Highland Hills Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 25, 2025

  Based on facility policy review, clinical and facility record review, facility provided documents, and staff interviews, it was determined that the facility failed to provide adequate supervision for one resident resulting in elopement (resident exits to an unsupervised and unauthorized location without staff's knowledge). This failure created an immediate jeopardy situation for one of twelve residents (Resident R1) identified as having a high risk for wandering. Findings include: Review of the facility policy Wandering and Elopements dated 11/1/24, indicated if identified as at risk for wandering, elopement, or other safety issues, the resident's care plan will include strategies and interventions to maintain the resident's safety. […]

• Immediate jeopardy, isolatedF726Mar 6, 2025

  Based on manufacturer's instructions, clinical record reviews, and staff interviews it was determined that the facility failed to ensure that nursing staff had the specific competencies and skill sets necessary to provide care for a resident with a Life Vest (a wearable defibrillator designed to protect residents from sudden cardiac death), and placed two of two residents in immediate jeopardy in which health and safety were impacted (Resident R1, and R2). Findings include: Review of the [NAME] Life Vest Patient Manual updated 2021, indicated the following: Wear all day and all night Life Vest slides on and off like a backpack. If the garment fits loosely, call [NAME] (manufacturer). […]

• No harm, potential for more than minimal, widespreadF908Dec 19, 2025

  Based on observations, review of facility documentation, and staff interviews, it was determined that the facility failed to make certain that equipment was in safe operating condition for the facility's Automated External Defibrillators (AED-a portable, electronic device designed to diagnose and treat life-threatening cardiac arrhythmias) (Second floor and first floor) and crash cart (a supply cart used in an emergency - second floor). Findings include:Review of the facility provided Heart Start FRx 86/304 AED's Owner Manual' dated Edition 8, indicated the AED's extensive automatic self-test features eliminates the need for any manual calibrations. […]

• No harm, potential for more than minimal, widespreadF922Dec 19, 2025

  Based on review of facility policy, observation, and staff interview, it was determined that the facility failed to follow established procedures of water storage to ensure that water is available to essential areas when there is a loss of normal water supply. Findings include: Review of the facility policy Emergency Preparedness and Planning dated 11/1/25, indicated the emergency water supply overall total water amount recommended by the Red Cross and FEMA is one gallon per person per day. Further review of the Emergency Water Supply plan indicated total bed capacity is 200 residents, with a total staff of 105 to equal 305 total people. […]

• No harm, potential for more than minimal, widespreadF850Sep 25, 2025

  Based on review of facility files and an interview with the Human Resources Director Employee E9, it was determined that the facility failed to employ a full-time qualified social worker from 7/27/25, through 9/2/25.Findings include: Review of facility provided payroll documentation on 9/25/25, at 10:00 a.m. Social Worker Employee E10's last day worked was 7/27/25. Review of facility provided payroll documentation on 9/25/25, at 10:00 a.m. Social Worker Employee E11's first day worked was 9/2/2/25. Interview with the Human Resources Director Employee E9 on 9/24/25, at 10:05 a.m. confirmed that the facility failed to employ a full time qualified social worker from 7/27/25, through 9/2/25. Pa Code 211.16. Social Services. Pa Code 201.14 (a)Responsibility of licensee.