All citations for Highland Square Nursing and Rehabilitation

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 Square Nursing and Rehabilitation

Last standard health inspection on record

February 24, 2025

Showing 1 to 23 of 23 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.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  2. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of May 21, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 17, 2025).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Widespread (many residents). CMS level F.

    Health citation F-0921, Environmental Deficiencies. Inspection of August 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  4. 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 May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

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

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0500, Services Deficiencies. Inspection of May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

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

    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 E.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

  9. 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 May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

  11. 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 May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

  13. 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 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  14. 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 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  15. 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 August 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  16. 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 October 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 10, 2024).

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of October 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 10, 2024).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

  19. 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 May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

  20. 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 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

  21. 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 May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

  23. 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 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2022).

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.