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Nursing homes › Minnesota › Saint Paul › Highland Chateau Health and Rehabilitation Center

Highland Chateau Health and Rehabilitation Center

2319 West Seventh Street, Saint Paul, MN 55116 · (651) 698-0793 · 64 certified beds

OverallNot rated
Health inspectionsNot rated
StaffingNot rated
Quality measuresNot rated
Special Focus: CMS lists this facility as SFF — among the facilities with the most serious ongoing compliance problems in the country.

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Questions to take to Highland Chateau Health and Rehabilitation Center

  • CMS lists SFF. Ask for the latest inspection and current designation; historical list status is not a statement about conditions today.
  • The published staff-turnover figure is 68.7%. Ask which reporting period it covers and how the current staffing team compares.
  • Ask who is responsible for care decisions locally and at EPHRAM LAHASKY. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with Ephram Lahasky, a group operating 22 facilities in 9 states. Group record: average rating 1.8/5, 3 abuse citation icons, 6 facilities on the Special Focus list, $2,329,406 in federal fines.

See all 22 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 4.02 (Minnesota median: 4.16). RN hours: 1.30. Weekend total: 3.81. Nursing staff turnover: 69%.

Inspection deficiencies

In the downloaded CMS dataset: 100 deficiency citations, including 4 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-06-12Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Fcomplaintcorrected 2026-07-09
2026-06-12Honor 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. Ecomplaintcorrected 2026-07-09
2026-03-05Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. DHealthcorrected 2026-04-09
2026-03-05Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2026-04-09
2026-03-05Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. DHealthcorrected 2026-04-09
2026-03-05Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Dcomplaintcorrected 2026-04-09
2026-03-05Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Dcomplaintcorrected 2026-04-09
2026-03-05Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2026-04-09
2026-03-05Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2026-04-09
2026-03-05Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2026-04-09
2026-03-05Provide activities to meet all resident's needs. DHealthcorrected 2026-04-09
2026-03-05Provide safe, appropriate dialysis care/services for a resident who requires such services. DHealthcorrected 2026-04-09
2026-03-05Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2026-04-09
2026-03-05Ensure that residents are free from significant medication errors. DHealthcorrected 2026-04-09
2026-03-05Provide timely, quality laboratory services/tests to meet the needs of residents. DHealthcorrected 2026-04-09
2026-03-05Provide or obtain dental services for each resident. DHealthcorrected 2026-04-09
2026-03-05Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. DHealthcorrected 2026-04-09
2026-02-20Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2026-03-09
2026-02-13Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2026-02-10
2026-01-15Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Dcomplaintcorrected 2026-02-06
2025-12-30Have 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. Fcomplaintcorrected 2026-02-06
2025-12-30Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Dcomplaintcorrected 2026-02-06
2025-09-19Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. JHealthcorrected 2025-11-20
2025-09-19Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-11-20
2025-09-19Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. FHealthcorrected 2025-11-20
2025-09-19Provide and implement an infection prevention and control program. FHealthcorrected 2025-11-20
2025-09-19Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Fcomplaintcorrected 2025-11-20
2025-09-19Allow residents to self-administer drugs if determined clinically appropriate. EHealthcorrected 2025-11-20
2025-09-19Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. EHealthcorrected 2025-11-20
2025-09-19Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2025-11-20
2025-09-19Honor 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. DHealthcorrected 2025-11-20
2025-09-19Ensure each resident receives an accurate assessment. DHealthcorrected 2025-11-20
2025-09-19Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2025-11-20
2025-09-19Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2025-11-20
2025-09-19Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. DHealthcorrected 2025-11-20
2025-09-19Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2025-11-20
2025-09-19Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2025-11-25
2025-09-19Provide 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. DHealthcorrected 2025-11-20
2025-09-19Provide enough food/fluids to maintain a resident's health. DHealthcorrected 2025-11-20
2025-09-19Ensure 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. DHealthcorrected 2025-11-20

Federal penalties

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

Ownership & control records (CMS filings)

NameRoleType%Since
LAHASKY, EPHRAMCorporate OfficerIndividualNOT APPLICABLEsince 06/08/2022

Compare nearby (Ramsey County)

How to cite this page: CareRecords, “Highland Chateau Health and Rehabilitation Center — compliance, penalty and ownership record” (CCN 245028), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/highland-chateau-health-and-rehabilitation-center-saint-paul-mn/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245028. Corrections: data@carerecords.org.