Deficiency Records for Highland Healthcare and Rehabilitation Center
Updated as of October 01, 2022
This is not the most recent data for Highland Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Highland Healthcare and 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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-18 | 2021-12-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-29 | 2021-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-29 | 2021-10-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-26 | 2021-08-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-26 | 2021-08-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-26 | 2021-08-31 | 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 | 2021-07-26 | 2021-08-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-26 | 2021-08-31 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-26 | 2021-08-31 | 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 | 2021-07-26 | 2021-08-31 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-07-26 | 2021-08-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-26 | 2021-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-26 | 2021-08-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-21 | 2021-06-21 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-01-19 | 2021-02-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-29 | 2019-11-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-10-29 | 2019-11-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-29 | 2019-11-28 | 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 | 2019-10-29 | 2019-11-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-29 | 2019-11-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-28 | 2019-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-28 | 2019-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-28 | 2019-04-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-03-28 | 2019-04-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-28 | 2019-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-07 | 2018-09-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-08-07 | 2018-09-06 | 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 | 2018-08-07 | 2018-09-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-07 | 2018-09-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-06 | 2018-03-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-02-06 | 2018-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-06 | 2018-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-06 | 2018-03-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-02-06 | 2018-03-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-06 | 2018-03-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-02-06 | 2018-03-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-06 | 2018-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-06 | 2018-03-06 | N |
