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Deficiency Records for Highline Post Acute
A list of the most recent deficiencies for Highline Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Highline Post Acute. 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-05 | 2024-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-05 | 2024-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-05 | 2024-11-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-05 | 2024-10-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-05 | 2024-10-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-05 | 2024-10-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-05 | 2024-10-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-05 | 2024-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-05 | 2024-09-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-05 | 2024-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-05 | 2024-09-20 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-09-05 | 2024-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-05 | 2024-09-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-09-05 | 2024-09-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-09-05 | 2024-09-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-09-05 | 2024-09-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-09-05 | 2024-09-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-05 | 2024-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-15 | 2024-09-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-08-15 | 2024-09-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-08-15 | 2024-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-15 | 2024-09-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-15 | 2024-09-15 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-15 | 2024-09-15 | Y |
| 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 | 2024-08-15 | 2024-09-15 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-15 | 2024-09-15 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-15 | 2024-09-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-15 | 2024-09-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-09-15 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-15 | 2024-09-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-15 | 2024-08-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-03 | 2024-08-20 | Y |
| Keep all essential equipment working safely. | Health | 2024-06-06 | 2024-06-23 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-11 | 2024-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-03-11 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2024-01-11 | 2024-02-03 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-01-11 | 2024-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-02-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-11 | 2024-02-03 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-05 | 2023-07-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-05 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-05 | 2023-07-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-05 | 2023-07-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-05 | 2023-07-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-05-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-05 | 2023-04-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-05 | 2023-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-05 | 2023-04-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-05 | 2023-04-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-05 | 2023-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-05 | 2023-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-09 | 2023-04-02 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-09 | 2023-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-16 | 2020-01-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-16 | 2019-12-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-16 | 2019-12-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-16 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-11-21 | 2019-12-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-11-21 | 2019-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-21 | 2019-12-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-11-21 | 2019-12-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-11-21 | 2019-12-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-16 | 2019-12-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-16 | 2019-12-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-16 | 2019-12-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-12-16 | 2019-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-16 | 2019-12-16 | N |
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