Heights Rehabilitation and Healthcare Center, The

In the surveyor’s words

From the most serious findings on record at Heights Rehabilitation and Healthcare Center, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Jun 9, 2026

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed medical record review, review of emergency medical services (EMS) run report, interview, and facility policy review, the facility failed to timely provide basic life support (BLS) including cardiopulmonary resuscitation (CPR) to Resident #123 (a resident with advance directives for a Full Code status). This resulted in Immediate Jeopardy and Actual Harm with subsequent death on [DATE] at approximately 4:20 A.M. when Resident #123 was found not breathing, not moving, unresponsive, and without vital signs. Prior to initiating CPR, Registered Nurse (RN) #439 requested assistance from RN #301. […]

• Immediate jeopardy, isolatedF684Oct 18, 2023

  Based on closed medical record review, review of video/audio camera recordings, review of a fire department cardiopulmonary resuscitation (CPR) report, review of a facility Self-Reported Incident (SRI), review of the facility policy for call lights, review of the facility policy for resident condition change, review of the redcross.org Adult Cardiopulmonary Resuscitation (CPR) Steps reference, and interviews, the facility failed to timely and appropriately respond to Resident #118's calls for assistance and failed to provide adequate assistance/intervention as the resident was experiencing a change in condition/respiratory distress. This resulted in Immediate Jeopardy and serious life-threatening harm/subsequently death beginning on [DATE] at 6:59 A.M. […]

• Immediate jeopardy, isolatedF563Jan 13, 2021

  Based on medical record review, observations, family interview, staff interview, review of the facility policy on visitation, and review of the Department of Health and Human Services, Centers for Medicare & Medicaid (CMS) Memo QSO ,[DATE]-NH, the facility failed to permit family visitation for two residents (Resident #317 and #320) experiencing a significant decline in condition. This resulted in Immediate Jeopardy on [DATE] when a family member of Resident # 317 was notified their mother was significantly declining in health status with end of life changes and requested visitation with their mother (Resident #317). The daughter was denied visitation by the facility. […]

• Actual harm, isolatedF744Mar 7, 2023

  Based on observation, interview, and record review the facility failed to address behavioral symptoms for a resident with dementia. This affected one Resident (#59) of three reviewed for behaviors. The facility census was 114. Actual harm occurred when Resident #59 was involved in a physical altercation with Resident #112. Resident #59 sustained a bloody nose with scratches/bruising to the face and Resident #112 sustained a fractured index finger. Findings include: Review of the open medical record for Resident #59 revealed admission to the facility on [DATE] and diagnoses including dementia with behavioral disturbance, alcohol dependence with alcohol induced persisting dementia, neurocognitive disorder with Lewy bodies, mood disorder, depression, psychosis, and anxiety disorder. […]

• Actual harm, isolatedF686Jan 13, 2021

  Based on interview, record review and policy review, the facility failed to provide ongoing assessment to prevent and treat skin breakdown. Actual Harm occurred when the facility failed to implement interventions for a hand contracture and failed to perform nail care resulting in the fingernails breaking the surface of the skin causing the left-hand fingernails to grow into the palm of the left hand with infection, visible purulent (a thick and milky discharge from a wound that is often a sign of infection) and malodorous (very unpleasant odor) drainage was seeping from the palm. This affected one resident (Resident #305) of three residents (Resident's #305, #306 and #308) residents reviewed for skin breakdown. […]