Harbours Edge

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 16, 2021

  Based on observations and interviews, the facility failed to maintain food safety requirements with storage, preparation, and distribution in accordance with professional standards for food service safety which included: failure to maintain sanitary conditions, failure to maintain adequate holding temperatures, and failure to perform hand hygiene during meal service in the dining room. The findings included: 1. During the initial tour of the kitchen conducted on 12/13/21 at 8:40 AM, accompanied by the Dietary Manager, the following were noted: a. At the request of the surveyor, the Dietary Manager checked the chemical concentration of the sanitation bucket located in the food preparation area using the facility's test strips. The concentration was recorded at 100 parts per million (ppm). […]

• No harm, potential for more than minimal, patternF812Jul 24, 2025

  Based on observations, interviews and record reviews, the facility failed to serve and prepare foods in a sanitary manner in accordance with standards for food safety professionals. The findings included:The facility's policy, Preventing Temperature Abuse 4.13 Thawing and Slacking, with a reference date of 10/01/22 documented: Proper thawing and slacking prevents microbial growth to unsafe levels in TCS (Time/temperature Controlled for Safety) foods:* Where available, thawing and slacking must always be conducted under manufacturers' labeling guidance.Note: Vacuum packed or hermetically sealed products such as fish, typically have manufacturer recommendations to expose the product to air during the thawing process.When thawing under running water, Never use warm water and do not thaw in… […]

• No harm, potential for more than minimal, isolatedF842Jul 8, 2026

  Based on interview and record review, the facility failed to provide documentation of a discharge order and failed to ensure accurate discharge information was documented in the Discharge Planning Review Assessment, for 1 of 5 sampled residents (Resident #1) reviewed for discharge. The findings included: Record review revealed Resident #1 was admitted to the facility on [DATE]. His admitting diagnoses included Syncope and Collapse, Unspecified Injury of Face, History of Falling, Acute Kidney Injury, and Peripheral Vascular Disease. Resident #1 was discharged from the facility on 02/03/26. Review of a Brief Interview of Mental assessment dated [DATE], documented Resident #1's status score was 15.0. This indicated that Resident #1 was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF600Jul 24, 2025

  Based on interviews, record and policy review, the nursing facility staff neglected to inform the medical staff that a resident on blood thinner hit her head during a fall and the lack of a timely nursing assessment. after a fall for 1 of 3 sampled residents reviewed for falls (Resident #58), who suffered from subdural hematoma, a fracture of the right pelvis, and fracture of the right hip. The findings included: Record review revealed Resident #58 was admitted to the facility on [DATE] and discharged and transferred to the hospital on [DATE]. Her admitting diagnoses included: Unspecified injury of head, subsequent encounter; Traumatic subdural hemorrhage without loss of consciousness; and surgical aftercare following surgery on the nervous system. […]

• No harm, potential for more than minimal, isolatedF689Jul 24, 2025

  Based on observation, interviews, record and policy review; the facility failed to assess a resident timely after a fall for 1 of 3 sampled residents reviewed for falls (Resident #58), who suffered from a subdural hematoma, a fracture of the right pelvis, and fracture of the right hip. The findings included: Record review revealed Resident #58 was admitted to the facility on [DATE] and discharged and transferred to the hospital on [DATE]. Her admitting diagnoses included: Unspecified injury of head, subsequent encounter; Traumatic subdural hemorrhage without loss of consciousness; and for surgical aftercare following surgery on the nervous system. […]