CareOne at The Highlands

In the surveyor’s words

From the most serious findings on record at CareOne at The Highlands, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641May 28, 2025

  6. On 5/22/25 at 9:46 AM, the surveyor reviewed with closed record for Resident #88 who discharged home on 2/26/25. Review of Resident #88's FS reflected that the resident was admitted with diagnosis that included but were not limited to essential hypertension, acute cystitis, urinary tract infection, and cerebral infarction. A review of Resident #88's discharge MDS dated [DATE], revealed under Section A, subsection1805 that Resident #88 entered the facility from a Skilled Nursing Facility (SNF). A review of the 2/18/25 Nursing admission note, Resident #88 entered the facility from an acute care hospital. According to the latest version of the Center for Medicare/Medicaid Services - Resident Assessment Instrument 3.0 Manual (updated October 2023) on Chapter 2-page 39 . […]

• No harm, potential for more than minimal, isolatedF686Oct 23, 2025

  Complaint Survey Complaint # NJ00187927F686 D Based on observation, interview, record review, and review of other pertinent facility documents, it was determined that the facility failed to maintain infection control standards and procedures during wound care treatment for 1 of 2 Residents (Resident #2) reviewed for care and services for pressure ulcers. This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, isolatedF755Oct 23, 2025

  COMPLAINT #NJ00187927Based on interview, record review and review of pertinent facility documents, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards by ensuring two medications (Breo Ellipta Aerosol (a combination inhaler used to prevent and control symptoms of asthma) and Triamcinolone topical cream (a steroid cream)) were obtained in a timely manner and administered as per prescribed physician's orders for one (1) of four (4) residents sampled. The deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, isolatedF552May 28, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to inform the resident or their representative in advance of treatment risks and benefits, options, and alternatives to a resident receiving antipsychotic and opioid medications. This deficient practice was identified for 3 of 7 residents (Resident #5, 26, and #51) reviewed for unnecessary medications. This deficient practice was evidenced by the following: 1. On 5/21/25 at 12:30 PM, the surveyor observed Resident #5 sitting in the bed, awake and alert, able to answer the surveyor's inquiry. Resident #5 stated that they are not informed about the medication they are receiving. […]

• No harm, potential for more than minimal, isolatedF609May 28, 2025

  Complaint #NJ00174157 Based on interview, record review, and review of pertinent documents, it was determined that the facility failed to report an injury of unknown origin to the New Jersey Department of Health (NJDOH) promptly for 1 of 2 residents (Resident #143) reviewed for investigations and was evidenced by the following: A review of Resident #143's Face Sheet (an admission summary) reflected that the resident was admitted to the facility with diagnose that included but were not limited to dysphagia (difficulty swallowing), atherosclerotic heart disease(a buildup of plaque in or on the artery walls) and pain in the left knee. […]