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Deficiency Records for Highland Farms
A list of the most recent deficiencies for Highland Farms. 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 Farms. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-09-19 | 2024-10-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-22 | 2024-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-09-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-22 | 2024-09-19 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-08-22 | 2024-09-19 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-27 | 2023-05-24 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-27 | 2023-05-24 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-04-27 | 2023-05-23 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-04-27 | 2023-05-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-27 | 2023-05-19 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-04-27 | 2023-05-19 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-27 | 2023-05-19 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-07-28 | 2021-08-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-28 | 2021-08-25 | N |
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