Highland Park Rehabilitation & Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, patternF692Jun 27, 2025

  Based on observations, interviews and record review the facility failed to maintain acceptable parameters of nutritional status in such as usual body weight range and electrolyte balance, unless the resident's clinical condition demonstrated that this was not possible or resident preferences indicate otherwise for 1 of 8 (Resident #67) residents reviewed for weight loss. -The facility failed to ensure Resident #67 was monitored for weight loss resulting in a 14.5% or 24.8 pounds in a 3-month period. An Immediate Jeopardy (IJ) was identified on 6/6/25. […]

• Immediate jeopardy, patternF695Jun 27, 2025

  Based on observation, interview, and record review the facility failed to ensure that a resident who needed respiratory care and services, including oxygen administration was provided such care, consistent with professional standards of practice for 1 of 3 residents (Resident #43) reviewed for respiratory therapy in that:The facility failed to ensure Resident #43 received continuous oxygen and nebulizer treatments to meet her respiratory needs, resulting in Resident #43 experiencing oxygen saturations of 90 on 6/3/25 and 80 on 6/5/25. Resident #43 was experiencing anxiety and a change to her daily routine as a result. […]

• No harm, potential for more than minimal, patternF686Apr 24, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure that residents received care, consistent with professional standards of care to prevent development of pressure ulcers for 1 of 6 (Resident #16) reviewed for pressure ulcers. -The facility failed to apply Resident #16's physician ordered pressure relieving heel protectors or to off-load his heels. This failure could place residents at risk for developing a pressure ulcer or worsening a pressure ulcer, which could cause pain and infection. […]

• No harm, potential for more than minimal, patternF677Apr 8, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure a resident who was unable to carry out activities of daily living received necessary services to maintain good personal hygiene for 8 (Residents #9, #10, #19, #24, #33, #34, #35, and #37) out of 8 residents reviewed for ADL care. -The facility failed to provide scheduled showers three times a week to Residents #10, #19, #24, #33, and #37. -The facility failed to provide incontinence care to Residents #9, #33, #34, and #35 every 2 hrs and/or as needed. This failure could place residents who were unable to carry out ADLs independently, at risk of skin breakdown and infection. […]

• No harm, potential for more than minimal, patternF677Feb 17, 2023

  Based on interview and record review the facility failed to ensure residents who were unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 3 of 10 residents (Resident #5, Resident #61, and Resident # 67) reviewed for ADLs. The facility failed to ensure Residents #61, #5 and #67 received their scheduled showers. This failure could place residents at risk for not receiving care and services to meet their needs and ADL decline. Findings include: Resident #61 Record review of Resident #61's face sheet revealed a [AGE] year-old female who was admitted to the facility on [DATE]. […]