Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HIGHLAND CHATEAU HEALTH AND REHABILITATION CENTER

SAINT PAUL, MN · 64 certified beds · Last Life Safety survey March 5, 2026

CMS Certification Number 245028 · first certified January 1967

Ownership

Operated by EPHRAM LAHASKY · For profit - Limited Liability company

  • Ownership changed June 8, 2022 (change of ownership)to HIGHLAND OPERATIONS LLC from HIGHLAND CHATEAU SUITES, LLC
12
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within MN

12 citations — more than 50% of the 338 certified nursing homes in MN. Compared within MN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 2.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was March 2026. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 613 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

1 of the 12 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

14 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in MN, and nationally. Surveyors differ markedly between states, so the MN figure is the meaningful one.

This facility12MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
12024-0542025-0422025-0952026-03
Citations at each Life Safety survey
Survey dateCitations
May 15, 20241
April 24, 20254
September 19, 20252
March 5, 20265

Most-cited tags

Most-cited tags at this facility
K-09181K-07121K-02251K-05211K-03211K-02911K-09201K-05111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-03-05
K-0712Have simulated fire drills held at unexpected times.12025-04-24
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12025-04-24
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12026-03-05
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-09-19
K-0291Install emergency lighting that can last at least 1 1/2 hours.12025-09-19
K-0920Ensure proper usage of power strips and extension cords.12026-03-05
K-0511Have properly installed electrical wiring and gas equipment.12025-04-24

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 2
  • Services Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies2
Services Deficiencies2
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 5, 2026 — 5 citations

Citations issued on March 5, 2026
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 7, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 7, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 7, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 7, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 7, 2026)

September 19, 2025 — 2 citations

Citations issued on September 19, 2025
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (November 20, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 20, 2025)

April 24, 2025 — 4 citations

Citations issued on April 24, 2025
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (May 30, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 30, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 30, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 30, 2025)

May 15, 2024 — 1 citation

Citations issued on May 15, 2024
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (June 7, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.