Compiled from official CMS federal data
Highland Chateau Health And Rehabilitation Center, SAINT PAUL, MN — Violations & Inspection Reports
Does Highland Chateau Health And Rehabilitation Center have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Highland Chateau Health And Rehabilitation Center (CCN 245028), in SAINT PAUL, MN, has federal inspection findings. CMS also lists the facility in its Special Focus Facility program, the federal watch list CMS reserves for nursing homes with a persistent record of serious deficiencies.
In its current inspection cycle, CMS cited the facility for 22 deficiencies; the most severe is rated J, which CMS classifies as Immediate Jeopardy — its most serious level, for noncompliance it found likely to cause serious harm or death. The latest standard health inspection on file is dated 2026-03-05. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $67,594 in civil money penalties on file against the facility. The record also includes 3 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Mar 2026). This page restates the federal record and draws no conclusion of its own.
Abuse-, fall-, and care-related findings on the federal record
- 3 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Mar 2026.
- 4 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Feb 2026.
- 1 pressure-ulcer care citation (F686) — the consumer term is "bedsores"; most recent Apr 2025.
- 2 nutrition and hydration citations (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Sep 2025.
- 38 findings on file from complaint-triggered inspections.
Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.
FOR FAMILIES
What brings you to this record?
The Federal Record
CMS lists this facility on its federal Special Focus Facility watch list.
Below is this facility's federal inspection record as on file with CMS.
CMS does not publish an overall rating for this facility in the current data snapshot.
On the federal Special Focus Facility watch list
The federal watch list CMS reserves for nursing homes with a persistent record of serious deficiencies.
Scope & Severity — current cycle
CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.
Civil money penalties on file
$67,594
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About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
Deficiency timeline
Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
57 more citations on file — Abuse & neglect 1 · Accidents & supervision 1 · Nutrition & hydration 1 · Medication & pharmacy 5 · Resident rights 8 · Other citations 38 (expand)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 safe, appropriate dialysis care/services for a resident who requires such services.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Provide activities to meet all resident's needs.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Provide and implement an infection prevention and control program.
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.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure each resident receives an accurate assessment.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Ensure medication error rates are not 5 percent or greater.
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 safe, appropriate pain management for a resident who requires such services.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Implement a program that monitors antibiotic use.
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.
Ensure that residents are free from significant medication errors.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide or obtain dental services for each resident.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure that residents are free from significant medication errors.
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.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
You may be reading this record for the first time.
If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.
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Federal record
Highland Chateau Health And Rehabilitation Center — Federal Record
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SECTION 7 — CASE CONTEXT
Add what you saw at Highland Chateau Health And Rehabilitation Center to this record
No call centers, no auctions. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. The federal record is a point-in-time inspection record and may understate what actually occurred. CareSentinel is operated by Nodal Logics LLC.
Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.
If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.
How to read this record
Making sense of a CMS inspection record
CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.
Three questions to ask on a tour
- How is the home staffed on nights, weekends, and holidays?
- What happens when a resident’s condition changes suddenly?
- How, and how quickly, are families told about an incident?