Nursing home report
SAINT PAUL, MN · Medicare-certified · 64 beds
Overall rating not rated. Highland Chateau Health And Rehabilitation Center has special focus status, reported nurse staffing slightly above the federal benchmark (4.18 vs 4.1 hours per resident day), and $67,370 in fines in the last 24 months; recent citations included accident hazards/supervision, abuse protection, and food preparation for individual needs.
Health inspections
Staffing
4.1841 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1841.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited January 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 805 — 42 CFR §483.60 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited December 2025 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 15 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $19,120 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $48,250 was recorded.
On record with Medicare: 3 fines · $84,481 in total fines.
Federal fine
Feb 13, 2026
Federal fine
Mar 5, 2025
Federal fine
Jan 25, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
