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Nursing Home

Highland Chateau Health + Rehabilitation Clinic

Nursing Home

Highland Chateau Health + Rehabilitation Clinic

2319 7th St W, St Paul, MN 55116 View map
Overview of Highland Chateau Health + Rehabilitation Clinic

Highland Chateau Health + Rehabilitation Clinic is a private 64-bed skilled nursing facility located in St Paul, MN. This premier community offers both short-term and long-term care. Additionally, each resident is provided private accommodation where they can relax and feel at home, without having to worry about housekeeping or laundry.

The staff at Highland Chateau provides each resident with 24/7 care, rehabilitation therapies, as well as meal provisions. A barber and beauty salon is also available on-site for beauty and grooming services. Furthermore, the residents are offered wound and pain management services, in case they need specialized care after a surgery or major operation.

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 50m per day 1h 4m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 13m per day 2h 33m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 28m per day 3h 41m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 9m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 35m per day 41m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 64

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Minnesota average
Occupancy rate 84.4%
Residents per day (avg) 51
Occupancy rate
84.4%
Residents per day (avg)
51

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

21% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

41% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

39% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.6M
Operating loss
-$636.6K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$10,597,813.00
Operating loss
$-636,633.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.6M
33.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.7M
Total costs $11.2M
Years in operation
36 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 59 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Marybeth Lacina, Administrator

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Skilled Nursing
Short-term Rehabilitation
Long-term Care.

Amenities & Lifestyle

Comfortable accommodations
salon and spa services
reliable transportation services
engaging programs for body and mind
fine dining options
comfortable common areas.

Programs & Activities

Specific Programs
Skilled Nursing Care, Short-term Rehabilitation, Long-term Care, Respite Care, Occupational Therapy, Speech Therapy, Physical Therapy.

Dining & Nutrition

Food Description
Home-style dining with variety, flexibility, and friendly service.

What does this home offer?

Building type icon
Building type icon

Building Type: Two-story

Types of Care at Highland Chateau Health + Rehabilitation Clinic

Nursing Home
Contact Highland Chateau Health + Rehabilitation Clinic

Inspection History

In Minnesota, the Department of Health, Health Regulation Division is the primary authority for conducting onsite inspections and reporting on the quality of care in residential facilities.

16 visits/inspections

11 visits/inspections triggered by complaints

4 routine inspections

Results

16 with issues

0 without issues

Latest inspection

Date:December 30, 2025
Type:Annual Inspection

99 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Health Inspection History

Inspections
Total health inspections 16

Minnesota average 6


Last Health inspection on Sep 2025

Total health citations 113

Minnesota average 23.2

Citations per inspection
7.06

Minnesota average 3.76


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

71 of 113 citations resulted from standard inspections; 37 of 113 resulted from complaint investigations; and 5 of 113 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 3
329% worse than Minnesota average

Minnesota average: 0.7


Serious Health citations More info 3
500% worse than Minnesota average

Minnesota average: 0.5

3 critical citations More info Minnesota average: 0.7

3 serious citations More info Minnesota average: 0.5

103 moderate citations More info Minnesota average: 21.2

4 minor citations More info Minnesota average: 0.8
Citations history (last 3 years)
Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Sep 19, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Sep 19, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 19, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 19, 2025
Corrected

Compare Nursing Homes around Minneapolis The information below is reported by the Minnesota Department of Health, Health Regulation Division.

5 facilities compared · CMS & MN Dept. of Health data · Updated Mar 2026

Bayshore Residence and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Duluth
140
65.9%
-17%
4.58
-33%
-4%
2
37
3
87
-
8
Cbay Bayshore Holdings Llc
$12,7M
$4,4M
35.1%
245227
-
Providence Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Minneapolis (Standish)
190
78.6%
-1%
3.79
-37%
-21%
5
46
4
150
-
72
Brooks, Michael
$19,9M
$8,6M
43%
245271
-
Lakehouse Healthcare and Rehabilitation Center
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Minneapolis (Southwest Minneapolis)
260
80.9%
+2%
3.91
-25%
-18%
0
76
1
224
-
81
Lake Harriet Operator Holdings Llc
$22,1M
$8,9M
40.2%
245055
Private / Shared Shared
Highland Chateau Health + Rehabilitation Clinic
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

St Paul (Highland Park)
64
84.0%
+5%
4.15
-
-
-
+25%
-13%
4
113
6
51
A+
59
Parence, Marcus
$10,4M
$3,6M
34.6%
245028
-
Crossroads Care Center
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Worthington
52
59.9%
-25%
-
-
-
-
-
-
0
0
0
-
-
66
#N/A
$3,9M
$1,8M
46.8%
245395
-

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Places of interest near Highland Chateau Health + Rehabilitation Clinic

Address 5.1 miles from city center — 1.95 miles to nearest hospital (Minneapolis VA Medical Center)

Address 2319 7th St W, St Paul, MN 55116

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 123
Employees 67
Contractors 56
Staff to resident ratio 3.00:1
35% better than Minnesota average

Minnesota average ratio: 2.22:1

Avg staff/day 30
Average shift 7.6 hours
0% compared with Minnesota average

Minnesota average: 7.5 hours

Total staff hours (quarter) 20,848
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 69
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

14.9%

3,111 contractor hours this quarter

Certified Nursing Assistant: 32 Registered Nurse: 15 Licensed Practical Nurse: 9
Staff by category
Certified Nursing Assistant37326910,12591100%7.6
Licensed Practical Nurse99184,08591100%8.8
Registered Nurse615212,85991100%7.7
Clinical Nurse Specialist2028916571%8
Mental Health Service Worker1015266470%8.2
Physical Therapy Aide4045226470%6.4
Dietitian1015136571%7.9
Administrator1014886167%8
Nurse Practitioner1014806066%8
Respiratory Therapy Technician1012306470%3.6
Physical Therapy Assistant4041304954%2.2
69 Certified Nursing Assistant
% of Days 100%
18 Licensed Practical Nurse
% of Days 100%
21 Registered Nurse
% of Days 100%
2 Clinical Nurse Specialist
% of Days 71%
1 Mental Health Service Worker
% of Days 70%
4 Physical Therapy Aide
% of Days 70%
1 Dietitian
% of Days 71%
1 Administrator
% of Days 67%
1 Nurse Practitioner
% of Days 66%
1 Respiratory Therapy Technician
% of Days 70%
4 Physical Therapy Assistant
% of Days 54%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
41 residents
Residents by payment source
Medicare
3 residents (7.3%)
Medicaid
33 residents (80.5%)
Private pay or other
5 residents (12.2%)

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.9
16% worse than Minnesota average

Minnesota average: 11.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 27.2
20% worse than Minnesota average

Minnesota average: 22.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.2%
22% worse than Minnesota average

Minnesota average: 18.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 32.4%
36% worse than Minnesota average

Minnesota average: 23.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.0%
In line with Minnesota average

Minnesota average: 25.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.6%
85% better than Minnesota average

Minnesota average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
9% worse than Minnesota average

Minnesota average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Minnesota average

Minnesota average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.5%
40% better than Minnesota average

Minnesota average: 4.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.3%
67% worse than Minnesota average

Minnesota average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.9%
31% better than Minnesota average

Minnesota average: 17.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.0%
16% worse than Minnesota average

Minnesota average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 82.1%
14% worse than Minnesota average

Minnesota average: 96.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.4%
23% worse than Minnesota average

Minnesota average: 88.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
22% better than Minnesota average

Minnesota average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 57.1%
31% worse than Minnesota average

Minnesota average: 82.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 30.9%
34% worse than Minnesota average

Minnesota average: 23.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.3%
55% better than Minnesota average

Minnesota average: 14.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Minnesota average

Minnesota average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 41.8%
17% worse than Minnesota average

Minnesota average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $101K
128% higher than Minnesota average

Minnesota average: $44K

Number of fines 4
99% more fines than Minnesota average

Minnesota average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
130% more payment denials than Minnesota average

Minnesota average: 0.4

Fines amount comparison
Fines amount comparison
This facility $101K
Minnesota average $44K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 5, 2025
$48K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 25, 2024
$17K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Apr 6, 2023
4 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 23, 2023
$14K

Last updated: Jan 2026

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Financial Aid for Minnesota Seniors

Get financial aid guidance

Elderly Waiver

Minnesota Medicaid EW

Age 65+, Minnesota resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$3,000 (individual, higher than most states).

Higher asset limit; rural access focus.

Essential Community Supports (ECS)

Minnesota ECS

Age 65+, Minnesota resident, at risk of decline but not nursing home level.

~$1,732/month (individual, varies).

$3,000 (individual).

Bridges gap for those ineligible for waivers.

Alternative Care (AC) Program

Minnesota Alternative Care Program

Age 65+, Minnesota resident, NFLOC, not MA-eligible.

~$1,255-$2,829/month (100%-300% FPL); sliding scale copays.

$3,000 (individual); home equity limit $713,000.

CDCS option; statewide via counties.

Minnesota Senior Health Options (MSHO)

Minnesota Senior Health Options

Age 65+, Minnesota resident, eligible for MA and Medicare Parts A/B.

~$1,255/month (100% FPL for MA); spenddown allowed.

$3,000 (individual), $6,000 (couple).

7 health plans (e.g., UCare, HealthPartners); care coordinator assigned.

Minnesota Senior Care Plus (MSC+)

Minnesota Senior Care Plus

Age 65+, Minnesota resident, MA-eligible, not on Medicare.

~$1,255/month (100% FPL); spenddown allowed.

$3,000 (individual), $6,000 (couple).

Includes EW services; 7 health plans available.

Consumer Support Grant (CSG)

Minnesota Consumer Support Grant

Age 65+ or disabled, Minnesota resident, eligible for MA personal care but opts for grant.

~$1,255/month (MA-eligible); spenddown allowed.

$3,000 (individual).

Can hire family; statewide via counties.

Medicare Savings Program (MSP)

Minnesota Medicare Savings Program

Age 65+ or disabled, Minnesota resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

VA Aid and Attendance (A&A) and Housebound Benefits

Minnesota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Minnesota resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.