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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 59th out of 89 homes in Minnesota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 14m per day | ▲ 16% State avg: 1h 4m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▲ 11% State avg: 37m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 16m per day | ▼ 11% State avg: 2h 33m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 41m per day | ■ Avg State avg: 3h 41m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 86% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 45m per day | ▲ 11% State avg: 41m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Minnesota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MN Average | vs. MN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 99 | 10 | This facility has 890% more total deficiencies than a typical Minnesota nursing home (99 vs. MN avg 10).↑ 890% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 33 | 3.3 | This facility has 900% more deficiencies per year than a typical Minnesota nursing home (33 vs. MN avg 3.3).↑ 900% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Minnesota average 6
Last Health inspection on Sep 2025
Minnesota average 23.2
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).
329% worse than Minnesota averageMinnesota average: 0.7
500% worse than Minnesota averageMinnesota average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
32% more staff per resident than Minnesota average
0% compared with Minnesota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
29 total: 9 full-time employees and 20 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
14 total: 7 full-time employees and 7 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursHelps with daily care and mobility.
58 total: 35 full-time employees and 23 contractors.
58
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,758 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 23 | 58 | 8,895 | 92 | 100% | 7.4 |
| Registered Nurse | 9 | 20 | 29 | 3,498 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 7 | 7 | 14 | 2,683 | 91 | 99% | 7.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 915 | 64 | 70% | 7.7 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 488 | 64 | 70% | 5.4 |
| Dietitian | 1 | 0 | 1 | 473 | 58 | 63% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 58 | 63% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 281 | 65 | 71% | 4.3 |
| Physical Therapy Assistant | 4 | 0 | 4 | 240 | 44 | 48% | 5.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 102 | 23 | 25% | 4.4 |
| Qualified Social Worker | 3 | 0 | 3 | 46 | 23 | 25% | 1.9 |
Includes penalties issued in 2024-2025
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)
128% higher than Minnesota averageMinnesota average: $44K
99% more fines than Minnesota averageMinnesota average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
130% more payment denials than Minnesota averageMinnesota average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 5, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 25, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageMinnesota average: 11.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.2
20% worse than Minnesota averageMinnesota average: 22.6
Percent of long-stay residents whose need for help with daily activities has increased
23.2%
22% worse than Minnesota averageMinnesota average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
32.4%
36% worse than Minnesota averageMinnesota average: 23.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
In line with Minnesota averageMinnesota average: 25.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
85% better than Minnesota averageMinnesota average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
5.9%
9% worse than Minnesota averageMinnesota average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Minnesota averageMinnesota average: 2.7%
Percent of long-stay residents who lose too much weight
2.5%
40% better than Minnesota averageMinnesota average: 4.1%
Percent of long-stay residents who have depressive symptoms
7.3%
67% worse than Minnesota averageMinnesota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
11.9%
31% better than Minnesota averageMinnesota average: 17.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.0%
16% worse than Minnesota averageMinnesota average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
14% worse than Minnesota averageMinnesota average: 96.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.4%
23% worse than Minnesota averageMinnesota average: 88.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
22% better than Minnesota averageMinnesota average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
31% worse than Minnesota averageMinnesota average: 82.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.9%
34% worse than Minnesota averageMinnesota average: 23.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.3%
55% better than Minnesota averageMinnesota average: 14.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Minnesota averageMinnesota average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
41.8%
17% worse than Minnesota averageMinnesota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
39% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Highland Chateau Health + Rehabilitation Clinic from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #62 / 89Payroll — State benchmarkedThis home is ranked 62nd out of 89 homes in Minnesota. Shows total annual staff payroll benchmarked to the Minnesota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #73 / 89Payroll % — State benchmarkedThis home is ranked 73rd out of 89 homes in Minnesota. Shows payroll as a percentage of revenue versus the Minnesota average. Well-run Minnesota facilities typically land around 61–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Building Type: Two-story
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (41% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
5.1 miles from city center
Estimated distance in miles from St Paul's city center to Highland Chateau Health + Rehabilitation Clinic's address, calculated via Google Maps.
— 1.95 miles to nearest hospital (Minneapolis VA Medical Center)
Add your location
The information below is reported by the Minnesota Department of Health, Health Regulation Division.
| Shirley Chapman Sholom Home East | NH | St Paul (West Seventh - Fort Road) | 118
Facility
118
MN AVG
61
Rank
#80 / 532 |
77.7%
Facility
77.7%
MN AVG
79.7%
Rank
#176 / 331 | -3% | 5.55
Facility
5.55
MN AVG
4.77
Rank
#12 / 89 | +11% | +16% | $0
Facility
$0
MN AVG
$47.9k
Rank
#1 / 90 | 26
Facility
26
MN AVG
23.2
Rank
#46 / 90 | 6.5
Facility
6.5
MN AVG
3.8
Rank
#85 / 90 | 1 | 89 | - |
73
Facility
73
MN AVG
43
Rank
#90 / 632 | Lisa Edstrom | $15.1M
Facility
$15.1M
MN AVG
$9.9M
Rank
#18 / 89 | $11.5M
Facility
$11.5M
MN AVG
$4.9M
Rank
#12 / 89 | 76%
Facility
76%
MN AVG
50.7%
Rank
#44 / 89 | 245411 | ||||
| St Anthony Park Home | NH HC PC RC | St Paul (Saint Anthony Park) | 84
Facility
84
MN AVG
61
Rank
#167 / 532 |
88.4%
Facility
88.4%
MN AVG
79.7%
Rank
#86 / 331 | +11% | 5.04
Facility
5.04
MN AVG
4.77
Rank
#29 / 89 | -12% | +6% | $8.8k
Facility
$8.8k
MN AVG
$47.9k
Rank
#52 / 90 | 41
Facility
41
MN AVG
23.2
Rank
#73 / 90 | 10.3
Facility
10.3
MN AVG
3.8
Rank
#89 / 90 | 1 | 67 | - |
80
Facility
80
MN AVG
43
Rank
#47 / 632 | Alan Markowitz | $10.0M
Facility
$10.0M
MN AVG
$9.9M
Rank
#39 / 89 | $5.0M
Facility
$5.0M
MN AVG
$4.9M
Rank
#40 / 89 | 50.3%
Facility
50.3%
MN AVG
50.7%
Rank
#59 / 89 | 245063 | ||||
| Walker Methodist – Westwood Ridge | NH AL IL MC RC | West St Paul (West Saint Paul) | 140
Facility
140
MN AVG
61
Rank
#44 / 532 |
82.9%
Facility
82.9%
MN AVG
79.7%
Rank
#133 / 331 | +4% | 6.74
Facility
6.74
MN AVG
4.77
Rank
#4 / 89 | -3% | +41% | $15.6k
Facility
$15.6k
MN AVG
$47.9k
Rank
#56 / 90 | 30
Facility
30
MN AVG
23.2
Rank
#55 / 90 | 5.0
Facility
5.0
MN AVG
3.8
Rank
#67 / 90 | 1 | 116 | - |
63
Facility
63
MN AVG
43
Rank
#145 / 632 | Walker Methodist | $9.0M
Facility
$9.0M
MN AVG
$9.9M
Rank
#46 / 89 | $6.5M
Facility
$6.5M
MN AVG
$4.9M
Rank
#44 / 89 | 72%
Facility
72%
MN AVG
50.7%
Rank
#44 / 89 | 245618 | ||||
| Cerenity Humboldt | NH AL HC MC RC | St Paul (Concord-Robert) | 115
Facility
115
MN AVG
61
Rank
#88 / 532 |
85.0%
Facility
85.0%
MN AVG
79.7%
Rank
#106 / 331 | +7% | 4.21
Facility
4.21
MN AVG
4.77
Rank
#59 / 89 | +14% | -12% | $96.7k
Facility
$96.7k
MN AVG
$47.9k
Rank
#79 / 90 | 45
Facility
45
MN AVG
23.2
Rank
#77 / 90 | 5.0
Facility
5.0
MN AVG
3.8
Rank
#67 / 90 | 6 | 75 | - |
73
Facility
73
MN AVG
43
Rank
#90 / 632 | Fairview Bethesda Hospital | $11.9M
Facility
$11.9M
MN AVG
$9.9M
Rank
#42 / 89 | $5.8M
Facility
$5.8M
MN AVG
$4.9M
Rank
#41 / 89 | 48.6%
Facility
48.6%
MN AVG
50.7%
Rank
#54 / 89 | 245255 | ||||
| Highland Chateau Health + Rehabilitation Clinic | - | NH HC MC RC | St Paul (Highland Park) | 64
Facility
64
MN AVG
61
Rank
#219 / 532 |
84.4%
Facility
84.4%
MN AVG
79.7%
Rank
#120 / 331 | +6% | 4.15
Facility
4.15
MN AVG
4.77
Rank
#59 / 89 | - | - | - | +74% | -13% | $84.5k
Facility
$84.5k
MN AVG
$47.9k
Rank
#77 / 90 | 113
Facility
113
MN AVG
23.2
Rank
#89 / 90 | 7.1
Facility
7.1
MN AVG
3.8
Rank
#87 / 90 | 6 | 54 | A+ |
59
Facility
59
MN AVG
43
Rank
#185 / 632 | Marcus Parence | $7.0M
Facility
$7.0M
MN AVG
$9.9M
Rank
#56 / 89 | $4.1M
Facility
$4.1M
MN AVG
$4.9M
Rank
#62 / 89 | 58.4%
Facility
58.4%
MN AVG
50.7%
Rank
#73 / 89 | 245028 |
Highland Chateau Health + Rehabilitation Clinic is located in St Paul, Minnesota.
Here are the financial assistance programs available to residents in Minnesota.
Highland Chateau Health + Rehabilitation Clinic is in the Highland Park neighborhood of St Paul.
Highland Chateau Health + Rehabilitation Clinic has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Highland Chateau Health + Rehabilitation Clinic's occupancy is 84.0%.
Highland Chateau Health + Rehabilitation Clinic is registered as a for-profit in MN.
Yes — there are 10 photos of Highland Chateau Health + Rehabilitation Clinic in the photo gallery on this page.
Highland Chateau Health + Rehabilitation Clinic is located at 2319 7Th St W, St Paul, MN 55116.
(651) 698-0793 will put you in contact with the team at Highland Chateau Health + Rehabilitation Clinic.
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