Highland Chateau Health And Rehabilitation Center has received an F grade based on CMS data, with a score of 0/100 — placing it among the lowest-rated nursing facilities in Minnesota. Families considering this Saint Paul facility should carefully review its inspection history and quality metrics.
Staffing at Highland Chateau Health And Rehabilitation Center is near the national average, with 3.92 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 106 deficiencies at Highland Chateau Health And Rehabilitation Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.92 | 3.8 | Average |
| Registered Nurses (RN) | 0.84 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.86 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.21 | 2.4 | Average |
| Weekend Total Nursing | 3.46 | 3.8 | Average |
| Weekend RN Hours | 0.58 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Jan 14, 2026 · Resident Rights Deficiencies
- Tag 0727 Severity FHave 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.Dec 29, 2025 · Nursing and Physician Services Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Dec 29, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Sep 18, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.8% | 4.5% | Worse |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 10.3% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 23.4% | 14.0% | Worse |
| Excessive weight loss | 1.3% | 7.5% | Better |
| New/worsened incontinence | 25.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $65,361
How This Grade Was Calculated
This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 0★ → 0 pts (max 40)
- Health Inspection Rating: 0★ → 0 pts (max 25)
- Staffing Rating: 0★ → 0 pts (max 20)
- Quality Measures Rating: 0★ → 0 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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