Highland Chateau Health and Rehabilitation Center

2319 West Seventh Street, Saint Paul, MN 55116 · (651) 698-0793
For profit - Limited Liability company · 64 certified beds

Highland Chateau Health and Rehabilitation Center is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in March 2026, found 15 citations (the Minnesota average is 7.1). It was fined 3 times in the last three years, $68,189 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on March 5, 2026 found 15 citations. What an inspection citation means

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.March 5, 2026 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 5, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.March 5, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.March 5, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.March 5, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 5, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 5, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 5, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide activities to meet all resident's needs.March 5, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.March 5, 2026 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.March 5, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.March 5, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.March 5, 2026 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain dental services for each resident.March 5, 2026 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.March 5, 2026 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 39 citations.

• 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.June 12, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 12, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 5, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.March 5, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.March 5, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 20, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 13, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.January 15, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.December 30, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 30, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.September 19, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 6, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.June 6, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 24, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 24, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.April 24, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.April 24, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 7, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 7, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 5, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 5, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 5, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide activities to meet all resident's needs.March 5, 2025 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 5, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 5, 2025 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.March 5, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.March 5, 2025 · F0841 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Allow residents to self-administer drugs if determined clinically appropriate.January 24, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 24, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow residents to self-administer drugs if determined clinically appropriate.June 27, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJune 27, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 27, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.June 27, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.June 27, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 8, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.February 13, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.February 2, 2024 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.February 2, 2024 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.January 25, 2024 · F0805 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few

Fines and payment denials

• Fine of $19,120February 13, 2026
• Fine of $31,958March 5, 2025
• Fine of $17,111January 25, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home