Harbor Haven Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Harbor Haven Health & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF609Mar 1, 2023

  Based on record review and staff interview, the facility did not ensure all alleged violations involving resident-to- resident altercations were reported timely to the State Agency (SA) and/or reported timely to the facility's administration for 4 Residents (R) (R5, R4, R1 and R2) of 6 sampled residents. The facility's administration was informed of a resident-to-resident altercation between R4 and R3 on 2/11/23. During the investigation, the facility was alerted to a previous resident-to-resident altercation between R4 and R5 on 2/11/23. Staff did not report the interaction between R4 and R5 to the facility's administration timely. […]

• No harm, potential for more than minimal, isolatedF880Jun 30, 2026

  Based on observation, interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the development and transmission of communicable disease and infection for 1 resident (R) (R7) of 2 sampled residents. R7 was on enhanced barrier precautions (EBP) for a left heel pressure injury. Staff did not appropriately change gloves and cleanse hands during wound care. Findings include: The facility's Isolation Precautions policy, revised 3/2025, indicates: .Guidelines for Standard Precautions: .B. Gloves: Wear gloves (clean, nonsterile gloves are adequate) when touching blood, body fluids, non-intact skin, mucous membranes, and contaminated items. […]

• No harm, potential for more than minimal, isolatedF558Feb 21, 2024

  Based on observation, resident and staff interview, and record review, the facility did not ensure call lights were within reach for 1 Resident (R) (R24) of 20 sampled residents. On 2/19/24, Surveyor observed R24's call light on the wall behind an armoire. The call light contained a call button, but not a cord. The call light was not within reach or easily accessible to R24. Findings include: The facility's Resident Call Light policy, dated 6/16/97, indicates: Every resident shall have a functioning call light accessible to them at all times while on bedrest, therefore, allowing the resident to call for assistance from nursing staff as needed (as they are cognitively and physically able) .8. Position call light so as to make it accessible to resident. […]

• No harm, potential for more than minimal, isolatedF697Feb 21, 2024

  Based on staff and resident interview, and record review, the facility did not ensure effective pain management was provided for 1 Resident (R) (R218) of 20 sampled residents. R218 was not provided effective pain management from 12/21/23 through 12/26/23. Findings include: The facility's Pain Management policy, dated 11/30/216, contained the following information: Pain is whatever the experiencing person says it is, existing whenever he/she says it does .4. Complete an assessment of the pain and document the assessment in ECS (electronic medical charting system) when any of the following conditions are present: a. Pain rating of 4 or greater (moderate and above); b. Continues unchanged for 48 hours; c. Daily pain is reported for 7 days. […]