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ElderCareCosts
SOURCE DATA JUL 2026

Nursing Homes · Medicare certified

Highland Chateau Health and Rehabilitation Center

2319 West Seventh Street · Saint Paul, MN 55116 · 64 certified beds

6516980793

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1215679451. Look this up in the CMS NPPES registry (opens in a new tab)

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About Highland Chateau Health and Rehabilitation Center

Highland Chateau Health and Rehabilitation Center is a nursing home in Saint Paul, Minnesota. Public records list 64 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Ephram Lahasky. We hold 99 inspection citations for this listing, the most recent dated 5 March 2026. CMS also lists 3 fine or payment denial actions against it. Reported staffing works out to 4.02 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated July 2026.

Public record

CMS Care Compare · Source data August 2026

CMS designation

Special Focus Facility (CMS)

CMS lists this nursing home in the Special Focus Facility program. CMS places facilities in this program when they have a history of serious quality issues and require focused oversight. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.

Source: CMS Provider Information.GOV

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

2

Cited deficiencies

75

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

2

Cited deficiencies

76

Not yet ratedSource: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

2

Cited deficiencies

77

Inspection history (99)

Records from June 2023 to March 2026.

  • March 5, 2025 · E

    Citation F0700

    Federal surveyors cited this nursing home on 2025-03-05 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Try 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. The deficiency was recorded as corrected on 2025-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-05.GOV
  • March 5, 2025 · D

    Citation F0677

    Federal surveyors cited this nursing home on 2025-03-05 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-05.GOV
  • March 5, 2025 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2025-03-05 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-05.GOV
  • March 5, 2025 · F

    Citation F0841

    Federal surveyors cited this nursing home on 2025-03-05 under CMS tag F0841 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. The deficiency was recorded as corrected on 2025-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-05.GOV
  • March 5, 2025 · J

    Citation F0600

    Federal surveyors cited this nursing home on 2025-03-05 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-05.GOV
  • March 5, 2025 · F

    Citation F0838

    Federal surveyors cited this nursing home on 2025-03-05 under CMS tag F0838 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct 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. The deficiency was recorded as corrected on 2025-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-05.GOV
  • January 24, 2025 · D

    Citation F0554

    Federal surveyors cited this nursing home on 2025-01-24 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2025-02-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-24.GOV
  • January 24, 2025 · D

    Citation F0725

    Federal surveyors cited this nursing home on 2025-01-24 under CMS tag F0725 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-02-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-24.GOV
  • June 27, 2024 · D

    Citation F0554

    Federal surveyors cited this nursing home on 2024-06-27 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-27.GOV
  • June 27, 2024 · D

    Citation F0760

    Federal surveyors cited this nursing home on 2024-06-27 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2024-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-27.GOV
  • June 27, 2024 · D

    Citation F0695

    Federal surveyors cited this nursing home on 2024-06-27 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-27.GOV
  • June 27, 2024 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2024-06-27 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-27.GOV
  • June 27, 2024 · D

    Citation F0655

    Federal surveyors cited this nursing home on 2024-06-27 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-27.GOV
  • April 8, 2024 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2024-04-08 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-04-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-08.GOV
  • February 13, 2024 · F

    Citation F0925

    Federal surveyors cited this nursing home on 2024-02-13 under CMS tag F0925 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2024-03-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-13.GOV
  • February 2, 2024 · E

    Citation F0741

    Federal surveyors cited this nursing home on 2024-02-02 under CMS tag F0741 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. The deficiency was recorded as corrected on 2024-02-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-02.GOV
  • February 2, 2024 · E

    Citation F0740

    Federal surveyors cited this nursing home on 2024-02-02 under CMS tag F0740 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident must receive and the facility must provide necessary behavioral health care and services. The deficiency was recorded as corrected on 2024-03-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-02.GOV
  • January 25, 2024 · J

    Citation F0805

    Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0805 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2024-01-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV
  • June 7, 2023 · D

    Citation F0600

    Federal surveyors cited this nursing home on 2023-06-07 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-07.GOV

Penalties (3)

Total fines on file: $67,594

  • February 13, 2026 · Fine

    Citation FINE-137944

    CMS recorded a civil money penalty of $19,120 against this nursing home on 2026-02-13 (Fine ID: 137944). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-13.GOV
  • March 5, 2025 · Fine

    Citation FINE-53924

    CMS recorded a civil money penalty of $31,363 against this nursing home on 2025-03-05 (Fine ID: 53924). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-05.GOV
  • January 25, 2024 · Fine

    Citation FINE-53736

    CMS recorded a civil money penalty of $17,111 against this nursing home on 2024-01-25 (Fine ID: 53736). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

Staffing

Latest: 4.02 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q44.18 hrs/resident/day
  2. 2026-06-014.18 hrs/resident/day
  3. 2026-07-014.02 hrs/resident/day
  4. 2026-08-014.02 hrs/resident/day
  5. 2026Q14.02 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.16 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Limited Liability company

CMS Care Compare chain: Ephram Lahasky

Chain ID 205 · 22 facilities in chain (CMS)

  • Chain average overall rating: 1.8
  • Chain average health inspection rating: 1.9
  • Chain average staffing rating: 2.1
  • Chain average quality measure rating: 3

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Jul 23, 2026First appeared in our data

    This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.

    Reported by CMS nursing homes (provider info)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical MN range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · MN$10,646/mo
See full MN cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Saint Paul, with their own public records.

Compare side by side
Compare side by side

A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS enrollmentas of July 2026
NPI
CMS nursing homes (provider info)as of July 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.