Deficiency Records for Highlands Health and Rehabilitation Center
Updated as of August 01, 2021
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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2021-04-15 | 2021-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-23 | 2021-01-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-22 | 2020-10-09 | 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 |
| 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 |
| 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 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-10-22 | 2019-12-05 | Y |
| 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 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-30 | 2019-07-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-10 | 2019-04-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-10 | 2019-04-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-10 | 2019-04-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-10 | 2019-04-10 | 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 | 2019-03-10 | 2019-04-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-10 | 2019-04-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-10 | 2019-04-10 | Y |
| 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 |
| 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 |
