Highland Rehabilitation And Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Jul 3, 2025

  Based on observation, interview, and record review conducted during the recertification and abbreviated (NY00354392) the facility did not ensure the resident's right to a safe, clean, comfortable environment and reasonable care for the protection of resident property from loss or theft. This was evident for 1 (Unit 2) of 2 resident units and 1 (Resident #5) of 3 residents investigated for abuse. Specifically, 1) Unit 2 was observed with peeling wallpaper, floors covered in dirt, debris, a floor mat emanating a strong odor of urine, a soiled wheelchair, and radiators throughout the unit with air vent grates and metal conductor fins heavily covered and soiled in dirt, debris, dust, and dried crusty food and liquids, and 2) Resident #5's personal food was taken and eaten by staff while being… […]

• No harm, potential for more than minimal, patternF677Jul 3, 2025

  Based on observation, interview, and record review conducted during the recertification survey from 6/25/2025 to 7/3/2025, the facility did not ensure residents unable to carry out activities of daily living received necessary services to maintain good nutrition, grooming, and personal and oral hygiene. This was evident for 3 ( Resident #54, #19, and #27) of 4 residents reviewed for activities of daily living. Specifically, 1) Resident #54 was observed with long, jagged, brown and yellow nails, 2) Resident #19 was observed in bed on multiple occasions and there was no evidence the resident was provided with the assistance to transfer out of bed to their wheelchair, and 3) Resident #27 was observed with long, jagged fingernails covered with brown crusty stains. […]

• No harm, potential for more than minimal, patternF800Jul 3, 2025

  Based on observation, interview, and record review conducted during recertification survey from 6/25/2025 to 7/3/2025, the facility did not ensure each resident was provided with a nourishing, palatable, well-balanced diet that meets their daily nutritional and special dietary needs. This was evident for 1 (Unit 2) of 2 resident units during dining review. Specifically, Unit 2 residents eating in the floor dining room were not consistently served their entire meal in accordance with Physician Order and meal tickets. The findings are: During observation on 6/25/2025 from 11:56 AM to 12:51 PM, 22 residents, including Residents #79, #46, #8, #27, and #39, were seated in the Unit 2 dining room during lunch meal service. […]

• No harm, potential for more than minimal, patternF812Jul 3, 2025

  Based on observation, interview, and record review conducted during the recertification survey from 6/25/2025 to 7/3/2025, the facility did not ensure resident food was stored, prepared, distributed and served in accordance with professional standards for food service safety. This was evident for 1 (Unit 2) of 2 resident units during dining review. Specifically, 1) Unit 2 floor dining room refrigerator held undated, unlabeled food, and 2) potentially hazardous foods were not held within a safe temperature range during food service. […]

• No harm, potential for more than minimal, patternF838Jul 3, 2025

  Based on interview and record review conducted during the recertification survey from 6/25/2025 to 7/03/2025, the facility did not ensure the facility-wide assessment was updated to determine what resources were necessary to ensure residents were able to maintain or attain their highest practicable physical, functional, mental, and psychosocial well-being and meet current professional standards of practice. Specifically, the Facility Assessment did not include the staff training/education and competencies required for all personnel listed, did not include specific staffing needs for each facility unit and did not develop and maintain a plan to maximize recruitment and retention of direct care staff. […]