State inspectors who visited the facility on December 30 confirmed the family's concerns. They found four of ten residents examined had long fingernails that hadn't been properly maintained.
Resident R3, who suffered a stroke and has paralysis on one side of his body, had long fingernails with brown debris underneath. When inspectors asked if he needed his nails cut, he replied "Yeah."
Another resident, R5, who has dementia and muscle weakness, had long and jagged fingernails. She told inspectors "I need them cut but I don't know who cuts them."
Resident R6, who has Parkinson's disease and a hip fracture, also had long fingernails with brown debris underneath. He confirmed to inspectors "Yes, I do" need his nails cut.
The facility's own policy, last reviewed on November 1, requires daily nail cleaning and regular trimming. But the Assistant Director of Nursing confirmed during walking rounds that the facility had failed to provide proper nail care for the four residents.
Basic nail care prevents infections and maintains dignity for residents who cannot perform the task themselves due to physical limitations. The residents affected included people with stroke, dementia, Parkinson's disease, and other conditions that impair their ability to maintain personal hygiene independently.
The inspection occurred following the family complaint filed on December 22, just eight days before inspectors arrived to investigate the concerns about neglected nail care.
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.