All citations for CareOne at The Highlands

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to CareOne at The Highlands

Last standard health inspection on record

May 28, 2025

Showing 1 to 25 of 27 citations

  1. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  2. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 27, 2025).

  3. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of October 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 27, 2025).

  4. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of May 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  5. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 28, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  6. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  7. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  8. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  9. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  10. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2025).

  11. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of May 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2025).

  12. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 23, 2024).

  13. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 23, 2024).

  14. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  15. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  16. No harm, with potential for more than minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  17. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  18. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 12, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  19. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  20. No harm, with potential for more than minimal harm

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  21. No harm, with potential for more than minimal harm

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  22. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  23. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  24. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  25. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.