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Deficiency Records for Highland Care Center
A list of the most recent deficiencies for Highland Care 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 Care 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-06 | 2024-04-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-06 | 2024-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-06 | 2024-04-05 | 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 | 2024-02-06 | 2024-04-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-02-06 | 2024-02-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-12-21 | 2022-02-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-12-21 | 2022-02-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-21 | 2022-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-21 | 2022-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-21 | 2022-02-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-12-21 | 2022-02-21 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-12-21 | 2022-02-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-21 | 2022-02-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-21 | 2022-02-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-21 | 2022-02-10 | Y |
| 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 | 2021-12-21 | 2022-02-10 | 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 | 2021-12-21 | 2022-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-21 | 2022-02-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-19 | 2022-01-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-02 | 2021-12-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-02 | 2021-12-29 | 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 | 2019-05-13 | 2019-07-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-13 | 2019-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-13 | 2019-07-02 | 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 | 2019-05-13 | 2019-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-13 | 2019-07-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-13 | 2019-07-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-05-13 | 2019-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-13 | 2019-07-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-13 | 2019-07-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-13 | 2019-07-02 | 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 | 2019-05-13 | 2019-07-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-13 | 2019-07-02 | N |
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