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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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