Highland Court, A Rehabilitation And Resident Care

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

44.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 75.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 28 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 78 beds and averages 56.2 residents a day — about 72% occupied, or roughly 22 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.93 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.59 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.40 hrs/resident/day on weekends vs 4.14 on weekdays — 18% thinner on weekends. RN hours go from 0.93 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · D2025-08-07 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interview, facility document review, and facility policy review, the facility failed to ensure a resident received appropriate treatment and services to prevent Urinary Tract Infections (UTIs) to the extent possible. This failed practice affected one (Resident #34) of one resident, who had multiple UTIs. The findings include: During an observation on 08/04/2025 at 12:21 PM, this surveyor observed a contact isolation sign and isolation supplies at the doorway of Resident #34’s room. During an observation on 08/06/2025 at 11:00 AM, this surveyor observed Certified Nursing Assistant (CNA) #4 assist Resident #34 in the bathroom. CNA #4 stated, I am going to do peri-care (perineal/incontinence care) now. CNA #4 had on a pair of gloves and used tissue paper to wipe Resident #34’s rectal area several times, then wiped Resident #34’s perineal area. When CNA #4 wiped the resident’s rectal area, this surveyor noted a small brown smear on the tissue following the first wipe. CNA #4 proceeded to wipe the perineal area in a circular motion, alternating wiping…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-25 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to treat each Resident with respect and dignity, to promote or enhance their quality of life for 2 Residents (Residents #9 and #19) of 6 Residents who were seated at the dining assistive table in the main dining room. This had the potential to affect 5 residents who require assistance with meals, and who eat in the main dining room. Findings included: A review of an admission Record indicated the facility admitted Resident #9 with diagnoses of Alzheimer's Disease and abnormal weight loss. The discharge Minimum Data Set (MDS), for Resident #9, dated 10/30/2023, revealed a Staff Assessment for Mental Status (SAMS) Cognitive Skills for Daily Decision-Making score of 3, which indicated the resident had severe cognitive impairment. The resident required substantial/maximal assistance with activities of daily living (ADLs). Review of Resident #9 ' s Care Plan, revised 05/11/2022, revealed the Resident has potential for nutritional deficits related to abnormal weight loss, constipation, gastro esophageal reflux disease…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-25 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined the facility failed to ensure resident ' s call devices were in reach for 2 (Residents #14 and #32) of 2 Residents with call devices not in reach. This had the potential to affect 23 residents residing on 300 hall. Findings include: A review of an admission Record indicated the facility admitted Resident #14 with a diagnoses that included a history of falling, Type 2 diabetes mellitus, essential primary hypertension, diastolic congestive heart failure, and pain. A review of the quarterly Minimum Data Set (MDS) dated [DATE], revealed Resident #14 had a Brief Interview for Mental Status (BIMS) score of 06, which indicated the resident had severe cognitive impairment. The resident required assistance with toilet hygiene; required set up assistance only with meals, lower body dressing and footwear; was independent with oral hygiene, personal hygiene, and upper body dressing. Resident uses a manual wheelchair for ambulation. A review of Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-25 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to review and revise the Resident's care plan for 2 Residents (Residents #9 and #25) of 2 residents who was reviewed for care plan compliance. This had the potential to affect 57 residents who currently reside in the facility. The findings included: A review of an admission Record indicated the facility admitted Resident #9 with diagnoses of Alzheimer's Disease and abnormal weight loss. The discharge Minimum Data Set (MDS) for Resident #9, with an Assessment Reference Date (ARD) of 10/30/2023, revealed a Staff Assessment for Mental Status (SAMS) Cognitive Skills for Daily Decision-Making score of 3, which indicated the resident had severe cognitive impairment. The resident required substantial/maximal assistance with activities of daily living (ADLs). A review of Resident #9 Care Plan with a revision date of 03/11/2024 documented the resident has a Urinary Tract Infection (UTI). A review of Resident # ' 9 ' s March 2024 Medication Administration Record documented Resident #9 was receiving Macrobid Oral…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-04-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation and interview, the facility failed to ensure oxygen was consistently administered at the flow rate ordered by the physician, to minimize the potential for hypoxia or other respiratory complications for 1 (Resident #23 ) of 1 sampled residents. The findings are: A review of the facility procedure manual, Lippincott Manual of Nursing Practice, 10th Edition, specified, Administering Oxygen by Nasal Cannula, verify the correct patient. Attach the connecting tube from the nasal cannula to the humidifier outlet. Set the flow rate at the prescribed liters per minute. Determine patient comfort with oxygen use. Flow rates in excess of 4 liters (L) / minute may cause irritation to the nasal and pharyngeal mucosa. A review of an admission Record indicated the facility admitted Resident #23 with a diagnosis of chronic obstructive pulmonary disease. The annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/11/2024, revealed Resident #23 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-25 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure medications that were beyond their expiration date were removed or discarded. The failed practice has the potential to affect 56 residents who receive medication from one medication room. The findings are: On 04/24/24 at 8:59 AM, medications were reviewed in Medication Storage room [ROOM NUMBER] with Registered Nurse (RN) #1. On 04/24/2024 at 9:03 AM, the following were observed in the upper cabinets, located as you first enter the medication storage room, 17- 8 ounce bottles of nutritional drink expired on 12/23. On 04/24/2024 at 9:17 AM, the following were observed, a bottle on the second shelf, to the left of the medication room, a bottle of hydrogen peroxide, expired on 10/23, and a bottle of wound and skin cleanser expired on 4/21. On 04/24/24 at 9:18 AM, RN #1 was asked how often the nurse goes through the Medication Room and check for expired medications and remove them from the shelves. The nurse responded once a month. On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-25 · tag F0806 — failed to honor food preferences — pattern
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observations, and interviews the facility failed to ensure Residents preferences were honored during dining services to promote good nutritional intake for 2 out of 2 (Resident #24 and Resident #30) sample residents. The findings included: A review of the Order Summary revealed Resident #24 had diagnoses of cerebral infarction, type 2 diabetes mellitus, and abnormal weight loss. A review of the Weight Record reveals that Resident #24 weighed 178.3 on 11/03/2023 and weighed 166.3 on 04/01/2024, indicating a 6.73 percent loss in 6 months. A review of Resident #24 ' s care plan revised on 02/27/24 revealed usual performance is weight bearing assist with ADLs due to insomnia, restlessness, and agitation, impaired mobility, and cognitive function, falls, anxiety, stroke, severe dementia. Interventions include Eating: supervision (helper provides verbal cues). On 04/23/24 at 12:33 PM, the Surveyor observed during dining services Resident #24 had three cups to drink for lunch including cola, juice, and water. Surveyor observed on the meal ticket for standing orders…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-04-25 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and policy review, the facility failed to store and prepare foods under sanitary conditions by not properly restraining hair, not using proper hand sanitazation and gloves, not labelling and dating food itmes in the Residents nourishment refrigerators, not discarding expired food items, and staff storing personal cups in the refrigerator. The findings Include: Review of a facility policy titled Handwashing and Glove Usage in Food Service documents that .After touching anything else such as dirty equipment, work surfaces or cloths . On 4/24/24 08:28 AM Administrator stated the facility did not have a policy for Food Storage. On 04/22/24 at 10:35 AM, initial round of kitchen made. Dietary Manager (DM) upon entering kitchen did not have hair net on. After few minutes of being in kitchen, DM placed hair net on at that time. Asked DM Should staff wear hairnets in kitchen at all times? The DM stated yes. The Surveyor asked, What is reason hairnets are to be worn in the kitchen? The DM stated, So that hair doesn't get in the food. On 04/23/24 at 11:15 AM,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-25 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure staff performed proper hand hygiene and used appropriate infection control practices while serving residents in the main dining room for 4 Residents (Resident #9, #16, #24, and #30) of 4 residents observed eating in the dining room. This had the potential to affect 5 residents eating at the assistive table in the main dining room. The findings included: A review of Resident #9's admission record indicated the facility admitted the resident with diagnoses of Alzheimer's Disease and abnormal weight loss. The discharge Minimum Data Set (MDS) for Resident #9 with an Assessment Reference Date (ARD) of 10/30/2023, revealed a Staff Assessment for Mental Status (SAMS) Cognitive Skills for Daily Decision-Making score of 3, which indicated the resident had severe cognitive impairment. The resident required substantial/maximal assistance with activities of daily living (ADLs). Review of Resident #9's care plan, revised 05/11/2022, revealed the Resident had potential for nutritional deficits related to abnormal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-25 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observations and interview the facility failed to ensure a physician's order was followed for a therapeutic diet to promote good nutritional intake for 1 (Resident #19) of 1 sampled residents. The findings include: A review of the facility policy titled Diet, Sanitation, and Menu dated 04/24/2024 specified Physician Ordered Menu. A copy of diets as ordered by the physician will be posted in the kitchen and will correspond to the diet as ordered in the medical record and will be kept current. Diet list will include the Resident/Elder's name, room number, and diet and will be signed by licensed personnel. A review of the Order Summary showed Resident #19 had diagnoses of dementia and major depressive disorder. A review of the Order Summary for the month of April, revealed an order by a physician with a start date of 10/13/2022 is to receive a (increase in calories) diet, with mechanical soft texture, thin consistency, add ice cream to lunch and dinner meals. A review of Resident #19 ' s care plan, revised 02/08/2024, revealed the usual performance for ADLs…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SOUTHERN ADMINISTRATIVE SERVICES — 35 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.5M paid to related parties — landlords or management companies under common ownership — equal to about 67% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR