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Deficiency Records for Highlands Rehabilitation and Healthcare

A list of the most recent deficiencies for Highlands Rehabilitation and Healthcare. 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 Highlands Rehabilitation and Healthcare. 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?
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-04-24 2024-05-14 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-24 2024-05-14 Y
Provide and implement an infection prevention and control program. Health 2024-04-24 2024-05-14 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-02-09 2024-03-19 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 2024-02-09 2024-03-19 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-02-09 2024-03-19 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-02-09 2024-03-19 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-09 2024-03-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-09 2024-03-19 Y
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 2024-02-09 2024-03-19 Y
Provide care or services that was trauma informed and/or culturally competent. Health 2024-02-09 2024-03-19 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-02-09 2024-03-19 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-02-09 2024-03-19 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-02-09 2024-03-19 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-09 2024-03-19 Y
Dispose of garbage and refuse properly. Health 2024-02-09 2024-03-19 Y
Provide and implement an infection prevention and control program. Health 2024-02-09 2024-03-19 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-02-09 2024-03-19 Y
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 2024-02-09 2024-03-19 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-12-27 2024-01-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-09 2024-01-09 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-03-24 2023-04-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-24 2023-04-25 N
Assist a resident in gaining access to vision and hearing services. Health 2023-03-24 2023-04-25 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-24 2023-04-25 N
Provide appropriate foot care. Health 2023-03-24 2023-04-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-24 2023-04-25 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 2023-03-24 2023-04-25 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-24 2023-04-25 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 2023-03-24 2023-04-25 N
Keep complete, dated laboratory records in the resident's record. Health 2023-03-24 2023-04-25 N
Provide and implement an infection prevention and control program. Health 2023-03-24 2023-04-25 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-03-24 2023-04-25 N
Perform COVID19 testing on residents and staff. Health 2023-03-24 2023-04-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-03-24 2023-04-25 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-03-24 2023-04-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-24 2023-04-25 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-03-24 2023-04-25 Y
Use approved construction type or materials. Fire Safety 2023-03-14 2023-04-18 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-03-14 2023-04-18 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 2023-03-14 2023-04-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-14 2023-04-18 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-03-14 2023-04-18 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-03-14 2023-04-18 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-11 2022-04-20 N
Ensure each resident receives an accurate assessment. Health 2022-03-11 2022-04-20 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-03-11 2022-04-20 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-11 2022-04-20 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 2022-03-11 2022-04-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-11 2022-04-20 N
Provide enough food/fluids to maintain a resident's health. Health 2022-03-11 2022-04-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-11 2022-04-20 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 2022-03-11 2022-04-20 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-11 2022-04-20 N
Use approved construction type or materials. Fire Safety 2022-03-23 2022-04-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-23 2022-04-11 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-03-23 2022-04-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-12 2021-12-03 Y

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