CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Highland Oaks Health Center
View the most recent health deficiencies and inspection results for Highland Oaks Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Highland Oaks Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-12-18 | 2026-01-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-12-18 | 2026-01-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-18 | 2026-01-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-27 | 2025-03-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-27 | 2025-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-27 | 2025-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-27 | 2025-03-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2025-01-27 | 2025-03-20 | N |
| Respond appropriately to all alleged violations. | Health | 2025-01-27 | 2025-03-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-27 | 2025-03-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-01-27 | 2025-03-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-01-27 | 2025-03-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-01-27 | 2025-03-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-27 | 2025-03-20 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2025-01-27 | 2025-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-27 | 2025-03-20 | 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 | 2025-01-27 | 2025-03-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-27 | 2025-03-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-27 | 2025-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-27 | 2025-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-27 | 2025-03-20 | 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 | 2025-01-27 | 2025-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-27 | 2025-03-20 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-01-27 | 2025-03-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-01-27 | 2025-03-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-01-27 | 2025-03-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-01-27 | 2025-03-20 | N |
| Keep all essential equipment working safely. | Health | 2025-01-27 | 2025-03-20 | N |
| 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 | 2025-01-27 | 2025-03-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-01-27 | 2025-03-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-01-27 | 2025-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-27 | 2025-03-20 | N |
| Provide or obtain dental services for each resident. | Health | 2025-01-27 | 2025-03-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-01-27 | 2025-03-20 | 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 | 2025-01-27 | 2025-03-20 | 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 | 2025-01-27 | 2025-03-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-27 | 2025-03-20 | 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 | 2025-01-27 | 2025-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-27 | 2025-03-20 | 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 | 2025-01-27 | 2025-03-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-27 | 2025-03-20 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-01-27 | 2025-03-20 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-01-27 | 2025-03-20 | 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 | 2025-01-27 | 2025-03-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-27 | 2025-03-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-27 | 2025-03-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-27 | 2025-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-27 | 2025-03-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-20 | 2024-12-04 | Y |
| 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 | 2024-11-20 | 2024-12-04 | 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 | 2024-11-20 | 2024-12-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-20 | 2024-12-04 | Y |
| Keep all essential equipment working safely. | Health | 2024-08-06 | 2024-09-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-06 | 2024-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-06 | 2024-09-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-06 | 2024-09-25 | Y |
| 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 | 2024-09-24 | 2024-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-06 | 2024-09-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-06 | 2024-09-25 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-04-10 | 2024-04-24 | 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 | 2023-12-18 | 2024-01-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-18 | 2024-01-12 | N |
| Post nurse staffing information every day. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-18 | 2024-01-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-18 | 2024-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide or obtain dental services for each resident. | Health | 2023-12-18 | 2024-01-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-18 | 2024-01-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-18 | 2024-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-18 | 2024-01-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-12-18 | 2024-01-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-18 | 2024-01-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-18 | 2024-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-18 | 2024-01-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-19 | 2022-05-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-19 | 2022-05-18 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-04-19 | 2022-05-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-19 | 2022-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-19 | 2022-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-19 | 2022-05-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-19 | 2022-05-18 | 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 | 2022-04-19 | 2022-05-18 | 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 | 2022-04-19 | 2022-05-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-04-19 | 2022-05-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-19 | 2022-05-18 | 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 | 2022-04-19 | 2022-05-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-19 | 2022-05-18 | N |