HIGHLAND HOUSE REHABILITATION AND HEALTHCARE

The information listed below provides an in-depth look into the type and quality of care offered at Highland House Rehabilitation and Healthcare. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HIGHLAND HOUSE REHABILITATION AND HEALTHCARE
1700 PAMALEE DR PO BOX 35881
FAYETTEVILLE, NC 28301
(910) 488-2295

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

79%

Number of Residents and Certified Beds

  • Residents: 84
  • Certified Beds: 106

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Eastover | Raeford | Dunn

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Highland House Rehabilitation and Healthcare. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-163.1%
ADL Index Range: 2-104.2%
Total Percent:7.2%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.7%
Total Percent:1.7%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1629.5%
ADL Index Range: 6-1013.9%
ADL Index Range: 0-515.3%
Total Percent:58.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.4%
ADL Index Range: 6-104.0%
ADL Index Range: 0-54.0%
Total Percent:13.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.6%
ADL Index Range: 0-52.0%
Total Percent:6.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.0%
ADL Index Range: 6-102.9%
ADL Index Range: 0-51.5%
Total Percent:6.5%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
3.8%
Total Percent:3.8%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
1.5%
ADL Index Range: 6-10
- No Signs of depression
0.6%
Total Percent:2.1%
 

Rating Details For Highland House Rehabilitation and Healthcare

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours41 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 15 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 5 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 56 Minutes1 Hour and 47 Minutes
Total Nurse Hours5 Hours and 1 Minutes4 Hours and 13 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for North Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNorth Carolina Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination89%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased30%20%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%15%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%
Percent of Long-Stay Residents Who Lose Too Much Weight17%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection17%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair12%9%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder44%60%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season68%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination43%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores12%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain10%17%
Percent of Short-Stay Residents Who Have Delirium-2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/28/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010
Keep Sound Levels Comfortable.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/28/2011
  • Correction Date: 05/03/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/28/2011
  • Correction Date: 05/03/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/28/2011
  • Correction Date: 05/03/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/11/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Highland House Rehabilitation and Healthcare, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Get Rid of Garbage Properly.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/03/2009
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/14/2010
  • Correction Date: 06/11/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/03/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/03/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/03/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/03/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 09/23/2008
  • Correction Date: 11/20/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/03/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/13/2010
  • Correction Date: 10/01/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/03/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/03/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 09/23/2008
  • Correction Date: 11/20/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Highland House Rehabilitation and Healthcare had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/27/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/25/2010
  • Correction Date: 07/06/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/27/2011
  • Correction Date: 06/15/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/15/2009
  • Correction Date: 07/16/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/15/2009
  • Correction Date: 07/16/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/15/2009
  • Correction Date: 07/16/2009
Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 06/25/2010
  • Correction Date: 07/06/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 05/27/2011
  • Correction Date: 06/15/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 07/15/2009
  • Correction Date: 07/16/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/25/2010
  • Correction Date: 07/06/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/27/2011
  • Correction Date: 06/15/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/25/2010
  • Correction Date: 07/06/2010
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011