CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Five Points at Lake Highlands Nursing and Rehab
View the most recent health deficiencies and inspection results for Five Points at Lake Highlands Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Five Points at Lake Highlands Nursing and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-31 | 2026-04-03 | 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 | 2026-03-31 | 2026-04-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2026-03-31 | 2026-04-03 | N |
| 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 | 2026-03-31 | 2026-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-31 | 2026-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-31 | 2026-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-31 | 2026-04-01 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2026-03-31 | 2026-04-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-03-31 | 2026-04-01 | 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 | 2026-03-31 | 2026-04-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-31 | 2026-04-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-31 | 2026-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-31 | 2026-04-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-03-31 | 2026-04-01 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2025-12-11 | 2025-12-12 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-12-11 | 2025-12-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-11 | 2025-12-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-12-11 | 2025-12-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-11 | 2025-12-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-11-06 | 2025-11-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-06 | 2025-11-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-11 | 2025-09-30 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-09-19 | 2025-09-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-08 | 2025-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-08 | 2025-07-09 | Y |
| 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 | 2025-07-08 | 2025-07-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-14 | 2025-05-16 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-05-14 | 2025-05-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-14 | 2025-05-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-14 | 2025-05-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-23 | 2025-01-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-23 | 2025-01-25 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-12-10 | 2024-12-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-12-10 | 2024-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-10 | 2024-12-12 | 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 | 2024-12-10 | 2024-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-10 | 2024-12-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-12-10 | 2024-12-12 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-12-10 | 2024-12-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-10 | 2024-12-12 | Y |
| 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 | 2024-12-10 | 2024-12-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-10 | 2024-12-12 | N |
| 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 | 2024-12-10 | 2024-12-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-10 | 2024-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-10 | 2024-12-12 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-10 | 2024-12-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-10 | 2024-12-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-12-10 | 2024-12-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-12-10 | 2024-12-12 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-12-10 | 2024-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-10 | 2024-12-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-12-06 | 2024-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2024-12-08 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-12-06 | 2024-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-03 | 2024-06-02 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-05-18 | 2024-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-20 | 2024-01-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-20 | 2024-01-22 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-20 | 2024-01-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-20 | 2024-01-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-11 | 2023-11-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-11-24 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-07 | 2023-11-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-07 | 2023-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-07 | 2023-11-24 | 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 | 2023-11-07 | 2023-11-24 | N |
| Have policies on smoking. | Health | 2023-11-07 | 2023-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-07 | 2023-11-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-07 | 2023-11-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-07 | 2023-11-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-07 | 2023-11-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-07 | 2023-11-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-07 | 2023-11-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-05 | 2023-06-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-05 | 2023-06-30 | Y |