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 |