High View Rehabilitation and Living Center

In the surveyor’s words

From the most serious findings on record at High View Rehabilitation and Living Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Apr 9, 2025

  Based on observations, review of facility's Bed Safety policy, clinical record reviews, and interviews, the facility failed to identify hazards in a resident's environment and implement interventions to prevent avoidable accidents/injuries. This failure resulted in Resident #3 (R3) obtaining a skin tear when hitting his/her right arm on the exposed, uncovered, square tubing on the bed frame that the mattress was not wide enough to cover, and failure to identify exposed areas of a bed frame that created a risk of entrapment for Resident #26 (R26). This created an Immediate Jeopardy (IJ) situation for all 35 residents. […]

• Immediate jeopardy, patternF700Apr 9, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident's bed dimensions were appropriate for a resident resulting in a 10 inch gap between the mattress and the bed rail. This failure created the potential for bodily injury including death by entrapment of body parts, for 1 of 35 residents [Resident #26 (R26]. In addition to the resident in immediate jeopardy, the facility's failure to regularly inspect and monitor bed rails resulted in the potential for harm for 35 out of 35 residents with bed rails. […]

• Immediate jeopardy, patternF909Apr 9, 2025

  Based on observation, interview, and record review, the facility failed to identify the existing risk for entrapment of body parts through bed inspections, this failure created the potential for severe bodily injury including death by entrapment of body parts, for 3 of 35 residents [Resident #26 (R26), (R3) and (R13)]. In addition to the resident in immediate jeopardy, the facility's failure to implement an effective inspection of all resident bed equipment (bed frames, mattresses, and bed rails) to ensure that bed mattresses fit the bed frames to prevent entrapment of body parts, this has the potential to effect 35 out of 35 residents with bed rails. Findings: On 3/31/25, the facility's Bed Safety policy, undated, was reviewed. […]

• Actual harm, isolatedF689Dec 22, 2022

  Based on record review and interviews, the facility failed to ensure that one person assist was provided during activities of daily living (ADL's) for 1 of 2 sampled residents (Resident #3), reviewed for falls. The failure to have supervision (one person assist) as directed by the care plan, and the Minimum Data Set (MDS) 3.0, resulted in an avoidable accident; Resident #3 falling during evening ADL's, required transfer to the emergency room , sustained an abrasion and hematoma to the right hip causing an increase in pain and limited mobility. Findings: Review of Resident #3's Resident Incident Report, High View Manor dated 12/5/22 at 2:05 a.m., indicated that on 12/5/22 at 7:00 p.m., Resident was found on the floor by his/her bed laying on his/her right side. […]

• No harm, potential for more than minimal, widespreadF801Jun 17, 2026

  Based on interviews and personnel file reviews, the facility failed to ensure the Dietary Supervisors met the qualifications required to be a Food Service Director or Supervisor. This has the potential to affect all the residents. Finding: On 6/15/26 at 10:05 a.m., during an interview with the acting Dietary Supervisor, she stated that she has been in this role for approximately two weeks. She stated she does not currently have a Serve Safe Certificate from the State of Maine. She is not enrolled in a dietetic technician program and is not certified as a dietary manager. She was hired on 6/1/26 as the Dietary Supervisor. On 6/16/26 at approximately 3:00 p.m. during an interview with the Administrator, the surveyor confirmed that the facility does not have a qualified Dietary Supervisor. […]