Deficiency Records for Harmony Center For Rehabilitation and Healing
Updated as of March 01, 2024
A list of the most recent deficiencies for Harmony Center For Rehabilitation and Healing. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-13 | 2023-06-23 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-13 | 2023-06-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-10 | 2023-01-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-12 | 2023-01-27 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-11-23 | 2023-01-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-23 | 2023-01-27 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-11-23 | 2023-01-27 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-23 | 2023-01-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-23 | 2023-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-23 | 2023-01-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-23 | 2023-01-27 | Y |
| 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. | Health | 2022-11-23 | 2023-01-27 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-08-29 | 2022-10-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-29 | 2022-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-10-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-29 | 2022-10-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-29 | 2022-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-29 | 2022-10-24 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2022-09-30 | 2022-10-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-24 | 2022-10-24 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-04-23 | 2022-05-31 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-04-23 | 2022-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-23 | 2022-05-31 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-17 | 2022-04-11 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-17 | 2022-01-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-17 | 2022-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-17 | 2022-01-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-17 | 2022-01-18 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-12-17 | 2022-01-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-17 | 2022-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-29 | 2021-09-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-25 | 2021-09-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-25 | 2021-09-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-25 | 2021-09-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-25 | 2021-09-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-25 | 2021-09-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-08 | 2021-09-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-02 | 2021-03-26 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-02 | 2021-03-26 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-03-02 | 2021-03-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-02 | 2021-03-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-02 | 2021-03-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-02 | 2021-03-26 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-26 | 2019-12-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-26 | 2019-12-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-26 | 2019-12-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-26 | 2019-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-26 | 2019-12-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-28 | 2019-12-09 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-08-28 | 2019-12-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-28 | 2019-12-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-28 | 2019-12-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-28 | 2019-12-09 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-28 | 2019-12-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-28 | 2019-12-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-08-28 | 2019-12-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-28 | 2019-12-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-28 | 2019-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-28 | 2019-12-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-28 | 2019-12-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-28 | 2019-12-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-28 | 2019-12-09 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-28 | 2019-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-28 | 2019-12-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-08-28 | 2019-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-28 | 2019-12-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-28 | 2019-12-09 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-08-28 | 2019-12-09 | N |
| 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. | Health | 2019-08-28 | 2019-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-28 | 2019-12-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-28 | 2019-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-12-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-28 | 2019-12-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-26 | 2019-12-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-19 | 2018-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-19 | 2018-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-19 | 2018-12-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-19 | 2018-12-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-19 | 2018-12-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-19 | 2018-12-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-19 | 2018-11-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-20 | 2018-11-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-09-20 | 2018-11-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-20 | 2018-11-07 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-09-20 | 2018-11-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-20 | 2018-11-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-20 | 2018-11-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-20 | 2018-11-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-20 | 2018-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-20 | 2018-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-20 | 2018-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-20 | 2018-11-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-09-20 | 2018-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-20 | 2018-11-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-20 | 2018-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-20 | 2018-11-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-20 | 2018-11-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-20 | 2018-11-07 | N |
