
Highland Chateau Health And Rehabilitation Center is a for profit - limited liability company nursing home in SAINT PAUL, MN with 64 certified beds.
Community at a glance
Capacity
64 residents
Location
Saint Paul, MN
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
2319 WEST SEVENTH STREET, Saint Paul, Minnesota 55116
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare lists Highland Chateau Health And Rehabilitation Center as a Special Focus Facility: a home with a history of serious quality problems that inspectors visit more often until it improves.
At its most recent standard inspection, on March 5, 2026, state inspectors cited 22 health deficiencies (the Minnesota average is 7.1).
Nurses and nurse aides spend 4 hours 1 minute with each resident a day, about the same as the Minnesota average.
Medicare fined Highland Chateau Health And Rehabilitation Center 3 times in the last three years, $68,189 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 1 minute |
| Registered nurse time per resident, per day | 1 hour 18 minutesAbove the Minnesota average |
| Nursing staff who left in the past year | 69%Above the Minnesota average |
1 administrator has left the home in the past year.
Inspections
100 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 12, 2026 · Complaint investigation · 2 citations
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Jul 9, 2026Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 9, 2026
March 5, 2026 · Standard inspection · 15 citations
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 9, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 9, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 9, 2026Provide timely, quality laboratory services/tests to meet the needs of residents.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 9, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 9, 2026Provide or obtain dental services for each resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 9, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 9, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 9, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 9, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 9, 2026Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 9, 2026Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 9, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 9, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 9, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 9, 2026
February 20, 2026 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 9, 2026
February 13, 2026 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Feb 10, 2026
January 15, 2026 · Complaint investigation · 1 citation+
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 6, 2026
December 30, 2025 · Complaint investigation · 2 citations+
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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Feb 6, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 6, 2026
September 19, 2025 · Standard inspection · 27 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Nov 20, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Nov 20, 2025Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Nov 20, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Nov 20, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Nov 20, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Nov 20, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Nov 20, 2025Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Nov 20, 2025Provide or obtain dental services for each resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 20, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 20, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 20, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 20, 2025Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 20, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 20, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 20, 2025Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 20, 2025Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 20, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Nov 20, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Nov 20, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 20, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Nov 20, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 20, 2025Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 20, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 20, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 20, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Nov 20, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 25, 2025
June 6, 2025 · Complaint investigation · 2 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 8, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 8, 2025
April 24, 2025 · Standard inspection · 9 citations+
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected May 30, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 30, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected May 30, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected May 30, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 30, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 30, 2025Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 30, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 30, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 30, 2025
Showing the 60 most recent. The full list is on Medicare.gov.
Fines and payment denials
3 fines totaling $68,189 in the last three years.
- February 13, 2026Fine: $19,120
- March 5, 2025Fine: $31,958
- January 25, 2024Fine: $17,111
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Highland Operations LLC
- Medicare-certified beds
- 64
- Average residents per day
- 50
- Accepts
- Medicare and Medicaid
- First certified
- January 1, 1967
- Part of a chain
- Ephram Lahasky, 22 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 245028
Location
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2319 WEST SEVENTH STREETSaint Paul, MN 55116
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Questions about Highland Chateau Health And Rehabilitation Center
How did Highland Chateau Health And Rehabilitation Center do on its last inspection?+
State inspectors visited on March 5, 2026 and cited 22 health deficiencies, 10 of them from complaint investigations. The Minnesota average is 7.1.
How much nursing care does each resident get at Highland Chateau Health And Rehabilitation Center?+
Nurses and aides spend 4 hours 1 minute with each resident per day, including 1 hour 18 minutes from registered nurses. 69% of nursing staff left over the past year.
Has Highland Chateau Health And Rehabilitation Center been fined by Medicare?+
Yes. Medicare fined Highland Chateau Health And Rehabilitation Center 3 times in the last three years, totaling $68,189.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.