Deficiency Records for The Highlands Guest Care Center LLC
Updated as of May 01, 2021
This is not the most recent data for The Highlands Guest Care Center LLC. For the most recent information, click here.
A list of the most recent deficiencies for The Highlands Guest Care Center LLC. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2020-09-29 | 2021-01-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-29 | 2021-01-03 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-09-29 | 2021-01-03 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-16 | 2019-06-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-16 | 2019-06-27 | Y |
| Keep all essential equipment working safely. | Health | 2019-05-16 | 2019-06-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-08 | 2019-05-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-08-20 | 2018-09-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-31 | 2018-07-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-05-31 | 2018-07-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-05-31 | 2018-07-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-31 | 2018-07-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-31 | 2018-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-31 | 2018-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-31 | 2018-06-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-01 | 2018-06-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-01 | 2018-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-01 | 2018-06-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-06-01 | 2018-06-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-20 | 2017-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-20 | 2017-05-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-20 | 2017-05-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-20 | 2017-05-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-20 | 2017-05-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-20 | 2017-05-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-20 | 2017-05-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-04-20 | 2017-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-14 | Not Fixed | Y |
