Highland Square Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 49 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (9 vs median 8.0)
- High staff turnover (57%)
Bottom 25% in OH · Below recommended RN staffing · $107,756 in fines · Abuse citation
What this means for your family
While some recent reviews suggest improvements in cleanliness and staff friendliness, the facility has a long-standing history of communication failures and serious care concerns. We strongly advise visiting in person unannounced and speaking directly with current residents' families before making a decision, as the facility's responsiveness to family inquiries remains a major point of contention.
Google Reviews
Google Reviews
49 reviews on Google“Highland Square Nursing and Rehabilitation receives highly polarized feedback, with significant concerns regarding basic care standards, communication, and facility management. While some reviewers praise individual staff members for being attentive and kind, many others report serious issues including neglect, poor hygiene, and difficulty reaching the facility by phone. Families should be aware of consistent reports regarding administrative disorganization and inadequate patient care protocols.”
Quality Themes
Tap a score for detailsStrengths
- Individual staff members noted as attentive and kind
- Positive experiences with specific nursing and rehab personnel
- Cleanliness improvements noted in recent reviews
Concerns
- Consistently unresponsive to phone calls (mentioned by 9 reviewers)
- Neglect and poor hygiene (bed sores, uncleaned rooms, soiled residents) (mentioned by 5 reviewers)
- Inadequate or poor quality food (mentioned by 4 reviewers)
- Administrative disorganization and lack of record-keeping (mentioned by 4 reviewers)
- Rude or unprofessional staff attitudes (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 76 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I've noticed some wonderful mentions of specific nurses and rehab staff being very kind; how do you ensure that level of personal care is consistent across all shifts?
- 2With the recent improvements in cleanliness noted by some visitors, what specific steps is the facility taking to maintain high standards of hygiene for all residents?
- 3How does the facility manage medication administration and record-keeping to ensure nothing is ever missed?
- 4What is the process for communicating important updates or changes in a resident's condition to family members, especially if we can't reach the office by phone?
- 5Could you tell me more about the dining experience and how the menu is planned to ensure nutritious and high-quality meals?
- 6What does a typical day of social activities and engagement look like for the residents here?
Personalized based on this facility's data
Key Review Excerpts
“My mother has been a resident here for several years. She is receiving thoughtful and personal care. The staff each have their own relationships with her and know her individually.”
“My mother, an admittedly combative dementia patient, has had 2 stays here for, so far, a total of 47 days... In that total time frame, my weakened mother has fallen a MINIMUM of 6 times, receiving injuries in 3 of those falls.”
“The nursing staff there was very abusive to my aunt with MS. We had to pull her out of there immediately and take her home!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with frequent family complaints triggering inspections, particularly around safety issues, resident abuse protection, and care quality. The most recurring problems involve accident prevention and safety hazards (appearing repeatedly across multiple complaint investigations), food safety and handling, and protection from abuse and neglect. While most deficiencies are eventually corrected, the high volume of 35 complaint-triggered inspections out of 83 total deficiencies suggests ongoing issues prompting families to file reports with authorities.
Sep 18, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Aug 20, 2025Complaint4
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 21, 2025Complaint1
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Apr 9, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 24, 2025Routine10
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 1, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Federal Penalties
Fine
Aug 20, 2025
$295,045
Fine
Apr 9, 2025
$16,396
Fine
May 24, 2024
$16,801
Fine
Jan 18, 2024
$11,023
Fine
Jan 18, 2024
$63,783
Ownership & Operations
Who Operates This Facility
Highland Square Nursing and Rehabilitation
for profit
Ownership & Management
Owners
Katz, Larry
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
49 reviews from families & visitors
Official Website
Visit highlandsquarerehabhc.com
Medicare data downloads
Original nursing home datasets
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