Highland Rehabilitation & Health Care Center

According to the Admission Record, the resident had a medical history that included diagnoses of Huntington's disease (a

potential for actual harm cognitive decline, and psychiatric symptoms), gastrostomy status, and anxiety disorder.

progress.

A Nursing Admission/Readmission Data Collection tool, dated 01/30/2025, revealed Resident #386 had the ability to express ideas and wants, had the ability to understand verbal content, did not use a mobility device, and did not require assistance to transfer, walk in room, walk in corridor, or walk on the unit.

According to the tool, the resident's current weight was 77.4 pounds and the resident's level of consciousness was alert and oriented to person, place and time.

The tool indicated the resident did not use restraints, had adequate hearing and vision, and did not exhibit any verbal or physical behaviors in the last 14 days or have a history of harming self or others.

Resident #386's Care Plan included a focus area initiated 01/30/2025 that indicated the resident was a smoker.

Interventions directed staff to keep smoking materials secured and to encourage smoking per facility protocol (initiated 01/30/2025).

An Initial Report dated 01/31/2025 indicated the facility admitted Resident #386 to the facility on [DATE] and informed the resident about the smoking policy.

The report indicated a skin assessment completed on 01/30/2025 noted bruises and scratches to the resident's arms, but that the resident reported to the Administrator that the bruises resulted from being manhandled by staff on 01/31/2025.

The report indicated the resident had displayed agitation when the resident went behind the nurse's station to get a cigarette and required staff redirection.

The report indicated that the resident then went to the smoking patio and tried to take a lit cigarette from another resident, and a certified medication technician (CMT) wrapped their arms around the resident to keep the resident from harming another resident or harming self.

The report revealed that the resident tried to get on the elevator but was redirected.

The report indicated the CMT provided the facility with a written statement and was suspended pending the outcome of the investigation.

On 02/03/2025 at 12:06 PM, Resident #386 was observed ambulating independently on the second floor secure unit, with an unidentified staff member providing one-to-one monitoring.

During an interview at this time, Resident #386 stated that at another facility (prior to admission to this facility), a staff member had manhandled them, causing bruises and scratches on both arms.

During the interview, Resident #386 showed their arms to the surveyor, but no bruises were visible. Resident #386 then stated the incident occurred at the current facility over the weekend.

The surveyor asked Resident #386 to clarify which weekend and what day of the weekend this occurred. Resident #386 stated, The weekend.

The surveyor asked Resident #386 what time the incident occurred, and Resident #386 stated, In the morning. Resident #386 further stated that they were new to the facility, and staff on the third floor grabbed the resident's arms and threw the resident on the bed. Resident #386 stated they did not know the names of the staff.

The resident stated this incident occurred on the third floor and after it occurred, the resident was moved to the second floor.

The resident also stated that they reported the incident to the nurse on the second floor and then told the Administrator, who said the incident would be investigated.

265167

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 265167 B.

Wing 02/08/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Highland Rehabilitation & Health Care Center 904 East 68th Street Kansas City, MO 64131