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Highland Chateau Health Care Center

Nursing Home Facility

2319 West 7th Street, Saint Paul, MN 55116

Nursing Home Care Senior Living
Highland Chateau Health Care Center

Highland Chateau Health Care Center is a senior care community located in Saint Paul, MN. It provides nursing home care and senior living for older adults in the Saint Paul area. To learn more or schedule a tour, call (651) 698-0793.

Operated by Ephram Lahasky, which runs 18 communities in our directory.

With 64 beds, Highland Chateau Health Care Center is smaller than most nearby options, senior care communities in Saint Paul average about 95 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 78% of its licensed beds.

Residents receive about 4.0 hours of nursing care per day on average, including 1.3 hours from a registered nurse. Nursing staff turnover over the past year was about 69%, which is high and can affect continuity of care.

The community is located in Ramsey County, MN.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 100 problems at Highland Chateau Health Care Center. 5 findings involved harm to a resident, including 4 that put residents in immediate danger. 39 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 3 times, a total of $67,594.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected February 2026, after a complaint. Corrected by February 10, 2026.

  • Could cause more than minimal harm, widespread Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected June 2026, after a complaint. Corrected by July 9, 2026.

  • Could cause more than minimal harm, a pattern Resident 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.

    Inspected June 2026, after a complaint. Corrected by July 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected March 2026, after a complaint. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Inspected March 2026, after a complaint. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected March 2026, after a complaint. Corrected by April 9, 2026.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Administration

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide or obtain dental services for each resident.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected February 2026, after a complaint. Corrected by March 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected January 2026, after a complaint. Corrected by February 6, 2026.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    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.

    Inspected December 2025, after a complaint. Corrected by February 6, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected December 2025, after a complaint. Corrected by February 6, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Highland Chateau Health Care Center offers nursing home care and senior living.

Facility details

  • Organization type For profit - Partnership
  • Beds / units 64
  • Occupancy 78%
  • Nursing hours per resident/day 4.0
  • Annual staff turnover 69%
  • Last health inspection March 2026

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