Highland Chateau Health And Rehabilitation Center
Highland Chateau Health And Rehabilitation Center in SAINT PAUL, MN — inspection on April 24, 2025.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F677:
The facility failed to ensure routine personal hygiene care (i.e., nail care) was provided for 1 of 1 resident (R22) reviewed for activities of daily living (ADLs) who was dependent on staff for his care.
Refer to
F-F690:
The facility failed to have comprehensive incontinence care plan and provide timely assistance with toileting for 1 of 1 residents (R21) reviewed for bladder incontinence.
Refer to
F-F726:
The facility failed to ensure agency nursing assistants (NA's) received appropriate orientation, training and supervision.
Refer to
During observations during survey from 4/21/25, to 4/24/25, on both first and second floors, multiple staff, primarily NA's were observed on cell phones multiple times, both while at the nurses station and while in common areas on the units.
During document review, a written grievance filed by R8 on 4/6/25, indicated he had turned his call light on at noon and someone came in and turned the light off saying they would get to him. No one came for 3.5 hours.
The DON's written response indicated, Call lights answered promptly.
Staff reported they went to assist as soon as able.
There was no indication in the review/response that R8's call light log had been reviewed for the date and time of R8's complaint.
During an interview on 4/24/25 at 1:36 p.m., R8's grievance was reviewed with the DON, including R8's call light log data from 4/1/25, to 4/24/25. R8 had two call light response times of 42 and 60 minutes on 4/6/25.
The DON stated that was not acceptable and would expect call lights to be answered sooner than that.
The DON believed she received wrong call light data for R8, otherwise would not have written on the grievance form that R8's call lights had been answered promptly.
CALL-LIGHT RESPONSE REVIEW:
Call light response times were reviewed for a one-month time frame from 3/23/25, to 4/22/25, which indicated many call light response times greater than 20 minutes:
FIRST FLOOR:
R21:
During an interview on 4/21/25 at 4:43 p.m., R21 stated it was not uncommon for his call light to be on for 30 minutes and no one answered it.
When his call light wasn't answered, R21 stated he sometimes called the facility on his cell phone for help and half the time no one answered the phone. R21 stated he thought the NA's were drastically understaffed.
R21 had 474 activations with call light response times of:
> 20 minutes = 13 x
> 30 minutes = 22 x
245028
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 245028 B.
Wing 04/24/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Highland Chateau Health and Rehabilitation Center 2319 West Seventh Street Saint Paul, MN 55116
During observation on 4/22/25 at 7:52 a.m., the last table on the first floor towards the East hall had a whitish chalky material on the table.
During observation on 4/22/25 between 7:53 a.m. and 7:56 a.m., the table on the first floor by the window and closest to the [NAME] Hall and the table across from the table by the window had crumbs on the table and on the floor next to the table.
During observation on 4/22/25 at 7:59 a.m., the food cart was going towards the west hall on the first floor.
During interview and observation on 4/22/25 at 8:00 a.m., housekeeping (H)-A stated tables were wiped down in the a.m., and in the afternoon before housekeeping left at 2:30 p.m. H-A stated the nursing assistants were supposed to wipe down the tables at night and stated housekeeping did not vacuum at night because housekeeping didn't work at night and observed the tables and floor and stated the crumbs were cookies on the tables and floor and wiped down the tables.
During interview on 4/22/25 at 8:04 a.m., nursing assistant (NA)-I stated no residents eat in the dining area on the first floor for breakfast and stated they were just passing meal trays at this time and no residents had eaten in the dining area.
During observation on 4/22/25 at 8:23 a.m., meal trays were being passed out on the East hallway.
During observation on 4/22/25 at 8:52 a.m., staff took a meal out of room [ROOM NUMBER]E and did not wipe down the table. A plastic lid with a white cream substance was located on the floor in room [ROOM NUMBER]E with the cream substance also on the floor.
245028
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 245028 B.
Wing 04/24/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Highland Chateau Health and Rehabilitation Center 2319 West Seventh Street Saint Paul, MN 55116
During the tour of the kitchen on 4/21/25 from 2:01 p.m., to 2:15 p.m., with the dietary manager (DM), observed the following:
The kitchen refrigerator:
A sponge cake that was opened, unlabeled and undated and the DM asked to have it labeled.
A container of dried milk dated 1/11, DM verified was dated 1/11 and stated dried milk was good for a week and it wasn't kept because it could grow yeast inside the bag.
The kitchen freezer:
1 box containing gluten free pasta shells was stored on the floor and packages of vegetables were located on top of the box and DM stated the box should not be stored on the floor. At 2:12 p.m., DM picked up the box and placed it on the shelf.
3 packages of waffles with 10 in each package were undated and without a label. 1 of the bags was opened.
1 opened bag of egg omelets that was undated and unlabeled.
1 more package of waffles was stored on another shelf and the DM stated they were bad and instructed staff to throw them out the previous week and stated they would go in the garbage.
1 bag of opened chicken sitting in a box.
The DM stated the chicken bag should have been closed.
1 bag of chicken strips that were unlabeled and undated.
Dry Storage:
One 3.79 liter jug of molasses opened 10/9/23, had a brown substance on the outside of the jug. DM stated it was molasses and staff just didn't wipe it down and stated it should have been discarded.
245028
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 245028 B.
Wing 04/24/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Highland Chateau Health and Rehabilitation Center 2319 West Seventh Street Saint Paul, MN 55116