Deficiency Records for Highland Pines Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Highland Pines Rehabilitation 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? |
|---|---|---|---|---|
| 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. | Health | 2023-12-27 | 2024-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2024-01-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-08 | 2024-01-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-19 | 2023-07-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-27 | 2023-05-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-27 | 2023-05-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-14 | 2023-03-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-14 | 2023-03-16 | Y |
| 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 | 2022-07-21 | 2022-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-08-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-21 | 2022-08-19 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-18 | 2022-08-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-18 | 2022-08-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-18 | 2022-08-19 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-07-18 | 2022-08-19 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-18 | 2021-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-18 | 2021-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-18 | 2021-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-18 | 2021-04-18 | 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 | 2021-03-18 | 2021-04-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-03-18 | 2021-04-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-03-18 | 2021-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-18 | 2021-04-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-03-17 | 2021-04-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-03-17 | 2021-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-17 | 2021-04-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-17 | 2021-04-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-26 | 2019-08-26 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-26 | 2019-08-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-26 | 2019-08-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-24 | 2019-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-24 | 2019-08-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-24 | 2019-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-24 | 2019-08-26 | N |
