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Deficiency Records for The Highlands

A list of the most recent deficiencies for The Highlands. 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 The 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?
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-07-31 2024-09-24 N
Implement emergency and standby power systems. Fire Safety 2024-07-31 2024-08-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-31 2024-08-20 N
Ensure each resident receives an accurate assessment. Health 2024-07-23 2024-08-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-23 2024-08-16 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-07-23 2024-08-16 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 2024-07-23 2024-08-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-23 2024-08-16 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-07-23 2024-08-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-31 2024-08-16 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-07-31 2024-08-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-30 2023-05-17 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-03-30 2023-05-16 N
Implement emergency and standby power systems. Fire Safety 2023-03-30 2023-04-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-30 2023-04-24 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-20 2023-04-03 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-03-20 2023-04-03 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 2023-03-20 2023-04-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-20 2023-04-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-09 2023-03-30 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-06-30 2021-07-26 N

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