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 26 to 50 of 122 citations

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

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

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of January 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 24, 2024. Found during a complaint inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 6, 2024. Found during a complaint inspection.

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

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of December 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  7. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of December 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

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

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of December 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of December 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of December 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of April 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2022).

  15. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of April 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2022).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2022).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2022).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of April 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2022).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of April 21, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 21, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

  22. 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 April 21, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

  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 April 21, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

  24. 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 April 21, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

  25. 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 December 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 14, 2026).

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.