Deficiency Records for Highland Springs Care Center
Updated as of June 01, 2021
This is not the most recent data for Highland Springs Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Highland Springs 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-23 | 2021-04-21 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-01-06 | 2021-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-06 | 2021-02-04 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-11-25 | 2020-12-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-29 | 2020-12-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-29 | 2020-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-30 | 2020-12-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-30 | 2020-12-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-09-18 | 2020-10-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-18 | 2020-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-18 | 2020-03-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-23 | 2020-02-04 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-18 | 2019-10-07 | N |
| Establish methods for sharing information. | Fire Safety | 2019-09-18 | 2019-10-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-18 | 2019-10-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-18 | 2019-10-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-18 | 2019-10-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-18 | 2019-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-18 | 2019-10-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-09-18 | 2019-10-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-18 | 2019-10-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-22 | 2019-09-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-22 | 2019-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-22 | 2019-09-16 | 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 | 2019-08-22 | 2019-09-16 | N |
| Provide or obtain dental services for each resident. | Health | 2019-08-22 | 2019-09-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-30 | 2019-08-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-04 | 2019-06-14 | 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 | 2019-06-04 | 2019-06-14 | Y |
| Assess the resident when there is a significant change in condition | Health | 2019-06-04 | 2019-06-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-04 | 2019-06-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-26 | 2019-05-09 | Y |
| Assess the resident when there is a significant change in condition | Health | 2018-12-17 | 2019-03-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-06 | 2019-02-15 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-28 | 2019-01-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-17 | 2019-01-03 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-19 | 2018-12-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-19 | 2018-12-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-28 | 2018-12-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-28 | 2018-11-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-28 | 2018-11-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-28 | 2018-11-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-28 | 2018-10-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-08-28 | 2018-10-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-28 | 2018-10-12 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-28 | 2018-10-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-28 | 2018-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-28 | 2018-10-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-28 | 2018-10-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-08-28 | 2018-10-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-28 | 2018-10-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-28 | 2018-10-12 | 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 | 2018-08-28 | 2018-10-12 | 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 | 2018-08-28 | 2018-10-12 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-08-28 | 2018-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-28 | 2018-10-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-28 | 2018-10-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-13 | 2018-08-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-13 | 2018-08-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-14 | 2017-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-14 | 2017-10-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-14 | 2017-10-17 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2017-08-28 | 2017-09-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-28 | 2017-09-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-28 | 2017-09-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-28 | 2017-09-28 | 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 | 2017-08-28 | 2017-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-28 | 2017-09-28 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-08-28 | 2017-09-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-28 | 2017-09-28 | N |
