Highlands Nursing and Rehabilitation
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-03-23 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-03-23 — IMMEDIATE JEOPARDY (tag F0655, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2020-01-11 — ACTUAL HARM (tag F0657, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2020-01-11 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2020-01-11 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2020-01-11 — ACTUAL HARM (tag F0656, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2020-01-11 — ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
Staffing, from payroll records
Nursing hours / resident / day
2.82
state median 3.15
Weekend staffing gap
−0%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.74
registered nurses only
Contract (agency) staff
5%
share of all nursing hours
Nursing staff turnover
39%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $17,523 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-03-23 | Fine | $6,780 |
| 2024-03-23 | Fine | $10,743 |
| 2024-03-23 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the DAVID MARX chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Nicholasville Nursing and Rehabilitation (Nicholasville, KY) —
- Carter Nursing and Rehabilitation (Grayson, KY) —
- Wurtland Nursing and Rehabilitation (Wurtland, KY) —
- West Liberty Nursing and Rehabilitation (West Liberty, KY) —
- South Shore Nursing and Rehabilitation (South Shore, KY) —
- Greenville Nursing and Rehabilitation (Greenville, KY) —
- Elliott Nursing and Rehabilitation (Sandy Hook, KY) —
- Boyd Nursing and Rehabilitation (Ashland, KY) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-02-28 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-28 | F0606 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-28 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-28 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-28 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-03-23 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2024-03-23 | F0655 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2024-03-23 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-03-23 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-23 | F0919 | Environmental Deficiencies | D | not recorded |
| 2020-01-11 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2020-01-11 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2020-01-11 | F0584 | Resident Rights Deficiencies | F | not recorded |
| 2020-01-11 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2020-01-11 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2020-01-11 | F0656 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2020-01-11 | F0657 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2020-01-11 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2020-01-11 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2020-01-11 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2020-01-11 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2020-01-11 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2020-01-11 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2020-01-11 | F0730 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2020-01-11 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2020-01-11 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2020-01-11 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2020-01-11 | F0880 | Infection Control Deficiencies | E | not recorded |