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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.

Abuse Icon Special Focus Status 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
100
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
SurveyF-TagViolationSeveritySource
Dec 30, 2025F688Provide 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.EComplaint
Dec 30, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Dec 30, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 30, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
Dec 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 19, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Dec 19, 2025F922Have enough backup water supply for essential areas of the nursing home.FStandard
Dec 19, 2025F908Keep all essential equipment working safely.FStandard
Dec 19, 2025F880Provide and implement an infection prevention and control program.EStandard
Dec 19, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Dec 19, 2025F761Ensure 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.DStandard
Dec 19, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 19, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Dec 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 19, 2025F641Ensure each resident receives an accurate assessment.DStandard
Dec 19, 2025F610Respond appropriately to all alleged violations.DStandard
Dec 19, 2025F584Honor 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.DStandard
Dec 19, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Dec 19, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.EStandard
Sep 25, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EComplaint
Sep 25, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DComplaint
Sep 25, 2025F850Hire a qualified full-time social worker in a facility with more than 120 beds.FComplaint
Sep 25, 2025F844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.DComplaint
Sep 25, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Sep 25, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Sep 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Sep 25, 2025F688Provide 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.DComplaint
Sep 25, 2025F610Respond appropriately to all alleged violations.DComplaint
Sep 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 25, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Sep 25, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 5, 2025F610Respond appropriately to all alleged violations.DComplaint
May 5, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 5, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
May 5, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 6, 2025F838Conduct 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.DComplaint
Mar 6, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Mar 6, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.JComplaint
Mar 6, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint
Mar 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 6, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Jan 28, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Dec 12, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 12, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 12, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Dec 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 12, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Dec 12, 2024F761Ensure 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.EStandard
Dec 12, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Dec 12, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Dec 12, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Dec 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 12, 2024F693Ensure 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.EStandard
Dec 12, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Dec 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 12, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Dec 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 12, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Dec 12, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Dec 12, 2024F584Honor 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.EStandard
Dec 12, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Dec 12, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard
Sep 5, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CComplaint
Apr 30, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Apr 30, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Mar 18, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Jan 12, 2024F881Implement a program that monitors antibiotic use.DComplaint
Jan 12, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jan 12, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Jan 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 12, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jan 12, 2024F610Respond appropriately to all alleged violations.DComplaint
Jan 12, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 12, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Jan 12, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Jan 12, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Jan 12, 2024F809Ensure 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.FStandard
Jan 12, 2024F761Ensure 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.DStandard
Jan 12, 2024F758Implement 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.DStandard
Jan 12, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 12, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.EStandard
Jan 12, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Jan 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 12, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 12, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 12, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jan 12, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Jan 12, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jan 12, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 7, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 7, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Sep 29, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FComplaint
Sep 29, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 29, 2023F583Keep residents' personal and medical records private and confidential.DComplaint
Jul 11, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
May 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
May 16, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EComplaint
May 16, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint

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.

DateTypeFinePayment denial
Sep 25, 2025Fine$28,020
Mar 6, 2025Fine$9,496
May 16, 2023Payment DenialAug 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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