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HIGHLAND SQUARE NURSING AND REHABILITATION

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HIGHLAND SQUARE NURSING AND REHABILITATION is a for profit - corporation facility in AKRON, OH with 91 certified beds and a 2-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $108K.

1211 W MARKET ST, AKRON, OH 44313

Phone: 3308678530

Overall Rating

2/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
365316
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
91
Residents
62
In Hospital
No
County
Summit
Last Inspection
Feb 24, 2025
Abuse citation on record

Staffing Data

RN Hours
0.49 (nat'l avg: 0.68)
LPN Hours
0.94
CNA Hours
2.01
Total Nursing Hours
3.44 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
56.7%
RN Turnover
50.0%

What the CMS Record Reveals About HIGHLAND SQUARE NURSING AND REHABILITATION

HIGHLAND SQUARE NURSING AND REHABILITATION operates 91 certified beds in AKRON, OH with approximately 62 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $108K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.44 total nursing hours per resident day (national average 3.89), with RN coverage at 0.49 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, HIGHLAND SQUARE NURSING AND REHABILITATION falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 56.7%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

J — Isolated - Jeopardy Sep 18, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 19, 2025

F — Widespread - Minimal harm Aug 20, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Sep 19, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 19, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2025

J — Isolated - Jeopardy May 21, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Apr 9, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 24, 2025

F — Widespread - Minimal harm Feb 24, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 14, 2025

D — Isolated - Minimal harm Feb 24, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 14, 2025

D — Isolated - Minimal harm Oct 1, 2024 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Oct 1, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

F — Widespread - Minimal harm Jul 25, 2024 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Aug 19, 2024

F — Widespread - Minimal harm Jul 25, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 19, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 19, 2024

D — Isolated - Minimal harm Jun 27, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 19, 2024

J — Isolated - Jeopardy May 24, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 7, 2024

D — Isolated - Minimal harm Feb 27, 2024 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 27, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 18, 2024

E — Pattern - Minimal harm Feb 27, 2024 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Mar 18, 2024

J — Isolated - Jeopardy Feb 21, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 21, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 21, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 21, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 21, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 21, 2024 Tag: 0555

Honor the resident's right to choose his or her attending physician.

Category: Resident Rights Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Jan 18, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Jan 18, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 18, 2024

J — Isolated - Jeopardy Jan 18, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 9, 2024

D — Isolated - Minimal harm Dec 18, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 28, 2023

D — Isolated - Minimal harm Oct 24, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 13, 2023

D — Isolated - Minimal harm Sep 1, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 19, 2023

D — Isolated - Minimal harm Sep 1, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 19, 2023

D — Isolated - Minimal harm Sep 1, 2023 Tag: 0571

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2023

D — Isolated - Minimal harm Sep 1, 2023 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2023

D — Isolated - Minimal harm Jul 19, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 19, 2023

D — Isolated - Minimal harm Jul 19, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2023

D — Isolated - Minimal harm Mar 21, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2023

E — Pattern - Minimal harm Feb 27, 2023 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Feb 27, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Feb 1, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Feb 1, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Feb 1, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2023

F — Widespread - Minimal harm May 20, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 16, 2022

F — Widespread - Minimal harm May 20, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 16, 2022

D — Isolated - Minimal harm May 20, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 16, 2022

D — Isolated - Minimal harm May 20, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 16, 2022

D — Isolated - Minimal harm May 20, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2022

D — Isolated - Minimal harm May 20, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2022

D — Isolated - Minimal harm May 20, 2022 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2022

D — Isolated - Minimal harm May 20, 2022 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jun 16, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 2.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 56.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 53.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 46.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 1.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 91.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 44.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.4% Yes

Penalty History 4 penalties totaling $108K

Date Type Amount
Apr 9, 2025 Fine $16K
May 24, 2024 Fine $17K
Jan 18, 2024 Fine $11K
Jan 18, 2024 Fine $64K

Frequently Asked Questions

What is the overall CMS rating for HIGHLAND SQUARE NURSING AND REHABILITATION?
HIGHLAND SQUARE NURSING AND REHABILITATION has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at HIGHLAND SQUARE NURSING AND REHABILITATION?
HIGHLAND SQUARE NURSING AND REHABILITATION reports 3.44 total nursing hours per resident day (national average: 3.89). RN hours are 0.49 per resident day (national average: 0.68). Nursing staff turnover is 56.7%.
How many beds does HIGHLAND SQUARE NURSING AND REHABILITATION have?
HIGHLAND SQUARE NURSING AND REHABILITATION has 91 certified beds with approximately 62 residents. The facility is located at 1211 W MARKET ST, AKRON, OH 44313.
Does HIGHLAND SQUARE NURSING AND REHABILITATION have any deficiencies on record?
Yes, HIGHLAND SQUARE NURSING AND REHABILITATION has 50 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has HIGHLAND SQUARE NURSING AND REHABILITATION received any fines or penalties?
Yes, HIGHLAND SQUARE NURSING AND REHABILITATION has received 4 penalties totaling $108K.
Who owns HIGHLAND SQUARE NURSING AND REHABILITATION?
HIGHLAND SQUARE NURSING AND REHABILITATION is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was HIGHLAND SQUARE NURSING AND REHABILITATION last inspected?
The most recent health inspection for HIGHLAND SQUARE NURSING AND REHABILITATION was on Feb 24, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for HIGHLAND SQUARE NURSING AND REHABILITATION?
HIGHLAND SQUARE NURSING AND REHABILITATION is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial