Harbour View Senior Living Corp

In the surveyor’s words

From the most serious findings on record at Harbour View Senior Living Corp, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 21, 2025

  Based on interview, record review, and review of facility documents, it was determined that the facility failed to ensure that a resident who did not have a Pressure Ulcer (PU) upon admission and who was identified at risk of developing a PU, received care and services in accordance with professional standards of practice to prevent PUs. Resident #7 developed a facility acquired unstageable sacral wound identified by the Certified Nursing Aide and deep tissue injuries to bilateral heels identified during wound consultation (both four days after admission). In addition, the facility failed to ensure treatments were ordered at the time of identification. […]

• No harm, potential for more than minimal, widespreadF814Mar 5, 2024

  Based on observations and staff interviews, the facility failed to properly contain trash in a closed dumpster resulting in trash overflowing the dumpster area, spilling onto the ground of 59 census residents. Findings include: During an observation on 02/26/24 at 9:00 AM, the dumpster area had trash overflowing onto the ground. At 11:10 AM, the dumpster area was observed to have primarily plastic wrappings, cardboard boxes, and pieces of boxes overflowing the dumpster with the lid opened. The Dietary Manager (DM) stated, trash will be picked up tomorrow. She said she would take care of the overflow. During an observation on 02/28/24 at 1:00 PM, the dumpster lid was closed, but there was still primarily discarded plastic refuse remaining that could potentiate pests in the area. […]

• No harm, potential for more than minimal, patternF730Aug 21, 2025

  Based on interview and review of facility provided documentation, it was determined that the facility failed to ensure that the Certified Nursing Aides (CNAs) received a performance review for 5 of 5 CNA files reviewed. This deficient practice was evidenced by the following:On 8/18/25 at 11:53 AM, the surveyor requested from the Licensed Nursing Home Administrator (LNHA) and Director of Nursing (DON) the annual education, competencies and performance reviews for five randomly selected CNAs.The facility provided a copy for each of the five CNAs which contained Nursing Assistant Clinical Skills Checklist and Competency forms and in-service education sign in sheets for education topics. The facility did not provide performance reviews for the five CNAs. […]

• No harm, potential for more than minimal, patternF868Aug 21, 2025

  Based on interview and record review, it was determined that the facility failed to assure that the required staff attended the quarterly Quality Assurance (QA) meetings for 4 of 6 (Medical Director) and 2 of 6 (Infection Preventionist) quarterly QA meetings according to the regulation and facility's practice. This deficient practice was evidenced by the following:On 8/18/25 at 1:56 PM, Surveyor #1 (S#1) reviewed the provided Quality Assurance Performance Improvement (QAPI) binder and revealed: On 3/28/24 QAPI meeting, the facility management signed the attendance sheet that included the Medical Director (MD), Licensed Nursing Home Administrator #1 (LNHA#1), Director of Nursing #1 (DON#1), and Infection Preventionist #1 (IP#1). […]

• No harm, potential for more than minimal, patternF880Aug 21, 2025

  Based on interview, review of medical records, and other pertinent facility documentation, it was determined that the facility failed to follow appropriate COVID testing according to standards of clinical practice, facility's policy and procedure, and Centers for Disease Control and Prevention (CDC) guidelines. This deficient practice was identified for 10 of 16 facility staff (6 Certified Nursing Aides, 1 Registered Nurse, and 3 Licensed Practical Nurse) reviewed for COVID-19 testing. This deficient practice was evidenced by the following:According to the CDC guidelines, Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2, March 18, 2024,.For this guidance an exposure of 15 minutes or more is considered prolonged. […]