A list of the most recent deficiencies for The Highlands. 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 simulated fire drills held at unexpected times. | Fire Safety | 2023-03-30 | 2023-05-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-30 | 2023-05-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-30 | 2023-04-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-30 | 2023-04-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-20 | 2023-04-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-20 | 2023-04-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-20 | 2023-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-20 | 2023-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-03-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-22 | 2021-10-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-22 | 2021-10-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-30 | 2021-07-26 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-04-21 | 2021-05-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-21 | 2021-04-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-03-13 | 2020-03-27 | N |
