Highfield Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Highfield Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jun 29, 2023

  Based on observations, record review, and staff interviews the facility staff failed to disinfect a shared blood glucose meter between residents in accordance with the instructions provided by the manufacturer of the blood glucose meter and the disinfectant wipes used for 3 of 3 residents whose blood glucose levels were checked (Resident #6, Resident #7, and Resident #8) by 3 of 3 nurses (Nurse #1, Nurse #2, and Nurse #3). This occurred while there was a resident (Resident #9) with a known bloodborne pathogen in the facility. This deficient practice had a high likelihood of transmitting bloodborne pathogens within the facility. […]

• Immediate jeopardy, isolatedF600Feb 28, 2025

  Based on observation, record review, and interviews with staff, Psychiatric Nurse Practitioner, Responsible Party (RP), and the Police Detective, the facility failed to protect the right of two cognitively impaired residents (Residents # 1 and # 7) to be free from abuse. On the evening of 2/6/25 Resident # 2 returned from an outing and was observed by staff to show signs of being inebriated. That evening he was also observed at the bedside of Resident # 1, who was cognitively impaired and who did not have the ability to invite him into her room. After his removal from Resident # 1's room by staff, Resident # 2 was observed in Resident # 1's room a second time with the curtain pulled so that he and Resident # 1 were out of view. […]

• Immediate jeopardy, isolatedF580Nov 22, 2024

  Based on record review, and staff, family member, Physician Assistant, and Medical Director interviews the facility failed to notify the physician of a significant change in condition when staff were unable to obtain a urine sample on 3 instances ([DATE] at approximately 5:00 AM and 9:00 PM and [DATE] at approximately 5:30 AM) for a resident identified with complaints of burning urination and decreased fluid intake. Resident #294 was first identified with decreased nutritional and fluid intake on [DATE] requiring staff to push fluids (deliberately drink beyond what thirst dictates to avoid dehydration) through [DATE]. […]

• Immediate jeopardy, isolatedF684Nov 22, 2024

  Based on record review, and staff, family member, Physician Assistant, and Medical Director interviews, the facility staff failed to recognize the seriousness of a significant change in condition, the importance of and identify the need for urgent medical attention to address an emergent situation. On [DATE] a sudden decrease in food and fluid intake was observed by staff. Resident #294 reported burning with urination to the night shift nurse ([DATE] at 11:00 PM through [DATE] at 7:00 AM) and an order for a urinalysis (UA) and urine culture and sensitivity (C & S) was obtained from Physician Assistant #2 on [DATE]. No attempts were made to collect the urine specimen for the UA until [DATE] at around 5:00 AM and the nurse was not successful. […]

• Immediate jeopardy, isolatedF692Nov 22, 2024

  Based on record review, and staff, family member, Physician Assistant (PA), and Medical Director interviews the facility failed to ensure staff recognized the seriousness of signs and symptoms of dehydration for a resident receiving a diuretic (Lasix 20 mg daily) and who had decreased fluid intake. Resident #294 was first identified with decreased nutritional and fluid intake on [DATE] requiring staff to push fluids (deliberately drink beyond what thirst dictates to avoid dehydration) through [DATE]. […]