Highland Chateau Health and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Highland Chateau Health and Rehabilitation Center is a 64-bed for-profit nursing home in Saint Paul, Minnesota, part of Ephram Lahasky. In the CMS August 2026 release it reported 2.23 nurse aide hours per resident per day, 12% below the Minnesota average of 2.52, and 68.7% nursing staff turnover (Minnesota average 42.2%).
Highland Chateau Health and Rehabilitation Center
2319 West Seventh StreetSaint Paul, MN 55116
Ramsey County
CMS Care Compare, August 2026 release
Special Focus Facility. CMS places nursing homes with a history of serious quality issues in its Special Focus Facility program, which brings more frequent inspections.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Highland Chateau Health and Rehabilitation Center, nurse aides logged 2.23 hours per resident per day, 12% below the Minnesota average. With about 50 residents a day, that works out to roughly 111 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 5% below the all-days figure.
CMS note: Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
| Hours per resident per day | This home | Minnesota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.23 | 2.52 | 2.32 |
| Licensed practical nurses | 0.50 | 0.61 | 0.86 |
| Registered nurses | 1.30 | 1.06 | 0.69 |
| All nursing staff | 4.02 | 4.19 | 3.86 |
| All nursing staff, weekends | 3.81 | 3.71 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
68.7% of nursing staff at Highland Chateau Health and Rehabilitation Center left over the year CMS measured, against a Minnesota average of 42.2% and a US average of 45.8%. Registered nurse turnover was 75.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 5, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 22 health deficiencies (Minnesota average 7.0). CMS lists 3 fines totaling $67,594 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 13, 2026 | Fine | $19,120 |
| Mar 5, 2025 | Fine | $31,363 |
| Jan 25, 2024 | Fine | $17,111 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
About Highland Chateau Health and Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: Ephram Lahasky, 22 homes
- Legal name: Highland Operations LLC
- Medicare and Medicaid certified since: Jan 1, 1967
- Councils: resident council
- Area: urban
Nursing homes near Highland Chateau Health and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Carondelet Village Care Center Saint Paul | 1.6 | 45 | 2.95 | 4.44 | 34.0% | 5 | $9,113 |
| Hayes Residence Saint Paul | 1.6 | 40 | 1.43 | 2.53 | 57.7% | 2 | None |
| Shirley Chapman Sholom Home East Saint Paul | 1.7 | 118 | 2.72 | 5.21 | 30.1% | 4 | None |
| MN Veterans Home-Mpls Minneapolis | 2.1 | 341 | 4.00 | 6.21 | — | 3 | None |
| Episcopal Church Home of Minnesota Saint Paul | 3.5 | 131 | 3.51 | 5.43 | — | 1 | None |
| The Estates at Lynnhurst LLC Saint Paul | 3.6 | 70 | 1.58 | 3.01 | 52.9% | 1 | None |
| Episcopal Church Home the Gardens Saint Paul | 3.7 | 60 | 4.19 | 5.69 | — | 2 | None |
| Walker Methodist Westwood Ridge II West Saint Paul | 3.8 | 37 | 2.24 | 5.32 | — | 2 | $15,914 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.