Highland Park Health Care

In the surveyor’s words

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

• Immediate jeopardy, patternF689May 9, 2023

  A past noncompliance immediate jeopardy (IJ) situation was determined to exist effective from 03/23/23 to 04/28/23 related to the facility's failure to ensure Res #3 had adequate supervision and updated interventions to prevent the recurrence of falls. Res #3 had experienced 19 falls from 01/14/23 to 04/28/23. Twelve of the falls did not have updated fall interventions documented. A fall on 03/23/23 resulted in six staples to a laceration to the head. A fall on 04/17/23 resulted in three staples to a laceration to the head. The most recent fall on 04/28/23 resulted in an intra-ventricular hemorrhage according to hospital records. […]

• Immediate jeopardy, isolatedF600Mar 31, 2025

  A past noncompliance Immediate Jeopardy (IJ) situation was determined to exist effective 03/20/25 related to the facility's failure to ensure Resident #1 was not physically or psychosocially abused. On 03/26/25, the Oklahoma State Department of Health was notified and verified the existence of the past noncompliance IJ related to the facility's failure to ensure residents were not physically or psychosocially abused. The past noncompliance IJ was removed effective 03/20/25 after the facility performed one on one inservices for all staff regarding abuse on 03/20/25. On 03/20/25 employee #1 was suspended then terminated on 03/25/25. […]

• No harm, potential for more than minimal, widespreadF812Jun 19, 2026

  Based on facility policy review, facility document review, observation, and interview, the facility failed to ensure food was labeled appropriately and failed to ensure leftovers were discarded according to the facility's procedures. The failures had the potential to affect all of the residents who received nourishment from the kitchen.Findings included: A facility policy titled, Food Storage, revised 02/06/2024, indicated, Sufficient storage facilities are provided to keep foods safe, wholesome, and appetizing. Food is stored, prepared, and transported at an appropriate temperature and by methods designed to prevent contamination. The policy revealed, 2. Refrigerator, which included, All foods are covered, labeled and dated. […]

• No harm, potential for more than minimal, patternF812Aug 23, 2024

  Based on observation, record review, and interview, the facility failed to: a. store clean dishware inverted and on sanitary surfaces, b. maintain a clean and sanitary kitchen, and c. label, date, and cover food items in the refrigerators during one of two kitchen observations. The DON identified 77 residents received nutrition from the kitchen. Findings: The facility's Employee Infection Control policy, dated 08/01/18, read in part, All local, state, and federal standards and regulations are followed to ensure a safe and sanitary Nutrition Services Department. The policy also read, Store clean dishes inverted or in enclosed or covered storage units. The facility's Food Storage policy, dated 08/01/18, read in part, All foods are covered, labeled and dated. […]

• No harm, potential for more than minimal, patternF582Jul 25, 2023

  Based on record review and interview, the facility failed to ensure residents who were discharged from Part A skilled services, had days remaining, and remained in the facility were issued ABN and NOMNC notices for two (#38 and #45) of three residents reviewed for beneficiary notices. The facility identified 22 residents who were discharged from part A skilled services with benefit days remaining in the previous six months. Findings: 1. Res #38 was discharged from skilled services on 06/20/23 and remained in the facility. 2. Res #45 was admitted to part A skilled services on 04/06/23, discharged from skilled services on 04/27/23, and remained in the facility. On 07/25/23, the DON was asked to provide ABN and NOMNC notices for Res #38 and Res #45. […]