Deficiency Records for Highlands Health and Rehabilitation Center
Updated as of April 01, 2019
This is not the most recent data for Highlands Health and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-03 | 2019-01-06 | 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 |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-03 | 2018-12-21 | 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 | 2018-07-12 | 2018-07-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-12 | 2018-07-30 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-01-23 | 2018-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-23 | 2018-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-23 | 2018-03-30 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-23 | 2018-02-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-25 | 2018-02-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-25 | 2018-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-25 | 2018-02-18 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-01-23 | 2018-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-11-15 | 2017-11-30 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-11-15 | 2017-11-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-11-15 | 2017-11-30 | 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 | 2016-11-28 | 2017-01-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-11-28 | 2017-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-28 | 2017-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-11-28 | 2017-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-11-28 | 2017-01-04 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2016-11-28 | 2017-01-04 | 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 | 2016-11-28 | 2017-01-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-11-28 | 2017-01-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2016-11-28 | 2017-01-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2016-11-28 | 2017-01-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-11-28 | 2017-01-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-12-04 | 2017-01-04 | N |
| Provide housekeeping and maintenance services. | Health | 2016-12-04 | 2017-01-04 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-04 | 2017-01-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-04 | 2017-01-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-04 | 2017-01-04 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-12-04 | 2017-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-04 | 2017-01-04 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-12-04 | 2017-01-04 | 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 | 2016-12-04 | 2017-01-04 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-12-04 | 2017-01-04 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-12-04 | 2017-01-04 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-04 | 2017-01-04 | N |
| Dispose of garbage and refuse properly. | Health | 2016-12-04 | 2017-01-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-04 | 2017-01-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-04 | 2017-01-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-04 | 2017-01-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-12-04 | 2017-01-04 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-04 | 2017-01-04 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2016-11-28 | 2016-12-21 | N |
