Deficiency Records for Highland Rehabilitation and Health Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Highland Rehabilitation and Health Care 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-07 | 2023-08-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-07-07 | 2023-08-04 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-07-07 | 2023-08-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-07-07 | 2023-08-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-07-07 | 2023-08-04 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-07 | 2023-08-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-07-07 | 2023-08-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-07 | 2023-08-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-07-07 | 2023-08-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-07 | 2023-08-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-07 | 2023-08-04 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2023-07-07 | 2023-08-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-07 | 2023-08-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-01 | 2023-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-02 | 2023-01-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-02 | 2023-01-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-02 | 2023-01-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-05 | 2022-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-09-08 | 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 | 2022-07-15 | 2022-07-15 | 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 | 2021-11-23 | 2022-01-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-23 | 2022-01-07 | 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 | 2021-11-23 | 2022-01-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-23 | 2022-01-07 | N |
| Post nurse staffing information every day. | Health | 2021-11-23 | 2022-01-07 | 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 | 2021-11-23 | 2022-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-23 | 2022-01-07 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-11-23 | 2022-01-07 | N |
| Dispose of garbage and refuse properly. | Health | 2021-11-23 | 2022-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2022-01-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-23 | 2022-01-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Meet other general requirements. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-23 | 2022-01-07 | 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 | 2021-11-23 | 2022-01-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-11-23 | 2022-01-07 | 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 | 2021-11-23 | 2022-01-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-11-23 | 2022-01-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-17 | 2019-06-26 | 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 | 2019-05-17 | 2019-06-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-17 | 2019-06-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-17 | 2019-06-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-17 | 2019-06-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-17 | 2019-06-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-17 | 2019-06-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-05-17 | 2019-06-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-17 | 2019-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-17 | 2019-06-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-05-17 | 2019-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-17 | 2019-06-26 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-17 | 2019-06-26 | 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 | 2019-05-17 | 2019-06-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
