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Highland Chateau Health and Rehabilitation CenterCMS ratings, inspections and fines

Address
2319 West Seventh Street, Saint Paul, MN 55116
CCN
245028
Ownership type
For-profit, limited liability company
Certified beds
64
Chain
Chain name not shown
Residents per day
50
CMS flags
  • Special Focus Facility
CMS star ratings
Overall ratingNot rated
Health inspection ratingNot rated
Staffing ratingNot rated
Quality measure ratingNot rated
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Highland Chateau Health and Rehabilitation Center no star ratings, because the home is in the Special Focus Facility program. The last standard survey was on 5 Mar 2026. The latest survey cycle has 22 health citations. The median for nursing homes in Minnesota is 6. CMS lists 3 fines with a total of $67,594 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Highland Chateau Health and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeRamsey County medianMinnesota medianUS average (CMS)
Overall ratingNo data3.03.03.0
Health inspection ratingNo data2.03.02.8
Staffing ratingNo data5.04.02.9
Quality measure ratingNo data3.03.03.6

A median is the middle value of the homes in the group: 28 homes in the county, 338 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Highland Chateau Health and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsMinnesota median
Cycle 1 (latest)5 Mar 2026226
Cycle 219 Sep 2025417
Cycle 3No date376

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 100 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 22 citations

Standard survey of this cycle: .

Health citations of Highland Chateau Health and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Jun 2026F0584Honor 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.EComplaint investigation9 Jul 2026
12 Jun 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint investigation9 Jul 2026
5 Mar 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey9 Apr 2026
5 Mar 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation9 Apr 2026
5 Mar 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey9 Apr 2026
5 Mar 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation9 Apr 2026
5 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation9 Apr 2026
5 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey9 Apr 2026
5 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey9 Apr 2026
5 Mar 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey9 Apr 2026
5 Mar 2026F0679Provide activities to meet all resident's needs.DStandard survey9 Apr 2026
5 Mar 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey9 Apr 2026
5 Mar 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey9 Apr 2026
5 Mar 2026F0760Ensure that residents are free from significant medication errors.DStandard survey9 Apr 2026
5 Mar 2026F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey9 Apr 2026
5 Mar 2026F0791Provide or obtain dental services for each resident.DStandard survey9 Apr 2026
5 Mar 2026F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey9 Apr 2026
20 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation9 Mar 2026
13 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation10 Feb 2026
15 Jan 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation6 Feb 2026
30 Dec 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation6 Feb 2026
30 Dec 2025F0727Have 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.FComplaint investigation6 Feb 2026

Survey cycle 2: 41 citations

Standard survey of this cycle: .

Health citations of Highland Chateau Health and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
19 Sep 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey20 Nov 2025
19 Sep 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.EStandard survey20 Nov 2025
19 Sep 2025F0584Honor 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.DStandard survey20 Nov 2025
19 Sep 2025F0641Ensure each resident receives an accurate assessment.DStandard survey20 Nov 2025
19 Sep 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey20 Nov 2025
19 Sep 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey20 Nov 2025
19 Sep 2025F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey20 Nov 2025
19 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey20 Nov 2025
19 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Nov 2025
19 Sep 2025F0688Provide 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.DStandard survey20 Nov 2025
19 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey20 Nov 2025
19 Sep 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey20 Nov 2025
19 Sep 2025F0693Ensure 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.DStandard survey20 Nov 2025
19 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey20 Nov 2025
19 Sep 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey20 Nov 2025
19 Sep 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey20 Nov 2025
19 Sep 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey20 Nov 2025
19 Sep 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey20 Nov 2025
19 Sep 2025F0760Ensure that residents are free from significant medication errors.DStandard survey20 Nov 2025
19 Sep 2025F0791Provide or obtain dental services for each resident.DStandard survey20 Nov 2025
19 Sep 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard survey20 Nov 2025
19 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey20 Nov 2025
19 Sep 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey20 Nov 2025
19 Sep 2025F0880Provide and implement an infection prevention and control program.FStandard survey20 Nov 2025
19 Sep 2025F0881Implement a program that monitors antibiotic use.DStandard survey20 Nov 2025
19 Sep 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey20 Nov 2025
19 Sep 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation20 Nov 2025
6 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation8 Jul 2025
6 Jun 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation8 Jul 2025
7 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Mar 2025
7 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation25 Mar 2025
5 Mar 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation25 Mar 2025
5 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Mar 2025
5 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation25 Mar 2025
5 Mar 2025F0679Provide activities to meet all resident's needs.DComplaint investigation25 Mar 2025
5 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation25 Mar 2025
5 Mar 2025F0700Try 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.EComplaint investigation25 Mar 2025
5 Mar 2025F0838Conduct 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.FComplaint investigation25 Mar 2025
5 Mar 2025F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.FComplaint investigation25 Mar 2025
24 Jan 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation7 Feb 2025
24 Jan 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint investigation7 Feb 2025

Survey cycle 3: 37 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Highland Chateau Health and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
24 Apr 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation30 May 2025
24 Apr 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.CStandard survey30 May 2025
24 Apr 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey30 May 2025
24 Apr 2025F0584Honor 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.DComplaint investigation30 May 2025
24 Apr 2025F0641Ensure each resident receives an accurate assessment.DStandard survey30 May 2025
24 Apr 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey30 May 2025
24 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey30 May 2025
24 Apr 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey30 May 2025
24 Apr 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey30 May 2025
24 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey30 May 2025
24 Apr 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey30 May 2025
24 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey30 May 2025
24 Apr 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey30 May 2025
24 Apr 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey30 May 2025
24 Apr 2025F0693Ensure 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.DStandard survey30 May 2025
24 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey30 May 2025
24 Apr 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey30 May 2025
24 Apr 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard survey30 May 2025
24 Apr 2025F0730Observe each nurse aide's job performance and give regular training.CStandard survey30 May 2025
24 Apr 2025F0761Ensure 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.DStandard survey30 May 2025
24 Apr 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey30 May 2025
24 Apr 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey30 May 2025
24 Apr 2025F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard survey30 May 2025
24 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey30 May 2025
24 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey30 May 2025
24 Apr 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation30 May 2025
24 Apr 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation30 May 2025
27 Jun 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation15 Jul 2024
27 Jun 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation15 Jul 2024
27 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation15 Jul 2024
27 Jun 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation15 Jul 2024
27 Jun 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation15 Jul 2024
8 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation23 Apr 2024
13 Feb 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation1 Mar 2024
2 Feb 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.EComplaint investigation23 Mar 2024
2 Feb 2024F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EComplaint investigation21 Feb 2024
25 Jan 2024F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.JComplaint investigation24 Jan 2024

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Highland Chateau Health and Rehabilitation Center in the CMS penalties file
DateTypeFineDays without payment
13 Feb 2026Fine$19,120
5 Mar 2025Fine$31,363
25 Jan 2024Fine$17,111

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Highland Chateau Health and Rehabilitation Center
StaffThis homeMinnesota medianMinnesota average (CMS)
All nurse staff4.024.204.19
Registered nurses (RN)1.301.001.06
Licensed practical nurses (LPN)0.500.61
Nurse aides2.232.52
All nurse staff, weekends3.813.703.71
Nurse staff turnover in a year
68.7%
Nurse staff turnover, Minnesota median
40.0%
RN turnover in a year
75.0%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Highland Chateau Health and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMinnesota medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay18.8%18.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.2%1.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.7%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.8%3.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.8%1.4%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.2%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.4%4.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.5%15.9%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Highland Operations LLC
Chain
Chain name not shown

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.

Other homes in Ramsey County

The 12 nearest other nursing homes in Ramsey County, Minnesota
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Carondelet Village Care CenterSaint Paul5 of 52$9,11320 Nov 2025
Hayes ResidenceSaint Paul2 of 58$026 Jun 2025
Shirley Chapman Sholom Home EastSaint Paul4 of 59$017 Apr 2025
Episcopal Church Home of MinnesotaSaint Paul1 of 512$07 May 2026
The Estates at Lynnhurst LLCSaint Paul1 of 514$016 Jul 2026
Episcopal Church Home the GardensSaint Paul2 of 513$09 Apr 2026
The Emeralds at St Paul LLCSaint Paul1 of 59$138,73630 Jul 2025
Little Sisters of the PoorSaint Paul2 of 53$13,26528 Jan 2026
Cerenity Care Center on HumboldtSaint Paul2 of 59$69,0315 Mar 2026
The Villas at St PaulSaint Paul2 of 513$026 Jun 2026
Ebenezer Integrated Care & RehabSaint Paul4 of 55$31,3601 Apr 2026
Capital View Transitional Care CenterSaint Paul5 of 51$019 Nov 2025

All 28 nursing homes in Ramsey County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Highland Chateau Health and Rehabilitation Center (CCN 245028). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/highland-chateau-health-and-rehabilitation-center-saint-paul-mn-245028/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Highland Chateau Health and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 12 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 19 Sep 2025.
Who operates Highland Chateau Health and Rehabilitation Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
What does the Special Focus status mean for Highland Chateau Health and Rehabilitation Center?
CMS lists the home as a Special Focus Facility. The State Survey Agency inspects a Special Focus Facility every six months. CMS gives no star ratings to a home in the program.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.