Highland Meadows

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF886Jan 12, 2021

  Based on interview and record review, the facility failed to conduct testing in a manner that was consistent with current standards of practice for conducting COVID-19 tests, for one of one facility reviewed for COVID-19 testing. The facility failed to conduct follow up outbreak COVID-19 testing of all residents every three to seven days for a period of 14 days until no new cases were identified based on outbreak testing criteria and a positive result of a resident on 01/03/21. This failure placed residents and staff at risk for exposure to COVID-19 (Coronavirus) which could lead to illness, hospitalization or death. Findings include: An interview with the Interim DON on 1/12/21 at 1:19 PM revealed the facility had not tested all residents for COVID-19 since 12/23/20. […]

• No harm, potential for more than minimal, patternF689May 14, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure the resident's environment remained free of hazards as was possible for 4 of 6 residents (Residents #46, #55, #70, and #96) reviewed for accident hazards.The facility failed to ensure Residents #46 and #55 did not have a can disinfectant stored in their room.The facility failed to ensure Resident #70 had her fall mat placed alongside her bed for fall prevention. The facility failed to ensure Resident #96 had physician orders for a scoop mattress (a scoop mattress features raised sides and a concave center) to ensure it was not a hazard for the resident. […]

• No harm, potential for more than minimal, patternF695May 14, 2026

  Based on observation, interview, and record review, the facility failed to ensure that residents, who needed respiratory care, were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for three of seven (Residents #46, #70, and #71) reviewed for respiratory care. The facility failed to ensure Resident #46's nebulizer mask was bagged when not in use on 05/12/26. The facility failed to ensure Resident #70's nasal canula was properly stored in a bag when not in use on 05/12/26.The facility failed to ensure Resident #71's nebulizer and CPAP mask were bagged when not in use on 05/12/26.The facility failed to ensure Resident #71 had physician orders for use of the nebulizer. […]

• No harm, potential for more than minimal, patternF761May 14, 2026

  Based on observations, interviews, and record review, the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys for three of seven residents (Residents #29, #46, and #96) reviewed for medication storage. The facility failed to ensure Resident #29 did not have a container of eye drops on his bedside table on 05/12/26. The facility failed to ensure Resident #46 did not have a container of allergy medication and antacid medication on his nightstand on 05/12/26. […]

• No harm, potential for more than minimal, patternF812May 14, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food and nutrition services.The facility failed to properly seal the tea dispenser once the tea had brewed on 05/12/26. The facility failed to ensure the ice scoop, in the kitchen, was thoroughly cleaned on 05/12/26.The facility failed to ensure the sanitizer bucket (red bucket) in the kitchen area had the appropriate level of sanitizer fluid in it on 05/12/26. The facility failed to ensure a large tray of thawing raw meat, in the walk-in refrigerator, was not stored above cooked foods. […]