All citations for Highland Pines Rehabilitation 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 Pines Rehabilitation Center

Last standard health inspection on record

August 29, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 50 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 17, 2025. Found during a complaint inspection.

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

  2. Immediate jeopardy to resident health or safety

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

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

    Health citation F-0710, Nursing and Physician Services Deficiencies. Inspection of April 17, 2025. Found during a complaint inspection.

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

  3. Immediate jeopardy to resident health or safety

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of April 17, 2025. Found during a complaint inspection.

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

  4. Immediate jeopardy to resident health or safety

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of April 17, 2025. Found during a complaint inspection.

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

  5. Immediate jeopardy to resident health or safety

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of April 17, 2025. Found during a complaint inspection.

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

  6. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

  7. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 18, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2021).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

    Widespread (many residents). CMS level F.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

  9. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2022).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

  12. 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 August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 8, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of November 8, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  17. 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 March 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

  19. 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 August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

  21. 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 August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

  23. 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 August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

  25. 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 August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.