Highland Chateau Health and Rehabilitation Center

2319 West Seventh Street, Saint Paul, MN 55116

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Highland Chateau Health and Rehabilitation Center is a nursing home in Saint Paul, Minnesota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

CMS overall star ratingnot rated by CMS
Last standard health inspectionMarch 5, 2026 (8 months ago)
Health citations since January 25, 2024100 (Minnesota average 23)
Fines in the past three years3, $68,189 in total
CMS flagsSpecial Focus Facility

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

Special Focus Facility
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of October 8, 2026
- Fine
  CMS changed the fine from March 5, 2025 from $31,363 to $31,958.
CMS update of June 24, 2026
- Fine
  CMS changed the fine from March 5, 2025 from $48,250 to $31,363.
Health inspection on June 12, 2026
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0921. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  CMS lists it as corrected on July 9, 2026.
- Citation F0584. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on July 9, 2026.
  CMS has cited this home for F0584 3 times since 2025.
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CMS update of May 27, 2026
- Health citation
  CMS changed citation F0627 from severity G to D. It is from the health inspection on March 5, 2026. Severity D: potential for more than minimal harm, isolated.
- Health citation
  CMS removed citation F0552 from the health inspection on March 5, 2026.
CMS update of April 29, 2026
- CMS abuse icon
  CMS removed its abuse icon from this home.
Health inspection on March 5, 2026
15 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 15 citations
- Citation F0561. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  CMS lists it as corrected on April 9, 2026.
- Citation F0580. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0580 2 times since 2025.
- Citation F0605. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  CMS lists it as corrected on April 9, 2026.
- Citation F0627. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  CMS lists it as corrected on April 9, 2026.
- Citation F0628. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0628 2 times since 2026.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0656 5 times since 2025.
- Citation F0657. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0657 4 times since 2025.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0677 5 times since 2025.
- Citation F0679. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide activities to meet all resident's needs.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0679 2 times since 2025.
- Citation F0698. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0698 2 times since 2025.
- Citation F0757. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.
  CMS lists it as corrected on April 9, 2026.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0760 4 times since 2024.
- Citation F0770. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.
  CMS lists it as corrected on April 9, 2026.
- Citation F0791. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide or obtain dental services for each resident.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0791 2 times since 2025.
- Citation F0806. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  CMS lists it as corrected on April 9, 2026.
  CMS has cited this home for F0806 2 times since 2025.
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Fire safety inspection on March 5, 2026
5 citations
CMS lists this as a standard inspection.
Show the 5 citations
- Citation K0345. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.
  CMS lists it as corrected on April 7, 2026.
- Citation K0353. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on April 7, 2026.
- Citation K0521. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  CMS lists it as corrected on April 7, 2026.
- Citation K0918. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.
  CMS lists it as corrected on April 7, 2026.
- Citation K0920. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure proper usage of power strips and extension cords.
  CMS lists it as corrected on April 7, 2026.
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Health inspection on February 20, 2026
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on March 9, 2026.
  CMS has cited this home for F0689 4 times since 2025.
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Health inspection on February 13, 2026
1 citation
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
47 of 337 Minnesota homes (14%) got a citation at the immediate jeopardy level in 2026.
CMS fine of $19,120 on February 13, 2026.
Show the 1 citation
- Citation F0689. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on February 10, 2026.
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Health inspection on January 15, 2026
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0628. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  CMS lists it as corrected on February 6, 2026.
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Health inspection on December 30, 2025
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0727. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: 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.
  CMS lists it as corrected on February 6, 2026.
- Citation F0657. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on February 6, 2026.
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CMS update of November 20, 2025
- Health citation
  CMS changed citation F0740 from severity D to E. It is from the health inspection on February 2, 2024. Severity E: potential for more than minimal harm, pattern.
Health inspection on September 19, 2025
27 citations
CMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
74 of 337 Minnesota homes (22%) got a citation at the immediate jeopardy level in 2025.
Show the 27 citations
- Citation F0689. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on November 20, 2025.
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0812 2 times since 2025.
- Citation F0867. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  CMS lists it as corrected on November 20, 2025.
- Citation F0880. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0880 2 times since 2025.
- Citation F0925. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0925 3 times since 2024.
- Citation F0554. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0554 3 times since 2024.
- Citation F0725. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0725 3 times since 2025.
- Citation F0550. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0550 2 times since 2025.
- Citation F0584. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on November 20, 2025.
- Citation F0641. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0641 2 times since 2025.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on November 20, 2025.
- Citation F0657. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on November 20, 2025.
- Citation F0676. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  CMS lists it as corrected on November 20, 2025.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on November 20, 2025.
- Citation F0684. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on November 25, 2025.
  CMS has cited this home for F0684 6 times since 2024.
- Citation F0688. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on November 20, 2025.
- Citation F0692. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide enough food/fluids to maintain a resident's health.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0692 2 times since 2025.
- Citation F0693. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0693 2 times since 2025.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0695 3 times since 2024.
- Citation F0697. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.
  CMS lists it as corrected on November 20, 2025.
- Citation F0698. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.
  CMS lists it as corrected on November 20, 2025.
- Citation F0759. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure medication error rates are not 5 percent or greater.
  CMS lists it as corrected on November 20, 2025.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on November 20, 2025.
- Citation F0791. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide or obtain dental services for each resident.
  CMS lists it as corrected on November 20, 2025.
- Citation F0805. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  CMS lists it as corrected on November 20, 2025.
  CMS has cited this home for F0805 2 times since 2024.
- Citation F0881. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Implement a program that monitors antibiotic use.
  CMS lists it as corrected on November 20, 2025.
- Citation F0883. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.
  CMS lists it as corrected on November 20, 2025.
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Fire safety inspection on September 19, 2025
2 citations
CMS lists this as a standard inspection.
Show the 2 citations
- Citation K0291. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.
  CMS lists it as corrected on November 20, 2025.
- Citation K0321. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on November 20, 2025.
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CMS update of July 30, 2025
- Health citation
  CMS removed citation F0660 from the health inspection on May 15, 2024.
Health inspection on June 6, 2025
2 citations
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
68 of 337 Minnesota homes (20%) got a citation at the actual harm level in 2025.
Show the 2 citations
- Citation F0684. Severity G: actual harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on July 8, 2025.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on July 8, 2025.
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CMS update of May 28, 2025
- CMS abuse icon
  CMS added its abuse icon to this home.
CMS update of April 30, 2025
- Star rating
  The CMS overall star rating changed from 1 of 5 to not rated by CMS.
- Star rating
  The CMS health inspection star rating changed from 1 of 5 to not rated by CMS.
- Star rating
  The CMS staffing star rating changed from 3 of 5 to not rated by CMS.
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to not rated by CMS.
- Special Focus Facility
  CMS now lists this home as a Special Focus Facility.
Health inspection on April 24, 2025
27 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 27 citations
- Citation F0725. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  CMS lists it as corrected on May 30, 2025.
- Citation F0726. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 30, 2025.
- Citation F0801. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 30, 2025.
- Citation F0925. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  CMS lists it as corrected on May 30, 2025.
- Citation F0812. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on May 30, 2025.
- Citation F0550. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  CMS lists it as corrected on May 30, 2025.
- Citation F0580. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on May 30, 2025.
- Citation F0584. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 30, 2025.
- Citation F0641. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on May 30, 2025.
- Citation F0655. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  CMS lists it as corrected on May 30, 2025.
  CMS has cited this home for F0655 2 times since 2024.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on May 30, 2025.
- Citation F0657. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on May 30, 2025.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on May 30, 2025.
- Citation F0684. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on May 30, 2025.
- Citation F0686. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  CMS lists it as corrected on May 30, 2025.
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on May 30, 2025.
- Citation F0690. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  CMS lists it as corrected on May 30, 2025.
- Citation F0692. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide enough food/fluids to maintain a resident's health.
  CMS lists it as corrected on May 30, 2025.
- Citation F0693. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 30, 2025.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on May 30, 2025.
- Citation F0761. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 30, 2025.
- Citation F0806. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  CMS lists it as corrected on May 30, 2025.
- Citation F0807. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
  CMS lists it as corrected on May 30, 2025.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on May 30, 2025.
- Citation F0919. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.
  CMS lists it as corrected on May 30, 2025.
- Citation F0576. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Ensure residents have reasonable access to and privacy in their use of communication methods.
  CMS lists it as corrected on May 30, 2025.
- Citation F0730. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Observe each nurse aide's job performance and give regular training.
  CMS lists it as corrected on May 30, 2025.
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Fire safety inspection on April 24, 2025
4 citations
CMS lists this as a standard inspection.
Show the 4 citations
- Citation K0225. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have stairways and smokeproof enclosures used as exits that meet safety requirements.
  CMS lists it as corrected on May 30, 2025.
- Citation K0363. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Install corridor and hallway doors that block smoke.
  CMS lists it as corrected on May 30, 2025.
- Citation K0511. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have properly installed electrical wiring and gas equipment.
  CMS lists it as corrected on May 30, 2025.
- Citation K0712. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have simulated fire drills held at unexpected times.
  CMS lists it as corrected on May 30, 2025.
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Health inspection on March 7, 2025
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on March 25, 2025.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on March 25, 2025.
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Health inspection on March 5, 2025
8 citations
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
74 of 337 Minnesota homes (22%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $31,958 on March 5, 2025.
Show the 8 citations
- Citation F0600. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  CMS lists it as corrected on March 25, 2025.
- Citation F0838. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: 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.
  CMS lists it as corrected on March 25, 2025.
- Citation F0841. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
  CMS lists it as corrected on March 25, 2025.
- Citation F0700. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on March 25, 2025.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on March 25, 2025.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on March 25, 2025.
- Citation F0679. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide activities to meet all resident's needs.
  CMS lists it as corrected on March 25, 2025.
- Citation F0684. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on March 25, 2025.
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Health inspection on January 24, 2025
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0554. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.
  CMS lists it as corrected on February 7, 2025.
- Citation F0725. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  CMS lists it as corrected on February 7, 2025.
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CMS update of October 30, 2024
- Star rating
  The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of September 26, 2024
- Fine
  CMS changed the fine from January 20, 2023 from $21,659 to $22,107.
- Fine
  CMS changed the fine from February 23, 2023 from $13,491 to $13,779.
- Fine
  CMS changed the fine from January 25, 2024 from $16,801 to $17,111.
CMS update of July 31, 2024
- CMS abuse icon
  CMS removed its abuse icon from this home.
- Fine
  CMS changed the fine from January 20, 2023 from $20,963 to $21,659.
- Fine
  CMS changed the fine from February 23, 2023 from $13,039 to $13,491.
Health inspection on June 27, 2024
5 citations
CMS lists this as a complaint inspection.
Show the 5 citations
- Citation F0554. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.
  CMS lists it as corrected on July 15, 2024.
- Citation F0655. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  CMS lists it as corrected on July 15, 2024.
- Citation F0684. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on July 15, 2024.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on July 15, 2024.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on July 15, 2024.
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CMS update of June 26, 2024
- Fine
  CMS changed the fine from January 25, 2024 from $25,847 to $16,801.
Fire safety inspection on May 15, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation E0026. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Establish roles under a Waiver declared by secretary.
  CMS lists it as corrected on June 7, 2024.
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CMS update of April 25, 2024
- Star rating
  The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Health inspection on April 8, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0684. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on April 23, 2024.
See this home on CMS Care Compare
CMS update of March 28, 2024
- Ownership
  CMS lists this home under a new chain.
CMS update of February 29, 2024
- Fine
  CMS changed the fine from January 20, 2023 from $32,250 to $20,963.
- Fine
  CMS changed the fine from February 23, 2023 from $20,060 to $13,039.
Health inspection on February 13, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0925. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  CMS lists it as corrected on March 1, 2024.
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Health inspection on February 2, 2024
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0740. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  CMS lists it as corrected on March 23, 2024.
- Citation F0741. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
  CMS lists it as corrected on February 21, 2024.
See this home on CMS Care Compare
CMS update of January 31, 2024
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 4 of 5.
Health inspection on January 25, 2024
1 citation
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
54 of 337 Minnesota homes (16%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $17,111 on January 25, 2024.
Show the 1 citation
- Citation F0805. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  CMS lists it as corrected on January 24, 2024.
See this home on CMS Care Compare

CMS star ratings

not rated by CMS CMS overall star rating
not rated by CMS CMS health inspection star rating
not rated by CMS CMS staffing star rating
not rated by CMS CMS quality measures star rating

CMS does not give star ratings to homes in its Special Focus Facility program.

Facts from CMS

Phone: (651) 698-0793
Last standard health inspection: March 5, 2026 (8 months ago)
Certified beds: 64
Residents per day, on average: 43.1
Ownership type: For profit - Limited Liability company
Legal business name: Highland Operations LLC
Chain: Ephram Lahasky
Takes part in: Medicare and Medicaid

More health citations than the Minnesota average (100 vs 23).

Questions

When was Highland Chateau Health and Rehabilitation Center last inspected?

CMS lists March 5, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Highland Chateau Health and Rehabilitation Center have?

CMS lists 100 health citations since January 25, 2024. CMS also calls these deficiencies.

Has Highland Chateau Health and Rehabilitation Center been fined?

CMS lists 3 fines in the past three years, $68,189 in total.

What is the CMS star rating of Highland Chateau Health and Rehabilitation Center?

CMS does not give star ratings to homes in its Special Focus Facility program.

Is Highland Chateau Health and Rehabilitation Center a Special Focus Facility?

Yes. CMS lists it as a Special Focus Facility.

At a glance

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CMS flags

Inspections, fines and changes

CMS update of October 8, 2026

CMS update of June 24, 2026

Health inspection on June 12, 2026

CMS update of May 27, 2026

CMS update of April 29, 2026

Health inspection on March 5, 2026

Fire safety inspection on March 5, 2026

Health inspection on February 20, 2026

Health inspection on February 13, 2026

Health inspection on January 15, 2026

Health inspection on December 30, 2025

CMS update of November 20, 2025

Health inspection on September 19, 2025

Fire safety inspection on September 19, 2025

CMS update of July 30, 2025

Health inspection on June 6, 2025

CMS update of May 28, 2025

CMS update of April 30, 2025

Health inspection on April 24, 2025

Fire safety inspection on April 24, 2025

Health inspection on March 7, 2025

Health inspection on March 5, 2025

Health inspection on January 24, 2025

CMS update of October 30, 2024

CMS update of September 26, 2024

CMS update of July 31, 2024

Health inspection on June 27, 2024

CMS update of June 26, 2024

Fire safety inspection on May 15, 2024

CMS update of April 25, 2024

Health inspection on April 8, 2024

CMS update of March 28, 2024

CMS update of February 29, 2024

Health inspection on February 13, 2024

Health inspection on February 2, 2024

CMS update of January 31, 2024

Health inspection on January 25, 2024

CMS star ratings

Facts from CMS

Questions

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