Deficiency Records for Highland Chateau Health and Rehabilitation Center
Updated as of August 01, 2022
This is not the most recent data for Highland Chateau Health and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-02-08 | 2021-02-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-02-08 | 2021-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-26 | 2021-02-28 | 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 | 2021-01-26 | 2021-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-26 | 2021-02-28 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-10-30 | 2020-12-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-10-30 | 2020-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-30 | 2020-08-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-06-25 | 2020-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-02 | 2020-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-05 | 2020-03-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-05 | 2020-03-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-26 | 2020-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2020-01-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-29 | 2019-05-08 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-29 | 2019-05-08 | 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 | 2019-03-29 | 2019-05-08 | 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 | 2019-03-29 | 2019-05-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-29 | 2019-05-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-28 | 2019-05-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-03-28 | 2019-05-08 | N |
| Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. | Fire Safety | 2019-03-28 | 2019-05-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-28 | 2019-05-08 | N |
