Starfile / Minnesota

Highland Chateau Health And Rehabilitation Center

2319 WEST SEVENTH STREET, SAINT PAUL, MN 55116 · CCN 245028

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Inspection history vs Minnesota & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$65,361

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

EPHRAM LAHASKY

Facilities in chain

28

Chain avg overall

1.80 / 5

Inspection citations (106)3 immediate jeopardy1 actual harm

1. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-15 · Health · corrected 2026-02-06

   Potential for more than minimal harm

2. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-12-30 · Health · corrected 2026-02-06

   Potential for more than minimal harm

3. FF0727Have 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.2025-12-30 · Health · corrected 2026-02-06

   Potential for more than minimal harm

4. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

5. EF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-09-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

6. DF0584Honor 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.2025-09-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

7. DF0641Ensure each resident receives an accurate assessment.2025-09-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-09-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

9. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

10. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

11. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-19 · Health · corrected 2025-11-25

    Potential for more than minimal harm

13. DF0688Provide 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.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

14. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-19 · Health · corrected 2025-11-20

    Immediate jeopardy

15. DF0692Provide enough food/fluids to maintain a resident's health.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

16. DF0693Ensure 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.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

17. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

18. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

19. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

20. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

21. DF0759Ensure medication error rates are not 5 percent or greater.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

22. DF0760Ensure that residents are free from significant medication errors.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

23. DF0791Provide or obtain dental services for each resident.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

24. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

25. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

26. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

27. FF0880Provide and implement an infection prevention and control program.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

28. DF0881Implement a program that monitors antibiotic use.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

29. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

30. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-09-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

31. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-06 · Health · corrected 2025-07-08

    Actual harm

32. DF0760Ensure that residents are free from significant medication errors.2025-06-06 · Health · corrected 2025-07-08

    Potential for more than minimal harm

33. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

34. CF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-04-24 · Health · corrected 2025-05-30

    Potential for minimal harm

35. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

36. DF0584Honor 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.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

37. DF0641Ensure each resident receives an accurate assessment.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

38. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

40. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

41. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

42. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

43. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

44. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

45. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

46. DF0692Provide enough food/fluids to maintain a resident's health.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

47. DF0693Ensure 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.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

48. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

49. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

50. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

51. CF0730Observe each nurse aide's job performance and give regular training.2025-04-24 · Health · corrected 2025-05-30

    Potential for minimal harm

52. DF0761Ensure 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.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

53. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

54. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

55. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

56. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

57. DF0880Provide and implement an infection prevention and control program.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

58. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

59. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-04-24 · Health · corrected 2025-05-30

    Potential for more than minimal harm

60. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-07 · Health · corrected 2025-03-25

    Potential for more than minimal harm

61. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-07 · Health · corrected 2025-03-25

    Potential for more than minimal harm

62. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-05 · Health · corrected 2025-03-25

    Immediate jeopardy

63. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-05 · Health · corrected 2025-03-25

    Potential for more than minimal harm

64. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-05 · Health · corrected 2025-03-25

    Potential for more than minimal harm

65. DF0679Provide activities to meet all resident's needs.2025-03-05 · Health · corrected 2025-03-25

    Potential for more than minimal harm

66. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-05 · Health · corrected 2025-03-25

    Potential for more than minimal harm

67. EF0700Try 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.2025-03-05 · Health · corrected 2025-03-25

    Potential for more than minimal harm

68. FF0838Conduct 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.2025-03-05 · Health · corrected 2025-03-25

    Potential for more than minimal harm

69. FF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2025-03-05 · Health · corrected 2025-03-25

    Potential for more than minimal harm

70. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-01-24 · Health · corrected 2025-02-07

    Potential for more than minimal harm

71. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-24 · Health · corrected 2025-02-07

    Potential for more than minimal harm

72. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-27 · Health · corrected 2024-07-15

    Potential for more than minimal harm

73. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-06-27 · Health · corrected 2024-07-15

    Potential for more than minimal harm

74. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-27 · Health · corrected 2024-07-15

    Potential for more than minimal harm

75. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-27 · Health · corrected 2024-07-15

    Potential for more than minimal harm

76. DF0760Ensure that residents are free from significant medication errors.2024-06-27 · Health · corrected 2024-07-15

    Potential for more than minimal harm

77. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

78. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-05-15 · Health · corrected 2024-06-17

    Potential for minimal harm

79. DF0610Respond appropriately to all alleged violations.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

80. DF0641Ensure each resident receives an accurate assessment.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

81. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

82. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

83. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

84. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

85. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

86. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

87. DF0692Provide enough food/fluids to maintain a resident's health.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

88. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

89. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

90. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

91. DF0759Ensure medication error rates are not 5 percent or greater.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

92. DF0761Ensure 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.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

93. CF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-05-15 · Health · corrected 2024-06-17

    Potential for minimal harm

94. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

95. FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

96. FF0880Provide and implement an infection prevention and control program.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

97. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

98. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-05-15 · Health · corrected 2024-06-17

    Potential for more than minimal harm

99. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-08 · Health · corrected 2024-04-23

    Potential for more than minimal harm

100. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-02-13 · Health · corrected 2024-03-01

     Potential for more than minimal harm

101. EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-02-02 · Health · corrected 2024-03-23

     Potential for more than minimal harm

102. EF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2024-02-02 · Health · corrected 2024-02-21

     Potential for more than minimal harm

103. JF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-01-25 · Health · corrected 2024-01-24

     Immediate jeopardy

104. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-07 · Health · corrected 2023-06-15

     Potential for more than minimal harm

105. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-08 · Health · corrected 2023-03-27

     Potential for more than minimal harm

106. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-08 · Health · corrected 2023-03-27

     Potential for more than minimal harm

Ownership

Other facilities in SAINT PAUL

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.