One resident's family member had already complained on December 22 that "they don't clean or cut his nails. I'm the one that cuts his nails."
When inspectors visited the facility on December 30, they confirmed the family's concerns. Resident R3, who had suffered a stroke and was paralyzed on one side of his body, had long fingernails with brown debris underneath. When asked if he needed his nails cut, he replied "Yeah."
Resident R5, who had dementia and muscle weakness, had long and jagged fingernails. She told inspectors "I need them cut but I don't know who cuts them."
Two other residents also had long fingernails, with one having brown debris underneath. When asked, both said they needed their nails cut.
The facility's own policy, last reviewed in November, required daily cleaning and regular trimming of fingernails. But the Assistant Director of Nursing confirmed during walking rounds with inspectors that the facility had failed to provide nail care for the four residents.
The residents affected included those with serious medical conditions. One had Parkinson's disease and a hip fracture. Another had difficulty swallowing and malnutrition.
Highland Hills Post Acute received a minimal harm citation for failing to ensure residents received assistance with activities of daily living. The violation affected some residents at the facility located on Perry Highway.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Highland Hills Post Acute from 2025-12-30 including all violations, facility responses, and corrective action plans.