Highlands Senior Living

The facility failed to develop and post a monthly calendar of planned group activities. During the survey, no activities calendar for May 2024 was available for residents to reference.

The facility failed to provide the required 14 hours of planned group activities per week. Observations and interviews revealed a lack of routine activities, with residents relying on personal devices or requesting supplies individually to stay occupied.

The facility failed to ensure a monthly calendar of planned group activities was developed and posted in a visible location. Observations and resident interviews confirmed that no activities calendar for May 2024 was posted or available for resident reference.

The facility failed to meet the physical plant requirements as specified under the North Carolina Administrative Code. The provided text indicates the rule was not met, though the specific nature of the physical plant non-compliance is truncated in the provided document.

The facility failed to ensure a minimum of 14 hours of a variety of planned group activities were provided each week. Observations and reviews of the activity calendar indicated the required variety and duration of activities were not met.

The facility failed to ensure that one of three sampled staff members had a completed criminal background check in their personnel file prior to working. Specifically, a cook was found to have no personnel record and had not signed a consent for a background check.

The facility failed to ensure that three out of five sampled staff members (the Operations Manager, Staff D, and Staff E) had completed a criminal background check prior to working in the facility. Additionally, there was no signed consent for background checks or documentation of completed results in their personnel records.

The facility failed to maintain the building to provide services for its licensed capacity of 44 residents because a non-resident staff member was occupying a resident room as personal living space. This was confirmed through resident interviews and administrator statements.

The facility failed to ensure that all staff members had completed a criminal background check prior to working in the facility. A review of sampled records revealed that 3 out of 5 sampled staff members, including the Operations Manager, did not have completed background check results available in their personnel files.

The facility failed to maintain the building to provide services for its licensed capacity of 44 residents because a non-resident staff member was occupying a resident room as personal living space. Interviews confirmed the staff member lived in a vacant room and the Administrator was unaware of the requirement to notify DHSR regarding non-residents living on-site.

The facility failed to maintain current menus in the kitchen to guide food service staff. Observations revealed an outdated menu from 2009-2010 was being used, which lacked portion sizes and recipes. Additionally, the facility lacked a specific diabetic menu, instead serving modified portions of the regular menu to residents on diabetic diets.

The facility failed to maintain current menus in the kitchen to guide food service staff. Observations revealed the kitchen was using an outdated menu from 2009-2010, which lacked portion sizes and recipes, leading to inconsistent meal preparation and resident dissatisfaction.

The facility failed to ensure medications were administered according to physician orders. Specifically, for one sampled resident, errors were identified regarding the administration of insulin used to treat elevated blood sugar levels.