Nursing homes › Minnesota › Highland Chateau Health and Rehabilitation Center
2319 West Seventh Street, Saint Paul, MN 55116 · 6516980793 · 64 certified beds
Per CMS filings, this facility is affiliated with Ephram Lahasky, a group operating 23 facilities in 10 states. Group record: average rating 1.7/5, 4 abuse citation icons, 7 facilities on the Special Focus list, $2,517,532 in federal fines.
Total nurse staffing: 4.02 (Minnesota median: 4.16). RN hours: 1.30. Weekend total: 3.81. Nursing staff turnover: 69%.
All-time on record: 98 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-05 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-04-09 |
| 2026-03-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2026-04-09 |
| 2026-03-05 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2026-04-09 |
| 2026-03-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Provide activities to meet all resident's needs. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Provide or obtain dental services for each resident. | D | Health | corrected 2026-04-09 |
| 2026-03-05 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2026-04-09 |
| 2026-02-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-03-09 |
| 2026-02-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2026-02-10 |
| 2026-01-15 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2026-02-06 |
| 2025-12-30 | 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. | F | complaint | corrected 2026-02-06 |
| 2025-12-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-02-06 |
| 2025-09-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2025-11-20 |
| 2025-09-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-11-20 |
| 2025-09-19 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2025-11-20 |
| 2025-09-19 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-11-20 |
| 2025-09-19 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | complaint | corrected 2025-11-20 |
| 2025-09-19 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Health | corrected 2025-11-20 |
| 2025-09-19 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2025-11-20 |
| 2025-09-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | 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. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-11-25 |
| 2025-09-19 | 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. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | 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. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-11-20 |
| 2025-09-19 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-11-20 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-13 | Fine | $19,120 |
| 2025-03-05 | Fine | $31,363 |
| 2024-01-25 | Fine | $17,111 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LAHASKY, EPHRAM | Corporate Officer | Individual | NOT APPLICABLE | since 06/08/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245028. Corrections: data@carerecords.org.