Highland Care Assisted Living Home LLC

The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

Health VisitCited Jun 3, 2025Corrected —

The facility's plan failed to document the contact information for the EMC for the area.

Health VisitCited Jun 3, 2025Corrected —

The facility's plan failed to include a process that ensures communication with the EMC.

Health VisitCited Jun 3, 2025Corrected —

The facility's plan failed to include the location of a current list of the facility's resident population.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to notify the EMC of the facility's plan, take actions to coordinate with the EMC, and document communications with the EMC.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to include a section addressing health and medical needs in the emergency preparedness and response plan.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to ensure that specific on-the-job training required for attendants in this type facility was completed in the required timeframe.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on provision of person-centered care.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to search the NAR and EMR annually.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

Health VisitCited Jun 3, 2025Corrected —

The facility failed to store oxygen provided by the facility in a safe and sanitary manner.

Life Safety CodeCited Feb 7, 2022Corrected Mar 28, 2022

The facility failed to ensure that interior wall and ceiling finishes met required surface burning characteristics.

Life Safety CodeCited Feb 7, 2022Corrected Mar 28, 2022

The facility failed to protect the attic according to the referenced codes and standards.

Life Safety CodeCited Feb 7, 2022Corrected Mar 28, 2022

The facility failed to provide the minimum levels of illumination required in the facility.

Life Safety CodeCited Feb 7, 2022Corrected Mar 28, 2022

The facility failed to have an ongoing and effective pest control program and to provide insect screens on operable windows.

Life Safety CodeCited Feb 7, 2022Corrected Mar 28, 2022

The facility failed to ensure means of escape met the referenced codes and standards.

Life Safety CodeCited Feb 7, 2022Corrected Mar 28, 2022

The facility failed to maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards.

Life Safety CodeCited Feb 7, 2022Corrected Mar 28, 2022