Highland Chateau Health and Rehabilitation Center

Nursing Home · Saint Paul, MN

Special Focus Facility For profit - Limited Liability company

CMS certification number245028
CMS lists this nursing home as a Special Focus Facility – a facility with a persistent record of serious quality problems that is inspected more often.

Contact & location

2319 West Seventh Street
Saint Paul, MN 55116
Ramsey County
Phone
(651) 698-0793
ZIP code
55116 – all care providers

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Facility details

Certified beds
64
Residents per day
49.8 (78% occupied)
Ownership
For profit - Limited Liability company
Legal name
Highland Operations LLC
Chain
Ephram Lahasky (22 facilities, avg 1.8★)
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

OverallNot rated
State avg 3.2
Health inspectionsNot rated
State avg 2.8
StaffingNot rated
State avg 4.1
Quality measuresNot rated
State avg 3.1
Long-stay qualityNot rated
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.02 (state 4.19 · U.S. 3.86)
Registered nurses (RN)
1.30 (state 1.06 · U.S. 0.69)
Licensed practical nurses
0.50 (state 0.61 · U.S. 0.86)
Nurse aides
2.23 (state 2.52 · U.S. 2.32)
Weekend total
3.81 (state 3.71 · U.S. 3.42)
Nursing staff turnover
68.7 (state 42.2 · U.S. 45.8)%
RN turnover
75.0 (state 38.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
March 5, 2026
Health deficiencies (last cycle)
22.0 (state 7.0 · U.S. 9.3)
From complaints
10
Citations on record (3 years)
73 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-12 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-07-09
2026-06-12 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-09
2026-03-05 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0627 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-09
2026-03-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-09
2026-03-05 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-09
2026-03-05 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-09
2026-03-05 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-09
2026-03-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-09
2026-03-05 Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-09
2026-03-05 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 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.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0867 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0725 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-09-19 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-06-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-07-08

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $67,594 in fines.

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

Ownership & management

NameRoleSince
Lahasky, Ephram (individual)Corporate Officer · NOT APPLICABLE
Parence, Marcus (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

How many beds does Highland Chateau Health and Rehabilitation Center have?

It has 64 certified beds and cares for about 50 residents per day.

Has Highland Chateau Health and Rehabilitation Center been fined?

Yes. CMS lists 3 penalties totaling $67,594 in the last three years.

Who owns Highland Chateau Health and Rehabilitation Center?

It is part of Ephram Lahasky and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Highland Chateau Health and Rehabilitation Center?

(651) 698-0793. The facility is located at 2319 West Seventh Street, Saint Paul, MN 55116.

Other nursing homes in Saint Paul

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.