A list of the most recent deficiencies for Highland Care 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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-02 | 2024-01-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-02 | 2024-01-25 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-16 | 2022-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-16 | 2022-04-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-04-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-16 | 2022-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-04-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-03-16 | 2022-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-04-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-16 | 2022-04-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-15 | 2022-04-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-15 | 2022-04-29 | N |
| Meet other general requirements. | Fire Safety | 2022-03-15 | 2022-04-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-15 | 2022-04-29 | 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 | 2022-03-15 | 2022-04-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-15 | 2022-04-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-03-15 | 2022-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-15 | 2022-04-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-26 | 2020-01-09 | 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 | 2019-11-26 | 2020-01-09 | 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 | 2019-11-26 | 2020-01-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-26 | 2020-01-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-26 | 2020-01-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-07 | 2019-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-12-20 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-07 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-07 | 2019-12-20 | 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 | 2019-11-07 | 2019-12-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-07 | 2019-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-07 | 2019-12-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-07 | 2019-12-20 | 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 | 2019-11-07 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-10-25 | 2018-12-24 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-30 | 2018-12-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-30 | 2018-12-13 | 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 | 2018-10-30 | 2018-12-13 | 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 | 2018-10-30 | 2018-12-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-10-30 | 2018-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-30 | 2018-12-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-25 | 2018-12-07 | 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 | 2018-10-25 | 2018-12-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-25 | 2018-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-25 | 2018-12-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-25 | 2018-12-07 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-10-25 | 2018-12-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-25 | 2018-12-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-10-25 | 2018-12-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-25 | 2018-12-07 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-10-25 | 2018-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-25 | 2018-11-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-25 | 2018-11-16 | N |
