Harbert Hills Academy N H

In the surveyor’s words

From the most serious findings on record at Harbert Hills Academy N H, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jul 29, 2021

  Based on the Centers for Disease Control and Prevention (CDC) guidelines, policy review, COVID-19 Daily Employees Screening Logs, staffing schedules, and interview, the facility failed to follow CDC Infection Control guidelines to ensure all staff who enter the facility completed the screening process for the prevention or spread COVID-19 when 5 of 107 staff members (Certified Nursing Assistant (CNA) #4 and #5, Dietary Staff #1 and #2, and Laundry Staff #1) failed to complete screenings for COVID 19 prior to working for 8 of 14 days (7/11/2021, 7/12/2021, 7/16/2021, 7/17/2021, 7/18/2021, 7/19/2021, 7/21/2021, and 7/23/2021) reviewed. […]

• No harm, potential for more than minimal, patternF644Oct 11, 2023

  Based on the policy review, medical record review, and interview, the facility failed to resubmit a PASRR [Preadmission Screening and Resident Review] after the resident had the addition of a new antipsychotic medication and a new mental health diagnosis for 4 of 5 sampled residents (Resident #5, #13, #18, and #34) reviewed for PASRR. The findings include: 1. Review of the facility's policy titled, CARE PLAN POLICY AND PROCEDURE, dated 7/26/2021, revealed .Any specialized services or specialized rehabilitative services the nursing facility will provide as a result of PASARR recommendations. If a facility disagrees with the findings of the PASARR [Preadmission Screening and Resident Review], it must indicate its rationale in the resident's medical record . 2. […]

• No harm, potential for more than minimal, patternF880Oct 11, 2023

  Based on policy review, observation, and interview the facility failed to ensure infection control practices to prevent the spread of infection when 3 of 3 nurses (Licensed Practical Nurses (LPN) #1, LPN #3, and LPN #4) failed to perform hand hygiene and to clean equipment during medication administration. The findings include: 1. Review of the facility undated policy titled, Handwashing Policy, revealed .all employees are required to wash hands before and after any direct resident care as follows .Washes all surfaces of hands and wrist with liquid soap for at least 20 seconds .Dries hands on clean paper towel .Turn off faucet with a second .clean dry paper towel . […]

• No harm, potential for more than minimal, patternF812Jul 29, 2021

  Based on policy review, observation and interview, the facility failed to ensure food was distributed and served in a sanitary manner when 4 of 15 staff members (Nursing Assistant (NA) #1, (NA) #2, Certified Nursing Assistant (CNA) #2, and the Activity Director) did not perform hand hygiene between serving residents and after touching contaminated surfaces and touched residents' food with their bare hands. The findings include: Review of the facility's undated policy titled, INFECTION CONTROL PRACTICES DURING RESIDENT DINING, revealed .employees must wash hands with soap and water before touching a resident's tray. […]

• No harm, potential for more than minimal, isolatedF761Mar 11, 2026

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored for 1 of 3 (Resident # 47) residents. The findings include: Review of the facility policy titled, Medication Storage Policy and Procedure, dated 7/15/2025, revealed .It is the policy and procedure of [NAME] Hills Academy Nursing Home to keep medications stored on medication carts which are locked and kept behind the nurse's desk when not in use. Review of the medical record revealed Resident #47 was admitted to the facility on [DATE], with diagnoses including Secondary Parkinsonism, Paranoid Schizophrenia, Vascular Dementia, Major Depressive Disorder, Alzheimer's Disease, and Delusional Disorders. […]