Highland Farms

In the surveyor’s words

From the most serious findings on record at Highland Farms, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Aug 15, 2025

  Based on observations and staff interviews the facility failed to label and date leftover food stored for use in 1 of 1 walk in cooler and 1 of 1 walk-in freezer and failed to discard expired food items in 1 of 1 dry goods storage room. These practices had the potential to affect food served to residents. The findings included:a. During an initial observation of the facility's kitchen with the Dietary Manager (DM) on 08/11/2025 at 10:37AM the walk-in cooler was noted to have the following concerns:- An open to air and unlabeled ripped plastic bag of cooked chicken fillets on a shelf available for use.- An opened and unlabeled plastic wrapped bag of thin sliced potatoes on a shelf available for use. b. […]

• No harm, potential for more than minimal, patternF626Apr 27, 2023

  Based on record review and interviews with the Medical Director, Responsible Party, and staff the facility failed to allow a resident who experienced delusions and exit seeking behaviors to return to the facility following a hospital admission using the resident's behaviors prior to transfer as a basis for their decision for 1 of 1 resident reviewed for hospitalization (Resident #252). Resident #252 remained in the hospital from 08/30/22 through 11/09/22 waiting for placement to another facility. The findings included: Resident # 252 was admitted to the facility 08/02/22 with diagnoses including Parkinson's disease and dementia. […]

• No harm, potential for more than minimal, patternF812Apr 27, 2023

  Based on observations and staff interviews the facility failed to remove expired food from 1 of 1 dry food storage rooms and from 1 of 4 kitchen refrigerators (lift top refrigerator). This practice had the potential to affect food served to residents. Findings included. A. On [DATE] at 8:49 AM an observation of the dry goods storage room in the kitchen with the Dietary Manager (DM) revealed one opened package of pancake mix with the date ,d+[DATE] use by ,d+[DATE] written on it. The DM immediately removed the package of pancake mix and stated that a kitchen staff was assigned to check the dry storage food area for expired food 5 days every week in the evenings. The DM said pancake mix was overlooked when the dry goods storage room was checked the previous Friday. B. […]

• No harm, potential for more than minimal, patternF757Jul 28, 2021

  Based on record review, observation, and staff interview, the facility failed to follow the parameter set by the physician to hold diuretic as ordered for 1 of 5 sampled residents reviewed for unnecessary medications (Resident #31). Findings included: Resident #31 was admitted to the facility on [DATE] with multiple diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly Minimum Data Set (MDS) assessment dated [DATE] assessed Resident #31with intact cognition. She had adequate hearing and vision with clear speech. Further review of the MDS revealed Resident #31 was receiving diuretic daily in the 7-day look back period. Review of physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The order specified to hold the medication if systolic blood pressure (SBP) was less than 110. […]

• No harm, potential for more than minimal, isolatedF552Jul 31, 2026

  Based on record review, staff, Psychiatric Nurse Practitioner and Medical Director interviews, the facility failed to obtain consent and inform the resident or Resident Representative in advance of the risks and benefits of psychotropic medications prior to the initiation of medication for 3 of 5 residents reviewed for unnecessary medications (Resident #43, Resident #4, Resident #16).The findings included:a. Resident #43 was admitted on [DATE] with diagnosis that included generalized anxiety disorder and major depressive disorder.Resident #43's physician's orders revealed an active order dated 9/15/2025 for buspirone (an anti-anxiety medication used to treat generalized anxiety disorder) 10 milligrams (mg) take one tablet twice daily for anxiety disorder. […]