Deficiency Records for Highland Park Skilled Nursing and Wellness Center
Updated as of November 01, 2020
This is not the most recent data for Highland Park Skilled Nursing and Wellness Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-12-13 | 2019-12-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-13 | 2019-12-26 | Y |
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-07 | 2019-08-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-07-09 | 2019-07-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-09 | 2019-07-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-02-22 | 2019-03-06 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-06-06 | 2019-01-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-29 | 2018-11-08 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-10-29 | 2018-11-08 | Y |
| 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 |
| 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 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-10 | 2018-10-16 | Y |
| 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 |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-11 | 2017-11-06 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-10-17 | 2017-10-24 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-09-10 | 2017-10-17 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-10 | 2017-10-17 | 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 | 2017-09-10 | 2017-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-10 | 2017-10-17 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-09-10 | 2017-10-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-10 | 2017-10-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-10 | 2017-10-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-09-10 | 2017-10-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-10 | 2017-10-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-09-10 | 2017-10-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-09-10 | 2017-10-17 | N |
