Highgate Senior Living

The licensee failed to ensure that negotiated services agreements were updated following a change in condition for one resident, placing the resident at risk.

Facility failed to ensure negotiated services agreements were updated for Resident 1 following a change in condition, failing to address new diagnoses, hospitalizations, use of a hospital bed and mechanical transfer devices, edema/weight gain, anxiety, and eating supervision.

The facility failed to update Resident 3's Negotiated Service Agreement (NSA) to reflect changes in condition identified by hospice, including diagnoses, wound care, clothing preferences, and bed baths.

The facility failed to provide documentation of fire watch logs for the fire sprinkler system out of service maintenance occurring on February 17, 2026 to February 18, 2026.

The facility failed to provide documentation of the fire sprinkler system repairs conducted on February 17, 2026, including testing dates, results, and deficiencies found.

Towel placed on 6-unit open flame gas burner; combustibles on shelf above stove.

3-unit multi-plug in use behind bed in Room 122.

Extension cords in use behind tables in Room 206 and behind TV in Room 224.

Failed to provide documentation of first semi-annual hood suppression cleaning service.

Wall penetration behind chair in Room 206.

Failed to provide documentation of annual fire door inspection.

Failed to provide documentation of annual forward flow testing; quarterly sprinkler inspection incomplete; insufficient spare sprinkler heads; debris on heads in lobby.

Failed to provide documentation of semi-annual hood suppression system service.

Fire extinguisher in Life Enhancement Specialist Room not serviced within last 12 months.

Missing required delayed egress signs on multiple exit doors.

Incomplete documentation for annual diesel generator testing and weekly inspections.

Unsecured oxygen cylinders in Room 111 and Health Care Director's Office.

In the kitchen, a towel was placed on the 6-unit open flame gas burner and combustibles were placed on the shelf above the stove.

In Room 122, a 3-unit multi plug was in use behind the bed.

In Room 206, an extension cord was in use behind tables. In Room 224, an extension cord was plugged in between two power strips behind the TV.

Facility failed to provide documentation of the first semi-annual hood suppression cleaning service within the past twelve months.

In Room 206, there was a penetration in the wall behind the chair.

Facility failed to provide documentation of annual fire door inspection. Violation remains from 09/09/2025 report.

Failed to provide documentation for annual forward flow testing and first quarter fire sprinkler inspection. Quarterly inspection not completed since June 2025.

Failed to provide documentation of first semi-annual hood suppression system service. Violation remains; next inspection due Feb 2026.

In the Life Enhancement Specialist Room, the fire extinguisher was not serviced within the last twelve months.

Multiple exit doors were missing required delayed egress signs.

Failed to provide documentation of annual fuel sampling/testing and weekly inspections for the diesel generator.

Two oxygen cylinders in Room 111 and one in the Health Care Director's Office were not secured to prevent falling.

Facility failed to ensure a fingerprint background check was completed within 120 days of hire for 1 staff member.

Facility failed to ensure staff working unsupervised completed required dementia specialty training.

Facility failed to ensure staff completed 75 hours of basic training within 120 days of hire for 1 staff member.

Facility failed to have a current CLIA waiver for testing.

Facility failed to ensure caregiver obtained home care aide certification within the required time period.

Caregiver worked past 200 days without obtaining mandatory home care aide certification.

The facility failed to timely obtain and administer antidepressant medication for one resident returning from the hospital, resulting in 13 missed doses and negative psychological outcomes.

Facility failed to comply with long-term care resident rights regarding safe/orderly discharge and notification.

Facility failed to properly address documented concerns and incidents regarding a resident's physical decline and wound care needs.

Facility failed to protect residents from recurring altercations, failed to investigate incidents, and failed to update service plans to address aggressive behaviors.

Facility failed to update the Negotiated Service Agreement for residents following significant changes in health or status.

Facility failed to attempt reasonable accommodations to avoid discharge, failed to issue written discharge notice to resident/representative, and failed to provide sufficient preparation for discharge.

Facility failed to update the negotiated service agreement (NSA) for a resident within a reasonable time following significant changes in physical condition, including fall history, mobility assistance needs, and worsening leg edema/wounds.