A list of the most recent deficiencies for Aliya of Highwood. 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? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-03 | 2023-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-03 | 2023-12-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-29 | 2023-11-30 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-03 | 2023-11-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-03 | 2023-11-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-11-03 | 2023-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-26 | 2023-10-27 | 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 | 2023-10-19 | 2023-10-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-10-19 | 2023-10-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-19 | 2023-10-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-19 | 2023-10-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-16 | 2023-06-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-19 | 2023-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-19 | 2023-04-20 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-01-17 | 2023-01-23 | 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 | 2022-11-16 | 2022-12-02 | Y |
| 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 | 2022-11-16 | 2022-12-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-16 | 2022-12-02 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-26 | 2022-11-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-26 | 2022-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-26 | 2022-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-26 | 2022-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-26 | 2022-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-26 | 2022-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-26 | 2022-11-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-19 | 2022-10-20 | Y |
| 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 | 2022-10-05 | 2022-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-05 | 2022-10-18 | 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 | 2022-10-05 | 2022-10-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-05 | 2022-10-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-16 | 2022-07-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-28 | 2022-01-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-22 | 2022-01-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-22 | 2022-01-03 | 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 | 2021-12-22 | 2022-01-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-12-22 | 2022-01-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-22 | 2022-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-22 | 2022-01-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-22 | 2022-01-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-22 | 2022-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-22 | 2022-01-03 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-12-22 | 2022-01-03 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-28 | 2022-01-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-28 | 2022-01-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-02 | 2021-12-17 | Y |
