Deficiency Records for Highland Care Center
Updated as of May 01, 2024
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Deficiency Records for Highland Care Center
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.
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 |
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