Deficiency Records for Highland Manor Rehabilitation and Nursing Center
Updated as of February 01, 2019
This is not the most recent data for Highland Manor Rehabilitation and Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Highland Manor Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-05 | 2018-10-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-26 | 2018-03-23 | 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 | 2018-02-26 | 2018-03-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-26 | 2018-03-23 | N |
| Provide activities to meet all resident's needs. | Health | 2018-01-26 | 2018-03-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-26 | 2018-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-26 | 2018-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-26 | 2018-03-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-26 | 2018-03-23 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-01-26 | 2018-03-23 | N |
| Provide or obtain dental services for each resident. | Health | 2018-01-26 | 2018-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-08 | 2017-10-16 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-09-08 | 2017-10-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-12 | 2017-04-26 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-12 | 2017-04-26 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-12-08 | 2017-02-14 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-08 | 2017-02-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-08 | 2017-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-08 | 2017-02-14 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-12-08 | 2017-02-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-08 | 2017-02-14 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-17 | 2017-02-14 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-01-17 | 2017-02-14 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-17 | 2017-02-14 | Y |
| Meet other general requirements. | Fire Safety | 2016-12-13 | 2017-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-13 | 2017-01-31 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-01-15 | 2016-03-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-01-15 | 2016-03-15 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2016-01-15 | 2016-03-15 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-01-15 | 2016-03-15 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-01-15 | 2016-03-15 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-01-15 | 2016-03-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-01-15 | 2016-03-15 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-01-15 | 2016-03-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-01-15 | 2016-03-15 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-01-15 | 2016-03-15 | N |
| Provide housekeeping and maintenance services. | Health | 2016-01-15 | 2016-03-15 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-15 | 2016-03-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-15 | 2016-03-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-15 | 2016-03-15 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-01-15 | 2016-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-01-15 | 2016-03-15 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-01-15 | 2016-03-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-01-15 | 2016-03-15 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-01-15 | 2016-03-15 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-01-15 | 2016-03-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-15 | 2016-03-15 | N |
| Dispose of garbage and refuse properly. | Health | 2016-01-15 | 2016-03-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-15 | 2016-03-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-15 | 2016-03-15 | N |
| Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. | Health | 2016-01-15 | 2016-03-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-01-15 | 2016-03-15 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2016-01-28 | 2016-02-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-28 | 2016-02-15 | N |
