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Health Inspection

Highland House Nursing & Rehabilitation Center

June 14, 2024 · Grants Pass, OR · 2201 Nw Highland Avenue
Citations 2
CMS Rating 1/5
Beds 119
Provider ID 385149
Healthcare Facility
Highland House Nursing & Rehabilitation Center
Grants Pass, OR  ·  View full profile →
Inspection Summary

HIGHLAND HOUSE NURSING & REHABILITATION CENTER in GRANTS PASS, OR — inspection on June 14, 2024.

Found 2 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.

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Inspection Findings

FF689
Minimal harm or Some affected

Review of the resident's record revealed there were no results for a urine sample for the 12/11/23 orders.

On 6/11/24 at 1:37 PM a request was made to Staff 2 (DNS) to provide results from the 12/11/23 physician order UA. No additional information was provided.

385149

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 385149 B.

Wing 06/14/2024

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

Highland House Nursing & Rehabilitation Center 2201 NW Highland Avenue Grants Pass, OR 97526

47001

4. Resident 21 was admitted to the facility on [DATE] with diagnoses including cervical vertebra (neck) fracture.

A 4/5/24 Comprehensive MDS Assessment was signed completed on 4/10/24.

On 6/11/24 at 8:34 AM Resident 21 stated she/he did not recall if she/he had a care conference since admission.

A 6/11/24 medical record review revealed Resident 21 had a care conference on 4/4/24, the day after admission, and no other care conferences were located in the resident's record.

On 6/12/24 Staff 36 (Social Service Director) stated new admissions have care conferences within three days of admission, before discharge, within in 14 days of admission if the resident is staying longer than 20 days and then every 90 days.

On 6/12/24 at 1:49 PM Staff 27 (LPN Unit Manager) stated new admissions have care conferences within three days after admission, as needed and every 90 days.

On 6/14/24 at 11:53 AM Staff 1 (Administrator) acknowledged new admissions need to have a care conference completed within seven days after completing the Comprehensive MDS Assessment.

5. Resident 49 was admitted to the facility on [DATE] with diagnoses including left rib fracture.

A 5/11/24 Comprehensive MDS Assessment was signed completed on 5/21/24.

On 6/10/24 at 1:32 PM Witness 8 (Resident Representative) stated she was unaware if Resident 49 had a care conference since admission.

On 6/12/24 Staff 36 (Social Service Director) stated new admissions have care conferences within three days of admission, before discharge, within in 14 days of admission if the resident is staying longer then 20 days and than every 90 days.

385149

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 385149 B.

Wing 06/14/2024

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

Highland House Nursing & Rehabilitation Center 2201 NW Highland Avenue Grants Pass, OR 97526

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GRANTS PASS, OR, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HIGHLAND HOUSE NURSING & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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