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Deficiency Records for Highland House Rehabilitation and Healthcare

A list of the most recent deficiencies for Highland House Rehabilitation and Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Highland House Rehabilitation and Healthcare. 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?
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-11-29 2023-12-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-29 2023-12-15 N
Have proper power supply for life support equipment. Fire Safety 2023-11-29 2023-12-15 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-08-24 2023-09-19 Y
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 2023-08-24 2023-09-19 Y
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2023-06-14 2023-06-30 Y
Provide and implement an infection prevention and control program. Health 2023-04-26 2023-06-14 Y
Perform COVID19 testing on residents and staff. Health 2023-04-26 2023-06-14 Y
Ensure that residents are free from significant medication errors. Health 2023-03-08 2023-06-14 Y
Assess the resident when there is a significant change in condition Health 2023-03-08 2023-04-26 Y
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-03-08 2023-04-26 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-08 2023-04-26 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-08 2023-04-26 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-03-08 2023-04-26 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-08-11 2022-08-26 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-08-11 2022-08-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-11 2022-08-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-11 2022-08-26 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-08-11 2022-08-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-08-11 2022-08-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-08-11 2022-08-26 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-08-11 2022-08-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-24 2022-07-22 N
Provide appropriate foot care. Health 2022-06-24 2022-07-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-24 2022-07-22 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-06-24 2022-07-22 N
Provide and implement an infection prevention and control program. Health 2022-06-24 2022-07-22 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 2022-06-24 2022-07-22 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-06-24 2022-06-24 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-24 2022-06-24 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-01-05 2022-01-28 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2021-10-01 2021-10-28 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-01 2021-10-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-01 2021-10-26 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-05-28 2021-06-25 N
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. Health 2021-05-28 2021-06-25 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-05-28 2021-06-25 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 2021-05-28 2021-06-25 N
Ensure each resident receives an accurate assessment. Health 2021-05-28 2021-06-25 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-05-28 2021-06-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-28 2021-06-25 N
Provide and implement an infection prevention and control program. Health 2021-05-28 2021-06-25 N
Put firmly secured handrails on each side of hallways. Health 2021-05-28 2021-06-25 N
Post nurse staffing information every day. Health 2021-05-28 2021-06-10 N

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