Highbanks Care Center

In the surveyor’s words

From the most serious findings on record at Highbanks Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Feb 19, 2026

  Based on observations, interviews, and record review, the facility failed to maintain a safe, clean, and homelike environment in the memory care unit and in two resident rooms (Residents #6 and #8). This affected two residents (#6 and #8) and had the potential to affect all 25 residents on the memory care unit. The facility census was 52.Findings include:1.Review of the medical record for Resident #6 revealed an admission date of 10/31/22 with diagnoses to include but not limited to stroke, traumatic brain dysfunction, traumatic spinal cord dysfunction, progressive neurological conditions, amputation, and cardiorespiratory conditions.Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of zero, which indicated Resident #6 was… […]

• No harm, potential for more than minimal, patternF679Aug 28, 2024

  Based on observation, medical record review, resident interview, staff interviews, activity calendar review, facility website review, policy review, and staff job description review, the facility failed to provide activities for residents that were meaningful and of their choice. This affected seven (#3, #6, #16, #31, #33, #41, and #48) of seven residents reviewed for activities. The census was 55. Findings include: Observations on 08/26/24 at 9:15 A.M. and 08/28/24 at 10:00 P.M., revealed residents on the 200 unit, were sitting around the dining tables or in the common area watching the television, with staff sitting and watching them do that as well. 1. Observations on 08/26/24 at 9:15 A.M. and 08/28/24 at 10:00 P.M., revealed Resident #3 sitting in her room, not doing any activities. […]

• No harm, potential for more than minimal, patternF745Aug 28, 2024

  Based on medical record review, financial record review, family interview, and staff interview, the facility failed to ensure residents and/or resident representative was provided assistance in financial matters ensuring resident does not lose eligibility of Supplemental Security Income (SSI) or Medicaid services. This affected four (#27, #30, #31, and #35) of eight resident financial records reviewed. The census was 55. Findings include: 1. Review of Resident #27's medical record revealed an admission on 03/02/22. Resident #27's diagnoses included: Alzheimer's disease, hypertension, dementia, aphasia, mood disorder, anxiety disorder, and psychosis. Review of her minimum data set (MDS) assessment, dated 06/05/24, revealed she had a severe cognitive impairment. […]

• No harm, potential for more than minimal, patternF553Feb 17, 2023

  Based on medical record review, staff interview, and review of the facility policy, the facility failed to hold routine interdisciplinary team (IDT) care conferences for the residents. This affected four (Residents #1, #15, #16, and #32) of four residents reviewed for care conferences. The facility census was 50. Findings include: 1. Review of the medical record for Resident #16 revealed an admitted [DATE]. Diagnoses included metabolic encephalopathy, chronic obstructive pulmonary disease, diabetes mellitus type II, depressive disorder, anxiety disorder, insomnia, paranoid personality disorder, atherosclerotic heart disease, adult failure to thrive, convulsions, colostomy status, hemorrhagic condition, hypertension, mild cognitive impairment, and hallucinations. […]

• No harm, potential for more than minimal, patternF921Feb 17, 2023

  Based on observation and staff interviews, the facility failed to ensure resident rooms were maintained in good repair. This affected four resident's (#1, #4, #7 and #24) of 24 residents reviewed for environment concerns. The facility census was 50. Findings include: 1. Observation on 02/13/23 at 7:59 P.M. of Resident #1 and Resident #7's room revealed a salad plate size dent in the wall above Resident #7's bed and the window blinds were broken with several pieces sticking out in various directions and several pieces broken off. Interview and observation on 02/13/23 at 7:59 P.M. with State tested Nursing Aide (STNA) #151 confirmed the window blinds were broken and in disrepair and also confirmed the dent in the wall. […]