Deficiency Records for Highlands Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Highlands Health and Rehabilitation 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 | 2023-05-05 | 2023-06-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-05 | 2023-06-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-06-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-05 | 2023-06-27 | 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 | 2023-05-05 | 2023-06-27 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-05-05 | 2023-06-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-05 | 2023-06-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-02 | 2023-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-28 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-08 | 2022-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-08 | 2022-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-11 | 2022-08-30 | 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 | 2022-08-11 | 2022-08-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-11 | 2022-08-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-11 | 2022-08-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-11 | 2022-08-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-11 | 2022-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-08 | 2022-08-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-18 | 2022-02-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-18 | 2022-02-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-15 | 2021-05-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-21 | 2019-12-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-21 | 2019-12-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-21 | 2019-12-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-21 | 2019-12-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-21 | 2019-12-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-22 | 2019-12-05 | 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 | 2019-10-22 | 2019-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-22 | 2019-12-05 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-10-21 | 2019-11-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-06 | 2019-01-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-06 | 2019-01-06 | 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 | 2018-12-06 | 2019-01-06 | 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 | 2018-12-06 | 2019-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-06 | 2019-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-03 | 2019-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-03 | 2018-12-21 | N |
