Highland Square Nursing and Rehabilitation
1211 W Market St · Akron, OH · 44313 · 3308678530
91 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $311,441 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$311,441 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 5 · $403,048 |
Inspection citations (57 in the current record)
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Immediate jeopardy · J September 18, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · D August 20, 2025 · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · D August 20, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 19, 2025 · Infection Control
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Potential for harm · F August 20, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 19, 2025 · Environmental
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Immediate jeopardy · J May 21, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected March 17, 2025 · Quality of Life and Care
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Potential for harm · E April 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 24, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 14, 2025 · Quality of Life and Care
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Potential for harm · F February 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 14, 2025 · Nutrition and Dietary
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Potential for harm · D October 1, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 10, 2024 · Quality of Life and Care
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Potential for harm · D October 1, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected October 10, 2024 · Quality of Life and Care
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Potential for harm · D July 25, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 19, 2024 · Quality of Life and Care
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Potential for harm · F July 25, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 19, 2024 · Nutrition and Dietary
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Potential for harm · F July 25, 2024 · found via complaint
Have policies on smoking.
Corrected August 19, 2024 · Environmental
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Potential for harm · D June 27, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 19, 2024 · Quality of Life and Care
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Immediate jeopardy · J May 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · E February 27, 2024 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 18, 2024 · Resident Rights
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Potential for harm · D February 27, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 18, 2024 · Quality of Life and Care
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Immediate jeopardy · J February 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · D February 21, 2024 · found via complaint
Honor the resident's right to choose his or her attending physician.
Corrected March 18, 2024 · Resident Rights
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Potential for harm · D February 21, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected March 18, 2024 · Resident Rights
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Potential for harm · D February 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 21, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 21, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 18, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 20, 2025 | Fine | $295,045 |
| April 9, 2025 | Fine | $16,396 |
| May 24, 2024 | Fine | $16,801 |
| January 18, 2024 | Fine | $11,023 |
| January 18, 2024 | Fine | $63,783 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365316 · certified since December 6, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.