Deficiency Records for Highland Oaks
Updated as of October 01, 2016
This is not the most recent data for Highland Oaks. For the most recent information, click here.
A list of the most recent deficiencies for Highland Oaks. 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 a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-12 | 2016-09-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-12 | 2016-09-09 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-08-12 | 2016-09-02 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-08-12 | 2016-09-02 | N |
| Approved construction type or materials. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| Approved construction type or materials. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-09 | 2015-08-15 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-07-09 | 2015-08-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-09 | 2015-08-01 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-07-09 | 2015-08-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-09 | 2015-08-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-08 | 2015-07-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-08 | 2015-07-29 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-07-09 | 2015-07-23 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-07-09 | 2015-07-23 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-07-09 | 2015-07-20 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-07-09 | 2015-07-20 | N |
| Proper backup exit lighting. | Fire Safety | 2015-07-09 | 2015-07-17 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-07-09 | 2015-07-17 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-07-09 | 2015-07-17 | N |
| Proper backup exit lighting. | Fire Safety | 2015-07-09 | 2015-07-17 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-07-09 | 2015-07-17 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-07-09 | 2015-07-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-06-04 | 2015-06-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-06-04 | 2015-06-25 | Y |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2014-09-04 | 2014-10-17 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-09-04 | 2014-10-17 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2014-09-04 | 2014-10-17 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-09-04 | 2014-10-17 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2014-09-04 | 2014-10-10 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2014-09-04 | 2014-10-10 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-09-04 | 2014-10-03 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-09-04 | 2014-10-03 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-09-05 | 2014-10-02 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-09-05 | 2014-10-02 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-09-04 | 2014-09-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-09-04 | 2014-09-30 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-09-04 | 2014-09-27 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-09-04 | 2014-09-27 | 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 | 2014-09-05 | 2014-09-26 | N |
| Portable fire extinguishers. | Fire Safety | 2014-09-04 | 2014-09-26 | 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 | 2014-09-05 | 2014-09-26 | N |
| Portable fire extinguishers. | Fire Safety | 2014-09-04 | 2014-09-26 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-09-04 | 2014-09-23 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-09-04 | 2014-09-23 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-09-04 | 2014-09-17 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-04 | 2014-09-17 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2014-09-04 | 2014-09-17 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2014-09-04 | 2014-09-17 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-09-04 | 2014-09-17 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-04 | 2014-09-17 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2014-09-04 | 2014-09-17 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2014-09-04 | 2014-09-17 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-09-04 | 2014-09-05 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-09-04 | 2014-09-05 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-09-04 | 2014-09-05 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-09-04 | 2014-09-05 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-09-04 | 2014-09-05 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-09-04 | 2014-09-05 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Exits that are accessible at all times. | Fire Safety | 2016-08-18 | Not Fixed | N |
| A written emergency evacuation plan. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Properly protected cooking facilities. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-18 | Not Fixed | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2016-08-18 | Not Fixed | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Exits that are accessible at all times. | Fire Safety | 2016-08-18 | Not Fixed | N |
| A written emergency evacuation plan. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Properly protected cooking facilities. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-18 | Not Fixed | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-18 | Not Fixed | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2016-08-18 | Not Fixed | N |
