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Highland House Rehabilitation and Healthcare Inspection Report, Violations & Safety Grade (Fayetteville, North Carolina)

1700 Pamalee Drive, Fayetteville, North Carolina 28301

Phone: 9104882295

CMS Overall:2/5

Overview & Bed Count

Certified Beds
106
Avg Residents/Day
94.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Cumberland
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health3/5
Staffing1/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day0.360.62-0.27
Total Nurse Hours per Resident per Day3.373.87-0.50
CMS Staffing Rating1/52.7/5-
Nursing Staff Turnover64.7%48.7%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2026-03-13Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2026-03-13Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2026-03-13Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-03-13Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.D – Moderate Harm Potential
2026-03-13Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2026-03-13Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-12-19Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2024-12-19Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D – Moderate Harm Potential
2024-12-19Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-12-19Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2024-12-19Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-12-19Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.B – Minimal Harm Potential

Fire Safety Citation History

18 fire safety citations on record

DateCategoryDescriptionSeverity
2024-12-19Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2024-12-19Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-12-19Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2024-12-19Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-12-19Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2024-12-19Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.D – Moderate Harm Potential
2024-12-19Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2023-10-25Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2023-10-25Gas, Vacuum, and Electrical Systems DeficienciesHave proper power supply for life support equipment.F – Moderate Harm Potential
2023-10-25Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2022-06-24Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2022-06-24Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2022-06-24Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2022-06-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2022-06-24Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2022-06-24Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2022-06-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2022-06-24Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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