A list of the most recent deficiencies for Harmony Court Rehab and Nursing. 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 | 2023-12-26 | 2024-01-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-12-26 | 2024-01-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-26 | 2024-01-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-26 | 2024-01-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-26 | 2024-01-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-26 | 2024-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-26 | 2024-01-23 | 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 | 2023-12-26 | 2024-01-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-26 | 2024-01-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-26 | 2024-01-23 | N |
| Provide appropriate foot care. | Health | 2023-12-26 | 2024-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-26 | 2024-01-23 | N |
| 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 | 2023-12-26 | 2024-01-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-12-26 | 2024-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-26 | 2024-01-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-26 | 2024-01-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-26 | 2024-01-23 | N |
| Post nurse staffing information every day. | Health | 2023-12-26 | 2024-01-23 | 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 | 2023-12-26 | 2024-01-23 | 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 | 2023-12-26 | 2024-01-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-26 | 2024-01-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-26 | 2024-01-23 | N |
| Provide or obtain dental services for each resident. | Health | 2023-12-26 | 2024-01-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-26 | 2024-01-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-26 | 2024-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-26 | 2024-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-26 | 2024-01-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-26 | 2024-01-23 | N |
| Keep all essential equipment working safely. | Health | 2023-12-26 | 2024-01-23 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-12-26 | 2024-01-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-26 | 2024-01-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-26 | 2024-01-23 | 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 | 2023-12-26 | 2024-01-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-26 | 2024-01-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-26 | 2024-01-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-26 | 2024-01-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-26 | 2024-01-23 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-26 | 2024-01-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-05 | 2024-01-23 | 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 | 2023-12-05 | 2024-01-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-05 | 2024-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-08 | 2023-12-05 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-11 | 2023-09-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-11 | 2023-09-25 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-11 | 2023-09-25 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-11 | 2023-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-24 | 2023-08-11 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-01-05 | 2023-01-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-05 | 2023-01-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-05 | 2023-01-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-16 | 2022-10-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-02 | 2021-12-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-02 | 2021-12-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-02 | 2021-12-17 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-02 | 2021-12-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-06 | 2021-11-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-06 | 2021-11-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-11-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-23 | 2021-05-06 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-04-23 | 2021-05-06 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-27 | 2020-04-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-27 | 2020-04-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-27 | 2020-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-04-22 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-02-27 | 2020-04-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-04-22 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-27 | 2020-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-04-22 | 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 | 2020-02-27 | 2020-04-22 | 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 | 2020-02-27 | 2020-04-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-27 | 2020-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-27 | 2020-04-22 | 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 | 2020-02-28 | 2020-04-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-28 | 2020-04-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2020-02-28 | 2020-04-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-28 | 2020-04-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-02-28 | 2020-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-28 | 2020-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-28 | 2020-04-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-28 | 2020-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-28 | 2020-04-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-28 | 2020-04-22 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-12-19 | 2019-01-18 | 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 | 2018-12-19 | 2019-01-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-19 | 2019-01-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-12-19 | 2019-01-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-19 | 2019-01-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-12-19 | 2019-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-19 | 2019-01-18 | 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 | 2018-12-19 | 2019-01-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-19 | 2019-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-19 | 2019-01-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-19 | 2019-01-18 | 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 | 2018-12-19 | 2019-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-19 | 2019-01-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-12-19 | 2019-01-18 | N |
| Have policies on smoking. | Health | 2018-12-19 | 2019-01-18 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-12-19 | 2019-01-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-19 | 2019-01-18 | 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 | 2018-12-19 | 2019-01-18 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-12-19 | 2019-01-18 | 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 | 2018-12-19 | 2019-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-19 | 2019-01-18 | N |
