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Deficiency Records for Highland Nursing Center
A list of the most recent deficiencies for Highland Nursing 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 Nursing 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? |
|---|---|---|---|---|
| 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 | 2025-01-10 | 2025-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-10 | 2025-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-10 | 2025-02-17 | 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 | 2025-01-10 | 2025-02-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-10 | 2025-02-17 | N |
| 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 | 2025-01-10 | 2025-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-10 | 2025-02-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-10 | 2025-02-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-08 | 2025-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-08 | 2025-02-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-01-08 | 2025-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-08 | 2025-02-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-08 | 2025-02-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-08 | 2025-02-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-08 | 2025-02-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-30 | 2024-01-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-30 | 2024-01-05 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-30 | 2024-01-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-30 | 2024-01-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-11-30 | 2024-01-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-30 | 2024-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-30 | 2024-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2024-01-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-30 | 2024-01-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-30 | 2024-01-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-30 | 2024-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2024-01-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-11-30 | 2024-01-05 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-11-30 | 2024-01-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-27 | 2024-01-05 | 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 | 2023-11-27 | 2023-12-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-27 | 2023-11-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-27 | 2023-11-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-27 | 2023-11-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-11 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-11 | 2023-11-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-10-24 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-09-23 | 2022-10-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-23 | 2022-10-24 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-28 | 2022-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-28 | 2022-10-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-28 | 2022-09-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-28 | 2022-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-10 | 2022-07-18 | Y |
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