HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER
HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER is a 64-bed nursing home in SAINT PAUL, Minnesota. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 49.8 residents a day.
What harm was found in the violations cited at HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER?
CMS lists 100 health-inspection deficiencies for HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-12.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-12 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2026-06-12 | F0584 | 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. | E |
| 2026-03-05 | F0561, F0580, F0605, F0627, F0628, F0656, F0657, F0677, F0679, F0698, F0757, F0760, F0770, F0791, F0806 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain dental services for each resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2026-02-20 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-02-13 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2026-01-15 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2025-12-30 | F0727 | 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 |
| 2025-12-30 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2025-09-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-09-19 | F0812, F0867, F0880, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2025-09-19 | F0554, F0725 | Allow residents to self-administer drugs if determined clinically appropriate. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-09-19 | F0550, F0584, F0641, F0656, F0657, F0676, F0677, F0684, F0688, F0692, F0693, F0695, F0697, F0698, F0759, F0760, F0791, F0805, F0881, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide enough food/fluids to maintain a resident's health. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Provide or obtain dental services for each resident. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-06-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2025-06-06 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2025-04-24 | F0725, F0726, F0801, F0925 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2025-04-24 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-04-24 | F0550, F0580, F0584, F0641, F0655, F0656, F0657, F0677, F0684, F0686, F0689, F0690, F0692, F0693, F0695, F0761, F0806, F0807, F0880, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2025-04-24 | F0576, F0730 | Ensure residents have reasonable access to and privacy in their use of communication methods. / Observe each nurse aide's job performance and give regular training. | C |
| 2025-03-07 | F0656, F0677 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-03-05 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2025-03-05 | F0838, F0841 | 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. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F |
| 2025-03-05 | F0700 | 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. | E |
| 2025-03-05 | F0656, F0677, F0679, F0684 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-01-24 | F0554, F0725 | Allow residents to self-administer drugs if determined clinically appropriate. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D |
| 2024-06-27 | F0554, F0655, F0684, F0695, F0760 | Allow residents to self-administer drugs if determined clinically appropriate. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that residents are free from significant medication errors. | D |
| 2024-04-08 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-02-13 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2024-02-02 | F0740, F0741 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E |
| 2024-01-25 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J |
Why was HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2026-02-13 | Fine | $19,120 |
| 2025-03-05 | Fine | $31,363 |
| 2024-01-25 | Fine | $17,111 |
How is HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER staffed relative to the MN average?
| Measure | This facility | MN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.02331 | 4.19318 |
| Total nursing staff turnover (%) | 68.7 | 42.2 |
| Average number of residents per day | 49.8 | 60.3 |
Who owns HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER, and what chain is it in?
HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name HIGHLAND OPERATIONS LLC and belongs to the EPHRAM LAHASKY chain.
| Role | Owner | Association date |
|---|---|---|
| W-2 MANAGING EMPLOYEE | PARENCE, MARCUS | since 07/14/2022 |
| CORPORATE OFFICER | LAHASKY, EPHRAM | since 06/08/2022 |
Were you or a family member harmed at HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER?