Highland Court, A Rehabilitation and Resident Care

In the surveyor’s words

From the most serious findings on record at Highland Court, A Rehabilitation and Resident Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 21, 2023

  Based on observation, record review, and interview, the facility failed to ensure foods stored in the freezer, and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen, snack products were promptly removed and/or discarded on or before the expiration or use by date to prevent the growth of bacteria; leftover food items were used to maintain food quality for residents who received mechanical soft diets and pureed diets from 1 of 1 kitchen; dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent the potential for cross contamination; and 1 of 1 ice scoop holder was maintained in a clean and sanitary condition to prevent… […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2021

  Based on observation, record review, and interview the facility failed to ensure dietary staff washed their hands between dirty and clean tasks, the storage shelves were clean, food was labeled and dated after being opened, outdated food items were removed and discarded before the use by date, hair nets were worn in the kitchen area, clean utensils were allowed to dry before re-use and the can opener was clean to decrease the potential for food borne illness for residents who received meals from 1 of 1 kitchen. The findings are: 1. On [DATE] at 10:15 AM, on a shelf in the dry storage area, there were four bottles of ketchup with an expiration date of [DATE]. Dietary Employee #2, was asked, Should the expired bottles of ketchup be on the shelf in the dry storage? She stated, No. […]

• No harm, potential for more than minimal, patternF550Apr 25, 2024

  Based on observation, interview, and record review, the facility failed to treat each Resident with respect and dignity, to promote or enhance their quality of life for 2 Residents (Residents #9 and #19) of 6 Residents who were seated at the dining assistive table in the main dining room. This had the potential to affect 5 residents who require assistance with meals, and who eat in the main dining room. Findings included: A review of an Admission Record indicated the facility admitted Resident #9 with diagnoses of Alzheimer's Disease and abnormal weight loss. […]

• No harm, potential for more than minimal, patternF558Apr 25, 2024

  Based on observation, interview, and record review, it was determined the facility failed to ensure resident ' s call devices were in reach for 2 (Residents #14 and #32) of 2 Residents with call devices not in reach. This had the potential to affect 23 residents residing on 300 hall. Findings include: A review of an Admission Record indicated the facility admitted Resident #14 with a diagnoses that included a history of falling, Type 2 diabetes mellitus, essential primary hypertension, diastolic congestive heart failure, and pain. A review of the quarterly Minimum Data Set (MDS) dated [DATE], revealed Resident #14 had a Brief Interview for Mental Status (BIMS) score of 06, which indicated the resident had severe cognitive impairment. […]

• No harm, potential for more than minimal, patternF657Apr 25, 2024

  Based on interview and record review it was determined the facility failed to review and revise the Resident's care plan for 2 Residents (Residents #9 and #25) of 2 residents who was reviewed for care plan compliance. This had the potential to affect 57 residents who currently reside in the facility. The findings included: A review of an Admission Record indicated the facility admitted Resident #9 with diagnoses of Alzheimer's Disease and abnormal weight loss. The discharge Minimum Data Set (MDS) for Resident #9, with an Assessment Reference Date (ARD) of 10/30/2023, revealed a Staff Assessment for Mental Status (SAMS) Cognitive Skills for Daily Decision-Making score of 3, which indicated the resident had severe cognitive impairment. […]