Facility profile · CCN 395826
Highland Hills Post Acute
100 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $37,516.
Record summary
Federal record · Q1 2026100
Total citations
100
Last 3 years
2
Actual harm+
3
Federal penalties
$37,516
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
100 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 30, 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. | E | Complaint |
| Dec 30, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 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 |
| Dec 30, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Dec 19, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Dec 19, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Dec 19, 2025 | F922 | Have enough backup water supply for essential areas of the nursing home. | F | Standard |
| Dec 19, 2025 | F908 | Keep all essential equipment working safely. | F | Standard |
| Dec 19, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 19, 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 |
| Dec 19, 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 |
| Dec 19, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 19, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Dec 19, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Dec 19, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Dec 19, 2025 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Dec 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 |
| Dec 19, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Dec 19, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Standard |
| Sep 25, 2025 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Complaint |
| Sep 25, 2025 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Complaint |
| Sep 25, 2025 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | Complaint |
| Sep 25, 2025 | F844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | D | Complaint |
| Sep 25, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Sep 25, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Sep 25, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 25, 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 | Complaint |
| Sep 25, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Sep 25, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 25, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Sep 25, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jul 16, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 5, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| May 5, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 5, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 5, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| May 5, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Mar 6, 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. | D | Complaint |
| Mar 6, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Mar 6, 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. | J | Complaint |
| Mar 6, 2025 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint |
| Mar 6, 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 6, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Jan 28, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Dec 12, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Dec 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 12, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Dec 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 12, 2024 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Dec 12, 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. | E | Standard |
| Dec 12, 2024 | 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 | Standard |
| Dec 12, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Dec 12, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Dec 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 12, 2024 | 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. | E | Standard |
| Dec 12, 2024 | 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. | E | Standard |
| Dec 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 12, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Dec 12, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Dec 12, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Dec 12, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Dec 12, 2024 | 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. | E | Standard |
| Dec 12, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Dec 12, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard |
| Sep 5, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Complaint |
| Apr 30, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint |
| Apr 30, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Mar 18, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jan 12, 2024 | F881 | Implement a program that monitors antibiotic use. | D | Complaint |
| Jan 12, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jan 12, 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. | E | Complaint |
| Jan 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 12, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Jan 12, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jan 12, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jan 12, 2024 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint |
| Jan 12, 2024 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard |
| Jan 12, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Jan 12, 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 |
| Jan 12, 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 |
| Jan 12, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Jan 12, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jan 12, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard |
| Jan 12, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Jan 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 12, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jan 12, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jan 12, 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 |
| Jan 12, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Jan 12, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jan 12, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Nov 7, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 7, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint |
| Sep 29, 2023 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Complaint |
| Sep 29, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 29, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Jul 11, 2023 | 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 | Complaint |
| May 16, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| May 16, 2023 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Complaint |
| May 16, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $37,516 and 1 payment-denial actions spanning 14 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 25, 2025 | Fine | $28,020 | — |
| Mar 6, 2025 | Fine | $9,496 | — |
| May 16, 2023 | Payment Denial | — | Aug 16, 2023 · 14 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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