Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 365147

Highland Oaks Health Center

100 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $54,151.

Abuse Icon Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
100
Total citations
89
Last 3 years
7
Actual harm+
2
Federal penalties
$54,151
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care32 Medication & Pharmacy15 Care Planning14 Resident Rights13 Infection Control8

Most common F-tags at this facility

F6845 F8804 F6983 F6093 F6453

Citation history

100 on record
SurveyF-TagViolationSeveritySource
Dec 18, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Dec 18, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Dec 18, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 27, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Jan 27, 2025F908Keep all essential equipment working safely.FStandard
Jan 27, 2025F887Educate 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.DStandard
Jan 27, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jan 27, 2025F881Implement a program that monitors antibiotic use.DStandard
Jan 27, 2025F880Provide and implement an infection prevention and control program.EStandard
Jan 27, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jan 27, 2025F791Provide or obtain dental services for each resident.DStandard
Jan 27, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Jan 27, 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.EStandard
Jan 27, 2025F758Implement 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 27, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jan 27, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 27, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jan 27, 2025F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard
Jan 27, 2025F730Observe each nurse aide's job performance and give regular training.FStandard
Jan 27, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jan 27, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 27, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 27, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 27, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 27, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jan 27, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jan 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Jan 27, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 27, 2025F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Jan 27, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jan 27, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 27, 2025F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Jan 27, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 27, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jan 27, 2025F637Assess the resident when there is a significant change in conditionDStandard
Jan 27, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jan 27, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jan 27, 2025F610Respond appropriately to all alleged violations.DStandard
Jan 27, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jan 27, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard
Jan 27, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jan 27, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jan 27, 2025F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
Jan 27, 2025F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Jan 27, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 20, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 20, 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.DComplaint
Nov 20, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Nov 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 24, 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.EComplaint
Sep 6, 2024F880Provide and implement an infection prevention and control program.EComplaint
Sep 6, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 6, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Aug 6, 2024F908Keep all essential equipment working safely.FComplaint
Aug 6, 2024F880Provide and implement an infection prevention and control program.FComplaint
Aug 6, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Apr 10, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Dec 18, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Dec 18, 2023F880Provide and implement an infection prevention and control program.EStandard
Dec 18, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 18, 2023F791Provide or obtain dental services for each resident.DStandard
Dec 18, 2023F761Ensure 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.FStandard
Dec 18, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 18, 2023F758Implement 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
Dec 18, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 18, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 18, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 18, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Dec 18, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.GStandard
Dec 18, 2023F732Post nurse staffing information every day.CStandard
Dec 18, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 18, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 18, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 18, 2023F693Ensure 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.DStandard
Dec 18, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 18, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 18, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Dec 18, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Dec 18, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Dec 18, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 18, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 18, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Dec 18, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.CStandard
Dec 18, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Dec 18, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Dec 18, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Dec 18, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Dec 18, 2023F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
Apr 19, 2022F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard
Apr 19, 2022F758Implement 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
Apr 19, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 19, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 19, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 19, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 19, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 19, 2022F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 19, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 19, 2022F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard
Apr 19, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $54,151 and 1 payment-denial actions spanning 27 days.

DateTypeFinePayment denial
Jan 27, 2025Fine$54,151—
Jan 27, 2025Payment Denial—Feb 22, 2025 · 27 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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