HIGHLANDS CASHIERS HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at Highlands Cashiers Hospital. 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

HIGHLANDS CASHIERS HOSPITAL
190 HOSPITAL DR
HIGHLANDS, NC 28741
(828) 526-1315

Nursing Home Ratings

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

Percent of Beds Occupied

87%

Number of Residents and Certified Beds

  • Residents: 73
  • Certified Beds: 84

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Franklin | Sylva | Brevard

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 "Very 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 Highlands Cashiers Hospital. 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

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1027.0%
ADL Index Range: 0-526.1%
Total Percent:53.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1019.1%
ADL Index Range: 0-56.1%
Total Percent:25.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-1013.9%
Total Percent:13.9%
 

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: 6-10
- No Signs of depression
7.8%
Total Percent:7.8%
 

Rating Details For Highlands Cashiers Hospital

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) Hours33 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours44 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 23 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 17 Minutes1 Hour and 38 Minutes
Total Nurse Hours3 Hours and 41 Minutes4 Hours and 3 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 Vaccination90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight11%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain9%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder73%60%
Percent of Long-Stay Residents Who Were Physically Restrained7%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious22%15%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased19%20%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%17%
Percent of Short-Stay Residents Who Have Pressure Sores20%11%

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 10/27/2010.

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

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/20/2008
  • Correction Date: 09/17/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/20/2008
  • Correction Date: 09/17/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/21/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/24/2010
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: 10/27/2010
  • Correction Date: 11/24/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/20/2008
  • Correction Date: 09/17/2008
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/24/2010

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: 08/20/2008
  • Correction Date: 09/17/2008
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: 09/03/2009
  • Correction Date: 10/21/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 09/03/2009
  • Correction Date: 11/13/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 08/20/2008
  • Correction Date: 09/17/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/21/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/21/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/24/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/24/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/24/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 08/20/2008
  • Correction Date: 09/05/2008
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure.
  • Inspection Date: 08/20/2008
  • Correction Date: 08/20/2008
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/24/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)09/10/2008$7,020

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 Highlands Cashiers Hospital 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 12/15/2010.

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

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 12/15/2010
  • Correction Date: 01/29/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/20/2008

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/20/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 12/15/2010
  • Correction Date: 01/29/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/12/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/20/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/20/2008
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011