Highlands Health and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 70 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.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (7 vs median 5.0)
Below average in TN · Below recommended RN staffing · $305,320 in fines
What this means for your family
The facility has received a high volume of positive reviews recently, particularly regarding the cleanliness and administrative leadership. However, because multiple reviewers have historically reported serious issues with call-light response times and basic hygiene, I strongly recommend that you conduct an unannounced visit during off-hours (evenings or weekends) to observe the actual staffing levels and responsiveness firsthand.
Google Reviews
Google Reviews
70 reviews on Google“Highlands Health and Rehabilitation Center receives highly polarized reviews, with recent feedback highlighting a significant divide between positive experiences with therapy and administrative staff versus recurring reports of neglect and poor communication. While some families praise the facility's cleanliness and the dedication of specific staff members, others describe severe issues including delayed responses to call lights, hygiene concerns, and a lack of transparency regarding patient health status. Families considering this facility should be aware of these inconsistent standards of care.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical therapy department
- Clean and well-maintained facility environment
- Responsive and professional administrative leadership
- Compassionate care from select nursing staff
Concerns
- Slow or non-existent response to call lights and patient needs (mentioned by 7 reviewers)
- Understaffing leading to neglect of basic hygiene and care (mentioned by 6 reviewers)
- Poor communication with family members regarding health status or concerns (mentioned by 5 reviewers)
- Staff rudeness and lack of professionalism (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 68 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the physical therapy department is highly regarded here; how do you integrate those therapy goals into the daily care routine for residents?
- 2With a facility capacity of 180, what specific protocols do you have in place to ensure that call lights are answered promptly and resident needs are addressed in a timely manner?
- 3We value clear communication; what is your standard process for keeping families updated on their loved one's health status and any changes in their care plan?
- 4Given the current staffing levels, how do you ensure that every resident receives consistent assistance with their daily hygiene and personal care needs?
- 5I see that the leadership team is active in responding to feedback; how do you use that input to improve the day-to-day experience and professionalism of the nursing staff?
- 6Could you walk me through your process for managing and documenting medications to ensure accuracy and safety for residents?
Personalized based on this facility's data
Key Review Excerpts
“The 5 stars are for The therapy department and it is PHENOMENAL. I came here not being able to stand due to a stroke that affected my left side. When I say they worked me in the most caring and compassionate way possible.”
“The workers on third shift are very lazy, rude and barely answer your calls when you need them. I had a roommate whom fell in the floor trying to go to the restroom, and they waited so long to come to the room, she crawled in the restroom.”
“My mother has been at Highlands Health and Rehabilitation Center for over a year, and the staff have been wonderful. They’re kind, patient, and truly care about the residents. The facility is always clean, and the activities keep everyone engaged.”
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
5
measures
10
measures
2
measures
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose walking got worse
Residents who lost too much weight
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
Families have filed multiple complaints triggering inspections, with recurring problems in infection control, safety supervision, and resident communication appearing across several years. The facility has struggled with informing families about resident incidents, maintaining accident-free environments, and implementing proper infection prevention programs. While all deficiencies show correction dates, the pattern of repeated issues in core care areas and ongoing complaint activity suggests persistent operational challenges that warrant careful consideration during any visit.
Feb 10, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 14, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 5, 2023Complaint7
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 11, 2022Routine10
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Rights Deficiencies
Honor 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.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Oct 22, 2019Routine16
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Dec 6, 2018Routine7
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Ownership & Operations
Who Operates This Facility
Highlands Health and Rehabilitation Center
for profit
Chain Affiliation
Champion Care
21 facilities nationwide
Chain avg rating: 2.1/5 · Rank 12 of 20
Ownership & Management
Owners
The Bay at Highlands Holdco LLC
Owner · Organization
Bl Capital Group Holdings LLC
Owner (parent company) · Organization
Legacy Snf Opco Holdings LLC
Owner (parent company) · Organization
Legacy Snf Opco Holdings Trust
Owner (parent company) · Organization
Tn2 Opco Holdings LLC
Owner (parent company) · Organization
Ruvel, Menachem
Owner (parent company)
Weinberg, Yisroel
Owner (parent company)
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
70 reviews from families & visitors
Official Website
Visit highlands-healthcenter.com
Medicare data downloads
Original nursing home datasets
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