Deficiency Records for Highlands Lake Center
Updated as of March 01, 2019
This is not the most recent data for Highlands Lake Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 | 2018-12-06 | 2019-01-06 | Y |
| 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 | Health | 2018-12-06 | 2019-01-06 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-02-01 | 2018-03-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-01 | 2018-03-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-01 | 2018-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-01 | 2018-03-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-01 | 2018-03-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-21 | 2017-10-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-21 | 2017-10-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-21 | 2017-10-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-21 | 2017-08-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-21 | 2017-08-21 | Y |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-07-20 | 2016-08-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-21 | 2016-08-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-21 | 2016-08-20 | N |
| Provide housekeeping and maintenance services. | Health | 2016-07-21 | 2016-08-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-07-21 | 2016-08-20 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-07-21 | 2016-08-20 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-07-21 | 2016-08-20 | N |
