Highlands Long Term Care Center

Total Number of Beds: 168	Percent of Occupied Beds: 98%
Total Number of Residents: 164	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 07/21/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.74

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.58

Number of CNA Hours per Nursing Home Resident per Day: 2.66

Number of Staff Hours per Nursing Home Resident per Day: 3.98

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 7%
Percent of Short-Stay Residents With Pressure Sores: 30%
Percent of High-Risk Residents Who Have Pressure Sores: 21%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 38%
Percent of Residents Who Have Moderate to Severe Pain: 7%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 21%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 2%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 21%
Percent of Residents Who are More Depressed or Anxious: 23%
Percent of Short-Stay Residents With Delirium: 2%
Percent of Residents Who Were Physically Restrained: 2%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 55%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 8%
Percent of Residents With a Urinary Tract Infection: 18%
** Details Last Reported on: 7/21/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-09-25	2001-11-24	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
2001-09-25	2001-11-24	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Isolated	Minimal harm or potential for actual harm
2001-09-25	2001-11-24	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2001-09-25	2001-11-24	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
2001-09-25	2001-11-24	Quality Care Deficiencies	Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control.	Pattern	Minimal harm or potential for actual harm
2001-09-25	2001-11-24	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Minimal harm or potential for actual harm
2001-09-25	2001-11-24	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	Pattern	Minimal harm or potential for actual harm
2001-09-25	2001-11-24	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Isolated	Minimal harm or potential for actual harm
2002-07-30	2002-07-31	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
2002-07-30	2002-09-25	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
2002-07-30	2002-09-28	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
2002-07-30	2002-09-28	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Pattern	Minimal harm or potential for actual harm
2002-07-30	2002-09-28	Pharmacy Service Deficiencies	Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects.	Isolated	Minimal harm or potential for actual harm
2002-07-30	2002-09-28	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Isolated	Minimal harm or potential for actual harm
2002-07-30	2002-09-28	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Isolated	Minimal harm or potential for actual harm
2003-07-21	2003-09-11	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Minimal harm or potential for actual harm
2003-07-21	2003-09-11	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Actual harm
2003-07-21	2003-09-11	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.