Facility profile · CCN 245028
Highland Chateau Health And Rehabilitation Center
106 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $65,361.
Record summary
Federal record · Q1 2026106
Total citations
104
Last 3 years
4
Actual harm+
3
Federal penalties
$65,361
Total fines
—
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
106 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 15, 2026 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| Dec 30, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| Dec 30, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Sep 19, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| Sep 19, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Sep 19, 2025 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Sep 19, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Sep 19, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Sep 19, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 19, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Sep 19, 2025 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Sep 19, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Sep 19, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Sep 19, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Sep 19, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Sep 19, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Sep 19, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 19, 2025 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Sep 19, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Sep 19, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Sep 19, 2025 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Sep 19, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Sep 19, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Sep 19, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Sep 19, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Sep 19, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 19, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 19, 2025 | F584 | 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. | D | Standard |
| Sep 19, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Standard |
| Sep 19, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jun 6, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jun 6, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Apr 24, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| Apr 24, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Apr 24, 2025 | F584 | 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. | D | Complaint |
| Apr 24, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Apr 24, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 24, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Apr 24, 2025 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Standard |
| Apr 24, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Apr 24, 2025 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Apr 24, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Apr 24, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | C | Standard |
| Apr 24, 2025 | F726 | 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. | F | Standard |
| Apr 24, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Apr 24, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 24, 2025 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Apr 24, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Apr 24, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Apr 24, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Apr 24, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Apr 24, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Apr 24, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Apr 24, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Apr 24, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Apr 24, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Apr 24, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Apr 24, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Apr 24, 2025 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Standard |
| Mar 7, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 7, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Mar 5, 2025 | F841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | Complaint |
| Mar 5, 2025 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Complaint |
| Mar 5, 2025 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Complaint |
| Mar 5, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 5, 2025 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| Mar 5, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 5, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Mar 5, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Jan 24, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint |
| Jan 24, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Jun 27, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jun 27, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jun 27, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 27, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Jun 27, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| May 15, 2024 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard |
| May 15, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| May 15, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| May 15, 2024 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Standard |
| May 15, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| May 15, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | C | Standard |
| May 15, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| May 15, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 15, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| May 15, 2024 | F726 | 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. | D | Standard |
| May 15, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| May 15, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| May 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| May 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 15, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| May 15, 2024 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard |
| May 15, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| May 15, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| May 15, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 15, 2024 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| May 15, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| May 15, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Apr 8, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 13, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $65,361 and 1 payment-denial actions spanning 4 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 5, 2025 | Fine | $48,250 | — |
| Jan 25, 2024 | Fine | $17,111 | — |
| Apr 6, 2023 | Payment Denial | — | Jul 6, 2023 · 4 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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