Highland Park Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Highland Park Rehabilitation and Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 31, 2026

  Based on observation, interviews, and record review conducted during survey, the facility failed to ensure that a resident received adequate supervision and assistance devices to prevent accidents for one (Resident #58) of four residents reviewed for accidents. Specifically, on 01/20/2026 during transport, Driver #1 failed to secure safety straps appropriately, causing Resident #58 to fall during a sudden stop and suffer head abrasions, a left-hand laceration and a neck fracture (break). This resulted in actual harm to Resident #58 that was not Immediate Jeopardy. The facility completed corrective measures prior to the start of survey. […]

• No harm, potential for more than minimal, isolatedF677Jul 31, 2026

  Based on observation, interview, and record review conducted during the survey, the facility failed to ensure that each resident who was unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene for one (Resident #42) of three residents reviewed. Specifically, Resident #42 was not offered or provided the removal of their facial hair during care. The findings include:The facility policy and procedure titled Activities of Daily Living, Supporting dated April 2025 documented residents who are unable to carry out activities of daily living independently receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene. […]

• No harm, potential for more than minimal, isolatedF684Apr 26, 2024

  Based on observation, interview, and record review conducted during the Standard survey completed 4/26/24, the facility did not ensure that residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for two (Resident #5 and #39) of two reviewed for skin conditions. Specifically, there was the lack of an assessment and treatment initiation for a newly developed and reported skin ulceration (#39) and the lack of follow up on the wound consultant recommendations (#5). The findings are: The policy and procedure titled Skin/Pressure Ulcer Prevention & Intervention Program revised 04/14 documented weekly skin evaluations will be done on every resident. […]

• No harm, potential for more than minimal, isolatedF757Apr 26, 2024

  Based on interview and record review conducted during a Complaint investigation (Complaint #NY00315852) completed during the Standard survey on 4/26/24, the facility did not ensure that each resident's drug regimen was free from unnecessary drugs. An unnecessary drug is any drug used without adequate monitoring; or in the presence of adverse consequences which indicate the dose should be reduced or discontinued. Specifically, for one (Resident #130) of six residents reviewed there was a lack adequate monitoring of a PT-INR (Prothrombin Time/International Normalized Ratio- a blood test to measure how long it takes for blood to form a clot) for a resident on anticoagulant therapy (medication that causes thinning of the blood) resulting in adverse consequences. […]

• No harm, potential for more than minimal, isolatedF609Nov 2, 2022

  Based on interview and record review conducted during an Abbreviated survey (Complaint #NY00298112) started 10/28/22 completed on 11/2/22, the facility did not ensure that all alleged violations including abuse are reported immediately, but not later than 2-hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, to the appropriate officials (including the State Survey Agency). Specifically, two (Residents #1 and 2) of 6 residents reviewed for abuse were involved in a resident-to-resident altercation and it was not reported timely to the Administrator and to the New York State (NYS) Department of Health (DOH) as required. […]