Aliya of Highwood

In the surveyor’s words

From the most serious findings on record at Aliya of Highwood, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Mar 18, 2021

  Based on observation, interview, and record review the facility failed to follow recommended guidelines from Centers for Disease Control (CDC) by not wearing Personal Protective Equipment (PPE) for new admissions on transmission based precautions (contact/droplet precautions). These failures have the potential to infect high risk residents with COVID-19 and spread the disease of COVID-19 to negative residents. This applies to all 75 residents residing in the facility. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on March 15, 2021 when the facility staff did not wear PPE when entering a new admission resident room who was on contact/droplet isolation. The Immediate Jeopardy was identified on March 15, 2021. […]

• Actual harm, isolatedF689Jun 26, 2026

  Based on observation, interview, and record review the facility failed to provide personal care in a safe manner and failed to supervise a resident on the patio to prevent a fall for 2 of 3 residents (R2, R3) reviewed for safety and supervision in the sample of 6. This failure resulted in R2 experiencing a fall from her bed on 3/11/26 during cares and sustaining a left femur fracture. The findings include:1. R2's face sheet showed she was admitted to the facility 1/28/2017 with diagnoses to include multiple sclerosis, anxiety disorder, hypertension, bipolar disorder, and paraplegia. […]

• Actual harm, isolatedF677Jan 14, 2026

  Based on observation, interview, and record review, the facility failed to ensure that activities of daily living (ADL) assistance was provided to residents that were dependent on staff assistance for three of 21 residents (R24, R13, R73) reviewed for ADLs in the sample of 21. This failure contributed to R24 obtaining a reddened, excoriated, and painful peri area. The findings include: 1. R24's admission Record shows he was admitted to the facility on [DATE], with diagnoses including hemiplegia, hemiparesis, muscle weakness, cognitive communication deficit, abnormal posture, and heart disease. R24's Minimum Data Set (MDS) dated [DATE], shows R24 has limitations in Range of Motion to both upper and lower extremities. […]

• Actual harm, isolatedF686Oct 26, 2023

  Based on observation, interview, and record review the facility failed to develop and implement interventions to prevent pressure injuries. The facility also failed to identify two pressure wounds prior to becoming unstageable. This failure resulted in R1 developing two unstageable pressure injuries to her heels. The facility also failed to accurately implement pressure injury prevention interventions for two residents (R3,R4) with pressure injuries. This applies to 3 of 3 residents (R1, R3, R4) reviewed for pressure injuries in the sample of 6. The findings include: 1. […]

• No harm, potential for more than minimal, widespreadF803Nov 16, 2022

  Based on observation, interview, and record review, the facility failed to follow the noon meal menu for all 93 residents residing at the facility. The findings include: The Facility Data Sheet, dated 11/16/22, showed there were 93 residents residing in the facility. The undated Menu Week 3 showed that the noon meal should consist of bacon ranch chicken, macaroni and cheese, peas and carrots, and pineapple cake. There was no notation of change of the menu documented. On 11/16/22 during the noon meal, residents were served a piece of chicken with turkey gravy on top of it, macaroni and cheese, peas and carrots, and a cup of canned pineapple pieces. The recipe for bacon ranch chicken included: Chicken, oil, teriyaki sauce, ranch dressing, shredded cheddar cheese, green onion, and bacon. […]