All citations for Highland Oaks Health Center

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 Highland Oaks Health Center

Last standard health inspection on record

January 27, 2025

Showing 51 to 75 of 106 citations

  1. 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 January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

  2. 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 January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

  6. 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 January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 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 January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

  11. 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 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

  16. 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 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2024).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2024).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2024).

  23. 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 November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2024).

  24. 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 September 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2024).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of April 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 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.