Deficiency Records for Highland Park Skilled Nursing and Wellness Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Highland Park Skilled Nursing and Wellness 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-20 | 2023-11-22 | 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 | 2023-11-20 | 2023-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-08-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-02 | 2023-04-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-31 | 2022-11-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-31 | 2022-11-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-08-11 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-11-04 | 2021-11-16 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-09-28 | 2021-10-14 | Y |
| 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 | 2021-09-28 | 2021-10-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-19 | 2021-10-13 | 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 | 2021-07-19 | 2021-09-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-19 | 2021-09-02 | 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 | 2021-07-19 | 2021-09-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-19 | 2021-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-19 | 2021-09-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-07-19 | 2021-09-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-07-19 | 2021-09-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-19 | 2021-09-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-19 | 2021-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-19 | 2021-09-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-19 | 2021-09-02 | N |
| Have policies on smoking. | Health | 2021-07-19 | 2021-09-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-09-04 | 2019-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-04 | 2019-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-26 | 2019-09-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-26 | 2019-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-26 | 2019-09-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-08-26 | 2019-09-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-26 | 2019-09-25 | N |
| Post nurse staffing information every day. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide or obtain dental services for each resident. | Health | 2019-08-26 | 2019-09-25 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-26 | 2019-09-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-26 | 2019-09-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-09-10 | 2018-10-16 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-09-10 | 2018-10-16 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-09-10 | 2018-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-10 | 2018-10-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-09-10 | 2018-10-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-10 | 2018-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-10 | 2018-10-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-10 | 2018-10-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-10 | 2018-10-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-10 | 2018-10-16 | 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 | 2018-09-10 | 2018-10-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-10 | 2018-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-10 | 2018-10-16 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-09-10 | 2018-10-16 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-09-10 | 2018-10-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-07 | 2018-10-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-09-07 | 2018-10-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-07 | 2018-10-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-07 | 2018-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-07 | 2018-10-09 | N |
