All citations for The Highlands Guest Care 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 The Highlands Guest Care Center

Last standard health inspection on record

December 30, 2025

Showing 1 to 22 of 22 citations

No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2026).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2026).
No harm, with potential for more than minimal harm
Include a process for Emergency Preparedness collaboration.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2026).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
Have proper power supply for life support equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0915, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
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 December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
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 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
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 July 23, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 30, 2026).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Isolated (one or a few residents). CMS level D.
Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 14, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 20, 2026).
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 June 10, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (June 20, 2026).
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 December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2026).
No harm, with potential for minimal harm
Post nurse staffing information every day.
Widespread (many residents). CMS level C.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of December 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2026).

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.