Deficiency Records for Highland Manor Rehabilitation and Nursing Center
Updated as of July 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-01 | 2019-02-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-01 | 2019-02-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-01 | 2019-02-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-01 | 2019-02-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-01 | 2019-02-26 | 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 | 2019-02-01 | 2019-02-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-01 | 2019-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-01 | 2019-02-26 | N |
| 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 |
| 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 |
| 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 |
| 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 |
