Deficiency Records for Highland Pointe Health and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Highland Pointe Health and Rehab 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 that residents are free from significant medication errors. | Health | 2023-09-06 | 2023-09-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-01 | 2023-03-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-01 | 2023-03-17 | 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 | 2022-10-27 | 2022-11-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-27 | 2022-11-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-27 | 2022-11-15 | Y |
| 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 | 2022-01-31 | 2022-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-31 | 2022-02-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-31 | 2022-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-31 | 2022-02-14 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-01-31 | 2022-02-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-01-13 | 2022-02-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-13 | 2022-02-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-13 | 2022-02-07 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-10-07 | 2021-10-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-07 | 2021-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-07 | 2021-10-23 | Y |
| Post nurse staffing information every day. | Health | 2021-10-07 | 2021-10-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-02 | 2021-10-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-02 | 2021-10-23 | 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 | 2021-09-02 | 2021-10-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-02 | 2021-10-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-06 | 2021-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-06 | 2021-10-23 | 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 | 2021-08-06 | 2021-10-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-23 | 2021-10-23 | Y |
| 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 | 2021-07-23 | 2021-10-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-06 | 2021-04-26 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-04-06 | 2021-04-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-06 | 2021-04-26 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-04-06 | 2021-04-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-06 | 2021-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-06 | 2021-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-06 | 2021-04-26 | 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 | 2021-04-06 | 2021-04-26 | 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 | 2021-04-06 | 2021-04-26 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-06 | 2021-04-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-06 | 2021-04-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-25 | 2019-08-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-25 | 2019-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-08-16 | 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 | 2019-07-23 | 2019-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-23 | 2019-08-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-23 | 2019-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-23 | 2019-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-23 | 2019-08-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-07 | 2018-07-03 | 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 | 2018-06-07 | 2018-07-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-07 | 2018-07-03 | 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 | 2018-06-07 | 2018-07-03 | 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 | 2018-06-07 | 2018-07-03 | 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 | 2018-06-07 | 2018-07-03 | N |
| Post nurse staffing information every day. | Health | 2018-06-07 | 2018-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-07 | 2018-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-07 | 2018-07-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-06-05 | 2018-07-03 | 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 | 2018-06-05 | 2018-07-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-06-05 | 2018-07-03 | N |
