A list of the most recent deficiencies for Villages of Lake Highlands. 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 and implement an infection prevention and control program. | Health | 2023-08-10 | 2023-09-04 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-02-08 | 2023-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-08 | 2023-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-08 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-21 | 2021-12-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-10-06 | 2021-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-06 | 2021-11-15 | 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 | 2021-10-06 | 2021-11-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-19 | 2021-10-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-19 | 2021-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-19 | 2021-10-20 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-11-07 | 2019-12-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-07 | 2019-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-08 | 2019-12-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-08 | 2019-12-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-07 | 2019-11-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-08 | 2019-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-07 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-07 | 2019-11-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-07 | 2019-11-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-11-08 | 2019-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-30 | Not Fixed | N |
