Harborview Health Center of Augusta

In the surveyor’s words

From the most serious findings on record at Harborview Health Center of Augusta, in the surveyor’s own words.

• Actual harm, isolatedF697Jun 5, 2025

  Based on observation, interview, record review, and policy review, the facility failed to ensure one of one Resident (R)107 reviewed for pain in the sample of 30 residents had his pain managed by ensuring the fentanyl transdermal patches had been available, his pain had been assessed in a consistent manner, and his physician had been notified of the missed pain management medication. This failure resulted in R107 experiencing pain when repositioned. Findings include: Review of the facility's policy titled, Pain Management dated 3/1/2024 revealed The facility must ensure that pain management is provided to residents who require such services .Manage or prevent pain, consistent with the comprehensive assessment and plan of care, current professional standards of practice, and the… […]

• No harm, potential for more than minimal, widespreadF880Jun 4, 2026

  Based on observations, staff interviews, and review of facility policies titled, Infection Prevention and Control Program, and Laundry, the facility failed to use proper infection control practices in the laundry area, when storing wash basins on two of five halls and during the provision of tracheostomy care for one of three residents (R) (R5) reviewed with tracheostomies. The deficient practice increased the risk of cross contamination, spread of infection, and increased risk of adverse clinical outcomes. Findings include: Review of the facility policy titled, Infection Prevention and Control Program, reviewed dated 02/01/2025, revealed in section 10. Equipment Protocol: a. […]

• No harm, potential for more than minimal, widespreadF812Jun 5, 2025

  Based on observation and interview, the facility failed to ensure all items in the refrigerator, and freezer were sealed, labeled, and dated. These failures had the potential to affect 110 of 112 residents who received their meals from the kitchen at risk of foodborne illnesses. Findings include: During an observation on 6/2/2025 at 8:40 am with the kitchen cook (Cook 1) revealed the following observations: Located in the kitchen were four large plastic containers with lids that each contained breadcrumbs, thickener, flour, and sugar. The containers were not labeled and dated. The Walk-In Refrigerator contained metal containers of watermelon, ketchup, and cucumbers. These items were outdated and dated 5/27/2025. […]

• No harm, potential for more than minimal, patternF584Jun 4, 2026

  Based on observations, staff interviews and review of facility policy titled, Preventative maintenance program, the facility failed to ensure residents were provided with a safe, clean, and comfortable environment, as evidenced by unclean Packaged Terminal Air Conditioner (PTAC) unit filters in three of nine rooms on 300 Hall (rooms [ROOM NUMBER]), two of 16 rooms on 400 Hall ( rooms [ROOM NUMBERS] ), and one of 16 rooms on the 500 hall (room [ROOM NUMBER]). This deficient practice had the potential to expose residents to poor air quality and contaminants throughout the environment. Findings Include: Review of facility policy titled, Preventive Maintenance Program. revealed 1. […]

• No harm, potential for more than minimal, patternF755Jun 5, 2025

  Based on observation, interview, record review, review of the facility's policy titled, Medication Administration and review of the facility provided document titled Primary Pharmaceutical Provider Contract, the facility did not ensure medications were available for two of two Residents (R) (R107 and R220). This failure placed residents at risk for complications from missing medications. Findings include: Review of the facility's policy titled, Medication Administration dated 6/1/2024 revealed there was not a procedure for when a medication was not available. […]