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Nursing HomeMedicaid Investigative

Highland Chateau Health and Rehabilitation Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

2319 West Seventh Street, Highland Park · Saint Paul, MN 5511664 bedsLicensed & Active
Google rating
2.9/5

based on 61 Google reviews

5
4
3
2
1
Highland Chateau Health and Rehabilitation Center Nursing Home in Saint Paul, MN — Street View
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What this means for your family

While some residents report positive experiences with therapy and individual staff members, the facility consistently struggles with call-light response times and administrative communication. We strongly recommend that families conduct an unannounced visit and specifically ask about their current protocols for ensuring timely nursing response and medication accuracy.

Google Reviews

Google Reviews

61 reviews on Google
Highland Chateau Health and Rehabilitation Center receives highly polarized feedback, with a significant number of reviewers reporting serious concerns regarding neglect, slow response times, and poor facility maintenance. While some families report positive experiences with specific staff members and therapy services, the recurring reports of unaddressed call lights, hygiene issues, and administrative failures suggest a pattern of inconsistent care.

Quality Themes

Tap a score for details
Food5.0Staff3.0Clean2.0Activities7.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Engaging and friendly frontline nursing staff
  • Effective physical and occupational therapy services
  • Variety of activities for residents
  • Clean and welcoming common areas

Concerns

  • Excessive wait times for call light response (mentioned by 9 reviewers)
  • Poor communication and unprofessional management (mentioned by 6 reviewers)
  • Unsanitary facility conditions and odors (mentioned by 4 reviewers)
  • Inadequate medication management and errors (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(7)'21(3)'23(8)'25(14)'26(7)

Distribution · 69 analyzed

5
28
4
6
3
2
2
2
1
31

How They Respond to Reviews

13%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the high volume of residents, what is your current protocol for ensuring call lights are answered promptly, especially during shift changes?
  • 2Could you walk me through the process for how family members are updated on changes in care or medical status, and who is the best point of contact for these communications?
  • 3I noticed some concerns regarding facility cleanliness in the past; what is your current daily housekeeping schedule and how do you ensure common areas remain sanitary?
  • 4How does your nursing team manage medication administration to ensure accuracy and prevent errors for residents with complex health needs?
  • 5I see you offer a variety of activities; could you share a sample weekly calendar and explain how you encourage residents with different mobility levels to participate?
  • 6With 42 recent state violations, what specific improvements or new training programs has the facility implemented over the last year to address these regulatory findings?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff along with some of the PT as well as OT and nutritional staff were awesome...cant say as much for the DIRECTOR! So unprofessional as well as UNKIND!

Rehab patient · 2019☆☆☆☆

I have been in three nursing homes, this is by far the best. The food is good and plenty, and the staff is wonderful. There are a lot of activities to keep me busy, I love it here.

Long-term resident · 2024★★★★★

Building is nice. Staff is very nice helpful and welcoming to visitors, but takes them 1hr to 1- 1/2 hrs to respond to a call light.

Family member · 2024★★★☆☆
Source: 61 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.24hrs
OK
Registered nurses for medical care
Total Nursing
4.18hrs
OK
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Better Than Avg

6

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility58.8%
Worse than Avg
Here
58.8%
US
93.4%
MN
97.3%
Ramsey
95.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
15.3%
MN
21.4%
Ramsey
21.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility82.1%
Worse than Avg
Here
82.1%
US
95.5%
MN
96.1%
Ramsey
96.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.1%
Worse than Avg
Here
14.1%
US
12.1%
MN
4.3%
Ramsey
5.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility19.9%
Worse than Avg
Here
19.9%
US
19.5%
MN
12.5%
Ramsey
10.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
14.4%
MN
18.6%
Ramsey
18.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility38.0%
Worse than Avg
Here
38.0%
US
81.8%
MN
88.3%
Ramsey
87.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility57.1%
Worse than Avg
Here
57.1%
US
79.8%
MN
82.7%
Ramsey
80.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
MN
1.8%
Ramsey
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
3penalties
39 complaint-triggered
$67,594 in fines

Highland Chateau has serious recurring problems that warrant caution, with nearly one-third of deficiencies triggered by family complaints. The facility repeatedly struggles with nursing staffing, medication management, and care planning, with these issues persisting across multiple surveys despite corrections. Recent citations include resident abuse protection failures and ongoing concerns about inadequate nursing coverage and medication errors, suggesting systemic care quality problems that families should carefully consider.

Mar 5, 2026Routine
17
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Mar 5, 2026Complaint
3
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Feb 20, 2026Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Feb 13, 2026Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jan 15, 2026Complaint
1
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Dec 30, 2025Complaint
2
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Federal Penalties

Fine

Feb 13, 2026

$19,120

Fine

Mar 5, 2025

$31,363

Fine

Jan 25, 2024

$17,111

Ownership & Operations

Who Operates This Facility

Owner / Operator

Highland Chateau Health and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Ephram Lahasky

Chain Size

23 facilities nationwide

Ownership & Management

Key personnel

Parence, MarcusW-2 Managing EmployeeLahasky, EphramOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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