A list of the most recent deficiencies for Highlight Healthcare of Aurora. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-03 | 2023-06-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-28 | 2023-05-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-28 | 2023-05-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-28 | 2023-05-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-28 | 2023-05-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-28 | 2023-05-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-05-19 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-04-14 | 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 | 2022-03-30 | 2022-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-12 | 2021-11-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-11 | 2021-09-16 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-01-27 | 2021-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-27 | 2021-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-27 | 2021-02-12 | N |
| Use approved construction type or materials. | Fire Safety | 2021-01-27 | 2021-02-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-01-27 | 2021-02-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-01-27 | 2021-02-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-01-27 | 2021-02-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-01-27 | 2021-01-29 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-01-27 | 2021-01-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-01-27 | 2021-01-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-01-27 | 2021-01-29 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-01-27 | 2021-01-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-01-27 | 2021-01-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-01-27 | 2021-01-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-01-27 | 2021-01-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
