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Deficiency Records for Highlands Lake Center
A list of the most recent deficiencies for Highlands Lake Center. 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 Highlands Lake 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-08-06 | 2024-09-06 | Y |
| 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 | 2024-08-06 | 2024-09-06 | 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 | 2024-08-06 | 2024-09-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-07 | 2024-04-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-07 | 2024-04-07 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2024-03-07 | 2024-04-07 | N |
| 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 | 2024-03-07 | 2024-04-07 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-03-07 | 2024-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-07 | 2024-04-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-07 | 2024-04-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-07 | 2024-04-07 | 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 | 2024-03-07 | 2024-04-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-07 | 2024-04-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-07 | 2024-04-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-07 | 2024-04-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-07 | 2024-04-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-07 | 2024-04-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-04-07 | Y |
| Meet other general requirements. | Fire Safety | 2024-03-12 | 2024-04-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-16 | 2023-04-04 | 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 | 2023-01-09 | 2023-02-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-09 | 2023-02-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-14 | 2022-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-14 | 2022-07-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-18 | 2021-12-16 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-18 | 2021-12-16 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-18 | 2021-12-16 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-11-18 | 2021-12-16 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-28 | 2020-03-28 | 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 | 2020-02-28 | 2020-03-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-26 | 2020-03-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-26 | 2020-03-28 | N |
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