A list of the most recent deficiencies for Highlands Lake Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-16 | 2023-04-04 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-01-09 | 2023-02-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-09 | 2023-02-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-14 | 2022-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-14 | 2022-07-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-18 | 2021-12-16 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-18 | 2021-12-16 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-18 | 2021-12-16 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-11-18 | 2021-12-16 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-05-26 | 2021-07-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-28 | 2020-03-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-28 | 2020-03-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-26 | 2020-03-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-26 | 2020-03-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-12-06 | 2019-01-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-06 | 2019-01-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-06 | 2019-01-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-12-06 | 2019-01-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-12-06 | 2019-01-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-12-06 | 2019-01-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-06 | 2019-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-06 | 2019-01-06 | N |
