The Heights on Huebner

In the surveyor’s words

From the most serious findings on record at The Heights on Huebner, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641Jan 14, 2026

  Based on observation, interview, and record review, the facility failed to ensure the resident assessment accurately reflected the resident's status for 5 of 11 residents (Resident #6, Resident #9, Resident #46, Resident #68, and Resident #125) who were reviewed for resident assessments. 1.The facility failed to document Resident #6's use of scheduled pain medication and lack of use of anticonvulsant medication on the quarterly MDS assessment. 2.The facility failed to document Resident #9's use of anticonvulsant medication on the quarterly MDS assessment. 3.The facility failed to document Resident #46's use of antiplatelet medication on the quarterly MDS assessment. […]

• No harm, potential for more than minimal, patternF689Jan 14, 2026

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 4 (Resident #4, Resident #103, Resident #26, and Resident #144) of 22 residents reviewed for accidents and hazards.1. The facility failed to ensure Resident #144 and Resident #103 did not have a disposable razor in his room.2. The facility failed to ensure Resident #4 did not have prohibited chemical and topical products stored in her room.3. The facility failed to ensure Resident #26 did not have prohibited medications and flammable products stored in his room.These failures could place residents at risk of harm or injury and contribute to avoidable accidents and a decline in health.The findings included: 1. […]

• No harm, potential for more than minimal, patternF842Jan 14, 2026

  Based on observation, interview and record review, the facility failed to maintain medical records that were complete and accurately documented in accordance with accepted professional standards and practices for 1 of 8 residents (Residents #4) reviewed for medical records. 1. The facility failed to ensure Resident #4's medication consent form was missing the nurse signature required to witness on the original medication consent for her antidepressant medication venlafaxine and the replacement consent form did not include the medication name. 2. […]

• No harm, potential for more than minimal, patternF880Jan 14, 2026

  Based on observation, interview, and record review, the facility failed to establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infections for 5 of 6 residents (Resident #7, Residents #97, Resident#34. Resident #144 and Resident #4) reviewed for infection control.1. The facility failed to ensure CNA D sanitized the pulse oximeter used between Resident #7 and Resident #97.2. The facility failed to ensure MA E sanitized the blood pressure cuff used between Resident #34 and Resident #144.3. The facility failed to ensure Resident #4's wound bed did not come in contact with a used bed sheet after it was cleaned while RN L was performing wound care. 4. […]

• No harm, potential for more than minimal, patternF656May 16, 2024

  Based on interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for that described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 8 residents (#5, #6 and #7) reviewed for care plans. 1. Resident #5's care plan did not indicate that she had a colostomy (a surgical opening for the colon in the abdomen). 2. Resident #6's care plan did not indicate that she had a foley catheter (a flexible tube that was inserted through the urethra and into the bladder to drain urine). 3. […]