Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at High Shoals Health And Rehabilitation during CMS and state inspections, most recent first.
A resident with COPD, Alzheimer's disease, and dementia had an active order for PRN albuterol nebulizer treatments, but the nebulizer mask was observed uncovered and unbagged on the bedside dresser and remained exposed to the environment on a later observation. An LPN stated nebulizer masks and tubing should be stored in a protective bag when not in use, and the DON confirmed that expectation while noting the facility did not have a specific policy for nebulizer mask storage.
Failure to use required PPE during Foley catheter care. A resident with a chronic indwelling Foley catheter and EBP care plan was observed during catheter flushing, and an LPN wore gloves only without a gown while leaning over and making contact with the resident. The LPN acknowledged a gown should have been worn, and the IP stated staff were expected to use appropriate PPE for residents with wounds and indwelling urinary catheters.
The facility failed to document a missed dose of enoxaparin for a resident and did not follow prescribed blood pressure parameters for administering lisinopril to another resident. The enoxaparin dose was missed due to a lapse in documentation by an LPN, despite the medication being available. The lisinopril was administered despite incorrect transcription of the physician's order, leading to administration outside the specified blood pressure parameters.
The facility failed to cover clean laundry during transport in one of the halls, potentially increasing infection risk. An uncovered clean clothes rack was observed in the hallway, and staff transported clothes without covering them. The Environmental Supervisor and Laundry Aide confirmed this practice, although the Administrator expected laundry to be covered during transport, aligning with the facility's standard practice.
Nebulizer Mask Left Uncovered at Bedside
Penalty
Summary
Respiratory equipment for R20 was not maintained in a clean and sanitary manner. R20 was admitted with diagnoses including COPD, Alzheimer's disease, and dementia with agitation, and the care plan identified respiratory difficulties/risk for further decline related to COPD. The resident had an active order for Albuterol Sulfate 2.5 mg/3 mL nebulizer solution to be given four times daily as needed for shortness of breath or wheezing. During observation, R20 was seen lying in bed with a nebulizer mask resting uncovered and unbagged on the dresser in the resident's bedside area. A later observation showed the nebulizer mask remained uncovered and exposed to the environment. An LPN stated that nebulizer masks and tubing should be stored in a blue protective bag when not in use to maintain cleanliness and prevent contamination. The DON confirmed that nebulizer masks should be stored in a protective bag or other protective covering when not in use and stated that the facility did not have a specific policy regarding the storage of nebulizer masks.
Failure to Use Required PPE During Foley Catheter Care
Penalty
Summary
The facility failed to follow Enhanced Barrier Precautions during Foley catheter care for one resident on EBP. The resident had obstructive uropathy, bladder neck obstruction, and a chronic indwelling Foley catheter. The quarterly MDS showed a BIMS score of 15, indicating intact cognition, and identified the indwelling urinary catheter and obstructive uropathy. Physician orders included Foley catheter drainage, routine assessment of catheter function and abdominal distention, catheter replacement every 30 days and as needed, and scheduled flushing with normal saline. The care plan for the resident included monitoring for urinary tract infection, catheter care and changes as ordered, observing for signs of infection, and utilizing EBP. During an observation of a Foley catheter flush, an LPN did not don a gown and used gloves only while performing the procedure. The LPN leaned forward over the resident's bed and made contact with the resident without wearing a gown. During interview, the LPN acknowledged that a gown should have been worn because of the close contact during the procedure. The Infection Preventionist stated that staff were expected to use appropriate PPE to protect residents with wounds and indwelling urinary catheters while care was provided.
Medication Administration and Documentation Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards of nursing practice for two residents. For one resident, the facility did not document an explanation for a missed dose of enoxaparin, a blood thinner used to prevent and treat blood clots. The resident had been admitted with conditions including a right femoral fracture and a compression fracture of the lumbar vertebra. The medication was not administered on one occasion, and the LPN responsible did not document the reason for the missed dose, although she informed the incoming nurse. The facility's records showed that the medication was available, as confirmed by the pharmacy, indicating a lapse in medication administration and documentation. For another resident, the facility failed to follow prescribed blood pressure parameters for administering lisinopril, an antihypertensive medication. The resident had multiple diagnoses, including prostate cancer with metastasis and heart failure. The physician's order specified holding the medication if the systolic blood pressure was less than 110 or the diastolic was greater than 65. However, the medication was administered on several occasions when the resident's blood pressure readings were outside these parameters. The error was attributed to incorrect transcription of the physician's order, which was later identified by a CMA during medication administration.
Failure to Cover Clean Laundry During Transport
Penalty
Summary
The facility failed to cover clean laundry when transporting it in one of the five halls, which could potentially increase the risk of infection transmission. During an observation, an unattended, uncovered clean clothes rack was seen in the hallway. Two staff members were observed transporting the hanging clothes from the cart to the resident rooms without covering them. The Environmental Supervisor (ES) stated that they have never covered the hanging clean laundry in the hallways, although they do cover it with a sheet when transporting it from the laundry room to the main building. The Laundry Aide confirmed this practice, stating that the sheet is removed once inside the facility. The Administrator, however, expected clean laundry carts to be covered both when transporting between buildings and within hallways, confirming that covering clean linen during transportation was the facility's standard practice.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bishop
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| University Nursing & Rehab Center | 7.7 mi | ★★★★★ | 11 | 0 |
| Presbyterian Village - Athens | 8.3 mi | ★★★★★ | 1 | 0 |
| Pruitthealth - Athens Heritage | 9.7 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Grandview | 10.6 mi | ★★★★★ | 4 | 0 |
| Oaks - Athens Skilled Nursing, The | 11.2 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.