Deficiency Records for Highland Chateau Health and Rehabilitation Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Highland Chateau Health 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?
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-01-25 2024-01-24 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-04-06 2023-07-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-06 2023-07-10 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-07 2023-06-15 Y
Provide and implement an infection prevention and control program. Health 2023-04-06 2023-06-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-06 2023-05-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-06 2023-05-13 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-04-06 2023-05-13 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-04-06 2023-05-12 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-04-06 2023-05-12 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-04-06 2023-05-12 N
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 2023-04-06 2023-05-12 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-04-06 2023-05-12 N
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 2023-04-06 2023-05-12 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-04-06 2023-05-12 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-04-06 2023-05-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-04-06 2023-05-12 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-04-06 2023-05-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-04-06 2023-05-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-06 2023-05-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-06 2023-05-12 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 2023-04-06 2023-05-12 N
Provide enough food/fluids to maintain a resident's health. Health 2023-04-06 2023-05-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-06 2023-05-12 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-04-06 2023-05-12 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-04-06 2023-05-12 N
Post nurse staffing information every day. Health 2023-04-06 2023-05-12 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-04-06 2023-05-12 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-04-06 2023-05-12 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 2023-04-06 2023-05-12 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 2023-04-06 2023-05-12 N
Ensure medication error rates are not 5 percent or greater. Health 2023-04-06 2023-05-12 N
Ensure that residents are free from significant medication errors. Health 2023-04-06 2023-05-12 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 2023-04-06 2023-05-12 N
Provide or obtain dental services for each resident. Health 2023-04-06 2023-05-12 N
Ensure staff are vaccinated for COVID-19 Health 2023-04-06 2023-05-12 N
Create arrangements with other facilities to receive patients. Fire Safety 2023-04-06 2023-05-12 N
Establish emergency prep training and testing. Fire Safety 2023-04-06 2023-05-12 N
Establish staff and initial training requirements. Fire Safety 2023-04-06 2023-05-12 N
Conduct testing and exercise requirements. Fire Safety 2023-04-06 2023-05-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-08 2023-03-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-08 2023-03-27 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-02-23 2023-03-27 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-23 2023-03-27 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-02-23 2023-03-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-23 2023-03-27 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-02-23 2023-03-27 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-02-23 2023-03-27 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-02-23 2023-03-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-01-20 2023-02-13 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-01-20 2023-02-13 Y
Respond appropriately to all alleged violations. Health 2023-01-20 2023-02-13 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-11-15 2022-11-30 Y
Respond appropriately to all alleged violations. Health 2022-11-15 2022-11-30 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2022-11-15 2022-11-30 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-23 2022-10-17 Y
Ensure each resident receives an accurate assessment. Health 2022-09-23 2022-10-17 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-09-23 2022-10-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-23 2022-10-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-23 2022-10-17 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2022-09-23 2022-10-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-02 2022-08-22 Y
Respond appropriately to all alleged violations. Health 2022-08-02 2022-08-22 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-07-05 2022-07-29 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-17 2022-04-12 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-03-17 2022-04-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-17 2022-04-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-17 2022-04-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-17 2022-04-12 N
Provide enough food/fluids to maintain a resident's health. Health 2022-03-17 2022-04-12 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 2022-03-17 2022-04-12 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 2022-03-17 2022-04-12 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 2022-03-17 2022-04-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-17 2022-04-12 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-03-17 2022-04-12 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-03-17 2022-04-12 N
Have policies on smoking. Health 2022-03-17 2022-04-12 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-03-17 2022-04-12 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-03-17 2022-04-12 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-03-17 2022-04-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-17 2022-04-12 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-03-17 2022-04-12 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-03-17 2022-04-12 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-03-17 2022-04-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-03-17 2022-04-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-04 2022-03-25 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-01-12 2022-02-04 Y
Provide and implement an infection prevention and control program. Health 2022-01-12 2022-02-04 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-18 2021-12-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-11-18 2021-12-24 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-11-03 2021-12-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-03 2021-12-10 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-11-03 2021-12-10 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-08-05 2021-09-29 N
Provide and implement an infection prevention and control program. Health 2021-08-05 2021-09-29 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 2021-08-05 2021-09-10 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-08-05 2021-09-10 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-08-05 2021-09-10 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-08-05 2021-09-10 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-08-05 2021-09-10 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 2021-08-05 2021-09-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-05 2021-09-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-05 2021-09-10 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 2021-08-05 2021-09-10 N
Provide enough food/fluids to maintain a resident's health. Health 2021-08-05 2021-09-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-08-05 2021-09-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-08-05 2021-09-10 N
Ensure medication error rates are not 5 percent or greater. Health 2021-08-05 2021-09-10 N
Ensure that residents are free from significant medication errors. Health 2021-08-05 2021-09-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-05 2021-09-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-05 2021-09-10 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 2021-08-05 2021-09-10 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-08-05 2021-09-10 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-08-05 2021-09-10 N
Address subsistence needs for staff and patients. Fire Safety 2021-08-05 2021-09-10 N
Create arrangements with other facilities to receive patients. Fire Safety 2021-08-05 2021-09-10 N
Provide emergency officials' contact information. Fire Safety 2021-08-05 2021-09-10 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2021-08-05 2021-09-10 N
Establish staff and initial training requirements. Fire Safety 2021-08-05 2021-09-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-08-05 2021-09-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-08-05 2021-09-10 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2021-08-05 2021-09-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-09 2021-08-10 Y
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Health 2021-07-09 2021-08-10 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-04-08 2021-05-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-01 2021-05-10 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-01 2021-05-10 Y
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 2021-04-01 2021-05-10 Y
Provide and implement an infection prevention and control program. Health 2021-04-01 2021-05-10 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2021-03-26 2021-05-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-03-26 2021-05-10 Y