Highland Care Center received 31 citations for violations of public health laws between 2015 and 2019, according to New York State Department of Health records accessed on January 10, 2020. The Jamaica nursing home’s citations resulted from a total of three surveys by state inspectors. The deficiencies they describe include the following:
1. The nursing home did not provide adequate (bedsore) pressure ulcer care. Section 483.25 of the Federal Code requires nursing homes to ensure that residents receive “care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual’s clinical condition demonstrates that they were unavoidable.” A May 2019 citation found that Highland Care Center did not ensure a resident with a pressure ulcer received adequate care. An inspector specifically found that the resident’s pressure-relieving device for their foot/leg ulcer was “missing” and “not in place.” A Certified Nursing Aide stated in an interview that the resident’s heel booties had been sent to the laundry and should have been returned the following day, but when she checked the laundry they weren’t there; “she did not report this to her nurse,” the citation states. A plan of correction undertaken by the facility included nursing staff in-service education and the provision of new heel booties to the resident.