Highland Chateau Health And Rehabilitation Center
CCN: 245028 · SAINT PAUL, MN 55116 · Ramsey County
Overview
- Address
- 2319 WEST SEVENTH STREET, SAINT PAUL, MN 55116
- Phone
- 6516980793
- Certified beds
- 64
- Avg daily residents
- 46 (72% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-01-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.92 | 3.59 | 4.22 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.84 | 0.63 | 0.90 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.86 | 0.80 | 0.93 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.21 | 2.16 | 2.38 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.70 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.15 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-09-19 | 42 | 27 | 16 | 422 | 2 | 633 |
| Cycle 2/3 (prior) | 2025-04-24 | 42 | 27 | 19 | 248 | 1 | 248 |
Deficiencies (106)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-01-15 | 2026-02-06 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-12-30 | 2026-02-06 |
| 0727 | 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. | F | 2025-12-30 | 2026-02-06 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-09-19 | 2025-11-20 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2025-09-19 | 2025-11-20 |
| 0584 | 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. | D | 2025-09-19 | 2025-11-20 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-09-19 | 2025-11-20 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-09-19 | 2025-11-20 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-09-19 | 2025-11-20 |
| 0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-09-19 | 2025-11-20 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-09-19 | 2025-11-20 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-19 | 2025-11-25 |
| 0688 | 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. | D | 2025-09-19 | 2025-11-20 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-09-19 | 2025-11-20 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-09-19 | 2025-11-20 |
| 0693 | 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. | D | 2025-09-19 | 2025-11-20 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-09-19 | 2025-11-20 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-09-19 | 2025-11-20 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-09-19 | 2025-11-20 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-09-19 | 2025-11-20 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-09-19 | 2025-11-20 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-09-19 | 2025-11-20 |
| 0791 | Provide or obtain dental services for each resident. | D | 2025-09-19 | 2025-11-20 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-09-19 | 2025-11-20 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-09-19 | 2025-11-20 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-09-19 | 2025-11-20 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2025-09-19 | 2025-11-20 |
| 0881 | Implement a program that monitors antibiotic use. | D | 2025-09-19 | 2025-11-20 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-09-19 | 2025-11-20 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-09-19 | 2025-11-20 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-06-06 | 2025-07-08 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-06-06 | 2025-07-08 |
| 0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | 2025-04-24 | 2025-05-30 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-04-24 | 2025-05-30 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-04-24 | 2025-05-30 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-04-24 | 2025-05-30 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-04-24 | 2025-05-30 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-04-24 | 2025-05-30 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-04-24 | 2025-05-30 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-24 | 2025-05-30 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-04-24 | 2025-05-30 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-24 | 2025-05-30 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-04-24 | 2025-05-30 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-04-24 | 2025-05-30 |
| 0693 | 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. | D | 2025-04-24 | 2025-05-30 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-04-24 | 2025-05-30 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-04-24 | 2025-05-30 |
| 0726 | 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. | F | 2025-04-24 | 2025-05-30 |
| 0730 | Observe each nurse aide's job performance and give regular training. | C | 2025-04-24 | 2025-05-30 |
| 0761 | 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. | D | 2025-04-24 | 2025-05-30 |
Showing 50 most recent of 106. See the All Data CSV for the full list.
Penalties (3)
| Date | Type | Fine amount |
|---|---|---|
| 2024-01-25 | Fine | $17,111 |
| 2025-03-05 | Fine | $48,250 |
| 2023-04-06 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: EPHRAM LAHASKY
- Chain ID
205- Facilities in chain
- 28
- Legal business name
- HIGHLAND OPERATIONS LLC
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| LAHASKY, EPHRAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/08/2022 |
| LAHASKY, EPHRAM | CORPORATE OFFICER | since 06/08/2022 |
| PARENCE, MARCUS | W-2 MANAGING EMPLOYEE | since 07/14/2022 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- None
- Sprinkler systems
- Yes
- Special focus status
- SFF
- Abuse citation flag
- Yes — last 2 cycles
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $33 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.72 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 77.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 5.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-636,633 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,991,329 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 84.0% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -12.5% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,329,435 | metrics.total_assets |
| Cost Report | Total Costs ($) | $647,143 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,283,626 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,613,061 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -8.8% | metrics.total_margin |
| Provider Information | Abuse Icon | Y | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.93064 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.38424 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.90240 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.21727 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.72367 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 45.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.79584 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.16290 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.62729 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.58603 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.16071 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 1.9 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 1.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.7 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 205 | Chain ID |
| Provider Information | Chain Name | EPHRAM LAHASKY | Chain Name |
| Provider Information | City/Town | SAINT PAUL | City/Town |
| Provider Information | CMS Certification Number (CCN) | 245028 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Ramsey | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | — | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | 18 | Health Inspection Rating Footnote |
| Provider Information | Latitude | 44.9043 | Latitude |
| Provider Information | Legal Business Name | HIGHLAND OPERATIONS LLC | Legal Business Name |
| Provider Information | Location | 2319 WEST SEVENTH STREET,SAINT PAUL,MN,55116 | Location |
| Provider Information | Long-Stay QM Rating | — | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | 18 | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -93.165 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 64 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 28 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.27037 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.92213 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | — | Overall Rating |
| Provider Information | Overall Rating Footnote | 18 | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2319 WEST SEVENTH STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Highland Chateau Health And Rehabilitation Center | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 610 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | — | QM Rating |
| Provider Information | QM Rating Footnote | 18 | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 422 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 211 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 16 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 2 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 27 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-09-19 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 633 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 42 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 27 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2025-04-24 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 248 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 19 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 248 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 42 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.58438 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 40.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.70252 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.86437 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.21448 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.14717 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.83815 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.91700 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 18 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | SFF | Special Focus Status |
| Provider Information | Staffing Rating | — | Staffing Rating |
| Provider Information | Staffing Rating Footnote | 18 | Staffing Rating Footnote |
| Provider Information | State | MN | State |
| Provider Information | Telephone Number | 6516980793 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 65361.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.45854 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 50.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 536.750 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | None | With a Resident and Family Council |
| Provider Information | ZIP Code | 55116 | ZIP Code |