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 26 to 50 of 76 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  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 June 6, 2019. Found during a standard inspection.

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

  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 June 6, 2019. Found during a standard inspection.

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

  8. 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).

  9. 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).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of June 6, 2019. Found during a standard inspection.

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

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 6, 2019. Found during a standard inspection.

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

  12. 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 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

    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 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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke 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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of June 6, 2019. Found during a standard inspection.

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

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of June 6, 2019. Found during a standard inspection.

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

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems 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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems 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

    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).

  20. 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).

  21. 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).

  22. 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).

  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 October 1, 2024. Found during a complaint inspection.

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

  24. 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).

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

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