Highland Square Nursing And Rehabilitation
HIGHLAND SQUARE NURSING AND REHABILITATION in AKRON, OH — inspection on August 20, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of facility provided list of residents receiving wound care revealed Resident #49 was receiving wound care for an open area on his left shin.
A review of the care plan for Resident #49 revealed no evidence of any impaired skin integrity or treatment to the resident's left shin.
A review of wound care notes from the visiting wound care service dated 07/31/25 revealed Resident #49 had an open area on his left shin.
The wound service noted the open area was a reopening of a surgical wound from surgical repair of their left tibia fracture.
The wound service recommended daily cleansing of wound, apply mesalt, and cover with a super absorbent dressing.
An observation on 08/20/25 at 9:13 A.M. for Resident #49's wound care with Wound Nurse (WN) #315 revealed the nurse cleansed the wound with normal saline, place mesalt on the wound and covered it with a super absorbent pad.
After the wound care was performed, it was verified there was no order in the medical record for Resident #49 to receive wound care.
An interview on 08/20/25 at 3:15 P.M. with WN #315 verified the order for wound care was not in the medical record and was not addressed in Resident #49's comprehensive care plan. WN #315 shared she knew what the visiting wound services wanted for a treatment to the resident's shin because she rounded with them weekly, received the wound care notes and put the orders into the medical record.
Further interview with WN #315 shared they missed putting the order for wound care into the system.
This deficiency represents non-compliance investigated under Master Complaint Number 2579281 and Complaint Number 2575188.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Highland Square Nursing and Rehabilitation
1211 W Market St Akron, OH 44313
SUMMARY STATEMENT OF DEFICIENCIES
Based on closed record review and interview the facility failed to ensure adequate follow-up regarding optometry services.
This affected one resident (#65) of three residents reviewed for ancillary services.
The facility census was 64.Findings include:
Review of the closed medical record for Resident #65 revealed an admission date of 02/20/25 and a discharge date of 07/14/25.
Diagnoses included congestive heart failure (CHF), ischemic cardiomyopathy, atherosclerotic heart disease, history of sudden cardiac arrest, and presence of coronary angioplasty implant and graft.Further review of Resident #65's medical record including care plan revealed no documentation related to vision or optometry services.Interview on 08/20/25 at 11:05 A.M. with Social Services Director (SSD) #369 verified Resident #65 received glasses from the facility's contracted optometry service. SSD #369 stated she personally gave Resident #65 his glasses and initially he had no concerns. SSD #369 stated sometime later she was informed by Resident #65's family that he was unable to see out of the glasses. SSD #369 stated she contacted the contracted optometry service to add the resident to the list to be seen at the next visit. SSD #369 stated she did not follow-up with the resident and was unsure if he was seen by the contracted optometry services the next time they were in the facility. SSD #369 stated she had not documented anything related to Resident #369's glasses in his medical record. SSD #369 also stated she had not received any of the visit reports from the contacted optometry service since she started working at the facility at the end of March 2025.
This deficiency represents non-compliance investigated under Complaint Number 2575188.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Highland Square Nursing and Rehabilitation
1211 W Market St Akron, OH 44313
SUMMARY STATEMENT OF DEFICIENCIES
Review of facility policy titled Enhance Barrier Precaution (EBP) Policy and Procedure dated 04/01/14 revealed gown and gloves were required during high-contact resident care activities such as dressing, bathing/showering, transferring, changing linens, changing briefs or assisting with toileting, and wound care.
The purpose of EBP is to minimize the spread of multidrug resistant organisms (MDRO) and are implemented for residents with wounds, indwelling medical devices regardless of MDROReview of facility policy titled Perineal Care last revised 10/10 revealed after cleansing the rectal area and disposing of disposable items, the caregiver is to remove their gloves and perform hand hygiene before repositioning bed linens. No instructions were given related to what to do with soiled linen and briefs once removed from the bed and resident.
This deficiency is an incidental finding discovered during the complaint investigation.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Highland Square Nursing and Rehabilitation
1211 W Market St Akron, OH 44313
SUMMARY STATEMENT OF DEFICIENCIES
Based on observations, interview, and review of the facility policy, the facility failed to provide a clean, sanitary and well maintained environment.
This affected eight residents (Resident #7, #27, #36, #37, #39, #44, #46 and #63) but had the potential to affect all residents.
The facility census was 64.Findings include: 1.Observation on 08/19/25 at 10:00 A.M. of Resident #36's ceiling revealed a half basketball sized bubble of plaster/paint that was broken open in the center. At this time Assistant Director of Nursing (ADON) #336 verified the observation but stated she was not sure how long it had been there as she was rarely on this unit.2.
Tour of the facility on 08/19/25 between 10:12 A.M. until approximately 10:30 A.M. with the Administrator revealed the following observations:a. On the first floor the carpet was moderately soiled throughout.
Dried pink and yellow paint was observed on the bottom part of Resident #39's door, a large pink stain on the floor near Resident #37's room and peeling wallpaper near Resident #48's room.b.
Observation of Resident #36's ceiling revealed the half basketball sized bubble was no longer present but a ring of plaster/paint remained.
The Administrator stated he broke the bulging piece from the ceiling.
Also noted in Resident #36's room was peeling wallpaper to the left of the air conditioning unit and to the right, lower part of the wall was torn wallpaper and crumbled pieces of wall.c.
Observation of Resident #44's room revealed multiple, large brown water stains and peeling paint on the ceiling in the right corner near the window.
The base board behind the bed was bulging from the wall and the wallpaper behind the bed was ripped.d.
Observation of the inside of the elevator on the right side was multiple long scratches in the walls and the floor of the elevator was dirty with multiple areas of missing flooring.
The elevator on the left side also had multiple long scratches in the wall.
The grooves in the silver entryway to both elevators were heavily soiled .e.
Observation of the third floor exiting from the elevator on the left were heavy, black marks that lead from the elevator through the walk through by the nurses' station.
There were several markings on the floor causing the floor to have soiled appearance.
Theses marking also led into Resident #63's room.
The wall of the walk through near the nurses' station was heavily scuffed with dark markings.f.
Observation of the second floor revealed the wallpaper near Resident #42's room was pulling off the wall at the seams and there was a baseball size patched hole with a tear in it.
The wall of the walk through near the nurses' station was heavily scuffed, scratched and dirty.Interview on 08/19/25 with the Administrator verified all the above findings at the time of the tour. 3.
Observation on 08/19/25 at 12:31 P.M. of Resident #7's room revealed the base board behind his bed was barely hanging onto the wall.
The wall behind the base board was crumbling with multiple holes and foam exposed.
Interview on 08/19/25 at 12:39 P.M. with the Administrator verified the wall in Resident #7's room.4.
Observation on 08/20/25 at 9:09 A.M. in Resident #27 and #46's room revealed a baseball sized hole in the bottom portion of the wall near the base board where the tv and tv stand were located.Interview on 08/20/25 at 9:15 A.M. with Certified Nursing Assistant (CNA) #303 verified the baseball sized hole in the wall of Resident #27 and #46 's room.
Review of the policy Cleaning and Disinfection of Environmental Surfaces, revised June 2009 revealed housekeeping surfaces (e.g., floors, tabletops) will be cleaned on a regular basis, when spills occur, and when these surfaces are visibly soiled.
Walls, blinds, and window curtains in resident areas will be cleaned when these surfaces are visibly contaminated or soiled.This deficiency represents non-compliance investigated under Master Complaint Number 2579281 and Complaint Number 2575188.
Facility ID: