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Deficiency Records for Highlight Healthcare of Aurora
A list of the most recent deficiencies for Highlight Healthcare of Aurora. 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 Highlight Healthcare of Aurora. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-16 | 2024-06-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-16 | 2024-06-07 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2024-05-16 | 2024-06-07 | 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 | 2024-05-16 | 2024-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-06-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-16 | 2024-06-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-16 | 2024-06-05 | 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 | 2024-05-16 | 2024-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-16 | 2024-06-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-03 | 2023-06-14 | 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 | 2023-04-28 | 2023-05-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-28 | 2023-05-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-28 | 2023-05-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-28 | 2023-05-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-28 | 2023-05-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-05-19 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-06 | 2022-04-20 | 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 | 2022-04-06 | 2022-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-06 | 2022-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-04-14 | 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 | 2022-03-30 | 2022-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-12 | 2021-11-23 | Y |
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