Harborview Rome

In the surveyor’s words

From the most serious findings on record at Harborview Rome, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 28, 2025

  Based on interviews, record review, and review of the facility policy titled, Abuse, Neglect and Exploitation, the facility failed to protect one of 11 Residents (R) (R1) right to be free from physical abuse perpetrated by Certified Nursing Assistant (CNA)1). Specifically, CNA1 held R1 down with her knee on his chest and flicked R1 on the face. This failure caused R1 to experience psychosocial harm and created the potential for this and other residents to experience further abuse. […]

• No harm, potential for more than minimal, isolatedF656Dec 4, 2025

  Based on observations, staff and resident interviews, record review, and review of the facility's policy titled Comprehensive Care Plans, the facility failed to implement the care plan for 1 of 44 sampled residents (R71). This deficient practice had the potential to prevent R71 from attaining or maintaining her highest practicable level of well being. Findings include:Review of the policy titled Comprehensive Care Plans, revealed it is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment.Review of the electronic… […]

• No harm, potential for more than minimal, isolatedF880Dec 4, 2025

  Based on observations, staff and resident interviews, record review, and review of the facility's policies titled Hand Hygiene, the facility failed to provide proper hand hygiene for one of nine residents (R) (R5) reviewed for infection control. This deficient practice had the potential for cross contamination and the spread of infection to staff and other residents.Findings include:Review of the facility's policy titled Hand Hygiene, revised 3/1/25, section: 6 documented The use of gloves does not replace hand hygiene. If your task requires gloves, perform hand hygiene prior to donning gloves, and immediately after removing gloves and the second page titled Hand Hygiene Table line 14 documented Before and after handling clean or soiled dressings, linens, etc. […]

• No harm, potential for more than minimal, isolatedF609Aug 28, 2025

  Based on interviews, record review, and review of the facility's policy titled, Abuse, Neglect and Exploitation, the facility failed to ensure timely reporting of an allegation of physical abuse for one of 11 Residents (R) (R1) reviewed for abuse. This failure caused R1 to experience psychosocial harm and created the potential for this resident and other residents to experience further abuse. Findings include:Review of the facility's policy titled, Abuse, Neglect and Exploitation dated 3/1/2023 indicated, It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of property; and Reporting/Response: A. […]

• No harm, potential for more than minimal, isolatedF550Jun 18, 2025

  Based on record review, observations, resident and staff interviews, and review of the facility policy titled, Promoting Maintaining Resident Dignity, the facility failed to promote care in a manner that maintained or enhanced each resident's dignity, respect, and individuality for two of eight sampled residents (R) (R8 and R S). Specifically, staff were standing while feeding a resident. In addition, staff members did not knock or identify themselves before entering residents' rooms. […]