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 25 of 51 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. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 24, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 7, 2024).

  4. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 21, 2024. Found during a complaint inspection.

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

  5. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 18, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (January 9, 2024).

  6. 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).

  7. 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 February 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  8. 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 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Have policies on smoking.

    Widespread (many residents). CMS level F.

    Health citation F-0926, Environmental Deficiencies. Inspection of July 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

  10. 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).

  11. 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).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Widespread (many residents). CMS level F.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of June 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2019).

  13. 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 June 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2019).

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of June 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2019).

  15. 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).

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

    Ensure residents have reasonable access to and privacy in their use of communication methods.

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

    Health citation F-0576, Resident Rights Deficiencies. Inspection of February 27, 2024. Found during a complaint inspection.

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

  17. 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 June 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2019).

  18. 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 June 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2019).

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

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

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

    Health citation F-0741, Quality of Life and Care Deficiencies. Inspection of June 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2019).

  20. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2019).

  21. 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).

  22. 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).

  23. 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).

  24. 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 February 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  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 October 1, 2024. Found during a complaint inspection.

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