Highlands Living Center

In the surveyor’s words

From the most serious findings on record at Highlands Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF610Feb 19, 2025

  Based on observations, interviews and record reviews conducted during the Recertification Survey 02/11/2025 to 02/19/2025, the facility did not ensure all alleged violations of abuse, neglect, or mistreatment were thoroughly investigated for 7 (Resident #1, #47, #63, #77, #80, #81, and #103) of 12 residents reviewed. Specifically, Resident #1, Resident #47, Resident #63 and Resident #77 had injuries of unknown origin, and the facility was unable to provide documented evidence that potential abuse, neglect or mistreatment were appropriately ruled out via a thorough investigation. Resident #80 had an acute medical incident requiring medication that was not available, and the facility was unable to provide a complete investigation to rule out neglect. […]

• No harm, potential for more than minimal, patternF919Feb 19, 2025

  Based on observations, interview, and record review conducted during the Recertification Survey from 02/11/2025 to 02/19/2025, for two (first and third floors) of three resident-use floors, the facility did not properly maintain the resident call system. Specifically, nurse call system lights were not functioning properly to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized work area from each resident's bedside and toilet/bathing facilities. […]

• No harm, potential for more than minimal, patternF921Feb 19, 2025

  Based on observations and interview conducted during the Recertification Survey from 02/11/2025 to 02/19/2025, for three (first, second and third floors) of three resident-use floors, the facility did not provide a functional and sanitary environment for residents and staff. Specifically, handwash sinks were not provided with hot water, a handwash sink was not functional, and resident stand assist lift footrests were dirty. The findings are: Observations during the initial tour of the main kitchen on 02/11/2025 at 8:55 AM included two self-dispensing motion activated hand washing sinks, one located near the dishwashing area and the other located near the walk-in coolers. […]

• No harm, potential for more than minimal, patternF692Jun 9, 2023

  Based on observations, interviews, and record reviews conducted during Recertification Survey from 6/2/23 to 6/9/23, it was determined that for one (Resident #51) of two residents reviewed for food and nutrition, the facility did not ensure services were provided to maintain acceptable parameters of nutritional status. Specifically, the facility did not ensure Resident #51 was consistently offered assistance during meals. Additionally, the facility could not provide documented evidence of consistent meal monitoring despite significant weight loss. The finding is: Resident #51 had diagnoses including failure to thrive, dementia, and depression. […]

• No harm, potential for more than minimal, patternF812Jun 9, 2023

  Based on observations, interviews, and record review conducted during the Recertification Survey completed 6/2/23 to 6/9/23, it was determined that for one of one main kitchen, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically: two low-temperature mechanical dish machines did not maintain an acceptable sanitizer concentration on dishes after the final rinse, the temperature gauge on one mechanical dish machine was not functioning properly, and improper dish washing/drying procedures were observed. The findings are: 1. […]