Highland Pointe Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Highland Pointe Health & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF678Mar 19, 2021

  Based on observation, interview, and record review, the facility failed to provide Basic Life Support (BLS) including Cardiopulmonary Resuscitation (CPR) timely to a resident who had physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] .) Also, the facility failed to have a consistent system in place to ensure staff could access accurate resident code status quickly and the facility was not equipped to provide full CPR as evidenced by failure to have ambu bags (self-refilling mask units used for artificial respirations) available to provide rescue breathing. Three of three crash carts did not have an ambu bag as required for the administration of CPR per the American Heart Association. […]

• Immediate jeopardy, isolatedF684May 6, 2026

  Based on closed record review, review of an Emergency Medical Service (EMS) report, review of the facility policy, review of National Institute of Health information, review of the Ohio Board of Nursing Standards of Practice and interview the facility failed to ensure Resident #91, who had advance directives for a Full Code status (life saving measures to be provided if necessary) was comprehensively assessed and provided timely monitoring after experiencing an acute change of condition to ensure prompt and necessary medical intervention was provided to the resident. Immediate Jeopardy with Actual Harm and subsequent death began on [DATE] at 10:05 A.M. when Resident #91 was noted to be pale, disoriented and confused; with changes to his eyes/vision and lung congestion. […]

• Immediate jeopardy, isolatedF757Jun 14, 2024

  Based on closed medical record review, hospital record review, review of a police and Emergency Medical Service (EMS) report, social media review, review of the Food and Drug Administration online medication information, policy review and interviews, the facility failed to timely respond and take appropriate action (e.g., suspending administration of an anticoagulant) in regard to an elevated International Normalized Ratio (INR) for Resident #11, who was receiving Warfarin (Coumadin) for atrial fibrillation. This resulted in Immediate Jeopardy and the potential for serious harm on 05/20/24 when the resident's INR, per laboratory testing, was abnormally high at 4.9 and staff failed to notify the physician or stop the administration of the medication, Coumadin. […]

• Actual harm, isolatedF690May 6, 2026

  Based on observation, record review, hospital record review and interview, the facility failed to ensure adequate monitoring and treatment of urinary complications related to an indwelling catheter. Actual harm occurred on 04/27/26 to Resident #35 after an indwelling catheter was removed due to reported pain and burning, the resident's urine output was not thoroughly monitored, and when the catheter was re inserted the resident continued to have significant pain with no output, resulting in hospitalization where an acute kidney injury and approximately 1000 milliliters (mL) of urinary retention was identified. This affected one resident (#35) of two residents reviewed for urinary catheters. […]

• Actual harm, isolatedF684Mar 1, 2023

  Based on observation, interview and record review, the facility failed to ensure facility staff were provided education and Resident #53 was provided adequate treatment and monitoring for a potentially life threatening medical condition. Actual Harm occurred on 02/18/23 at 1:00 A.M. when Resident #53 developed a severe, throbbing headache, was sweating profusely, had hives and felt weak. The nurse did not understand Resident #53's medical condition and could not find Resident #53's medication used to treat the condition in the medication cart. Resident #53 requested to be transported the Emergency Department via 911. Upon return from the hospital, the facility failed to ensure medication to treat Resident #53's life threatening condition was available for administration. […]