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Deficiency Records for Highland Place Rehab and Nursing Center
A list of the most recent deficiencies for Highland Place Rehab and Nursing 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 Highland Place Rehab and Nursing 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? |
|---|---|---|---|---|
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-08-14 | 2024-09-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-06 | 2024-07-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-06 | 2024-07-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-06 | 2024-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-06 | 2024-07-21 | 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 | 2024-06-06 | 2024-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-06 | 2024-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-06 | 2024-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-06 | 2024-07-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-06 | 2024-07-21 | 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 | 2024-06-06 | 2024-07-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-06 | 2024-07-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-06 | 2024-07-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-06 | 2024-07-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-06 | 2024-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-07-21 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2024-06-06 | 2024-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-06 | 2024-04-19 | 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 | 2024-03-06 | 2024-04-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-26 | 2024-04-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-28 | 2024-02-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-28 | 2024-02-11 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-08 | 2023-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-07-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-08 | 2023-07-23 | 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 | 2023-06-08 | 2023-07-23 | 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 | 2023-06-08 | 2023-07-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-08 | 2023-07-23 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-06-08 | 2023-07-23 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-06-08 | 2023-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-05-07 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-08 | 2023-05-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-04-01 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-02-16 | 2023-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-16 | 2023-04-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-04-01 | Y |
| 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 | 2022-06-08 | 2022-08-02 | N |
| 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 | 2022-06-08 | 2022-08-02 | 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 | 2022-06-08 | 2022-08-02 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-08 | 2022-08-02 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-06-08 | 2022-08-02 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-06-08 | 2022-08-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-23 | 2022-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-23 | 2022-08-02 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-08 | 2022-04-22 | N |
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