Harmon House Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Harmon House Health & Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF600Dec 11, 2024

  Based on review of facility policies, investigation reports, and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from abuse or neglect for one of four residents reviewed (Resident 2) who was transferred incorrectly, resulting in a fall with a head laceration requiring staples. This deficiency was cited as past noncompliance. Findings include: The facility's abuse policy, dated September 11, 2024, indicated that the facility will not tolerate abuse, mistreatment, exploitation of residents, and misappropriation of resident property by anyone. […]

• Actual harm, isolatedF689Dec 11, 2024

  Based on review of facility policies, investigation documents, and clinical records, as well as staff interviews, it was determined that the facility failed to maintain a safe environment for one of four residents reviewed (Resident 2), resulting in an incident that required staples for a laceration on his head. This deficiency was cited as past non-compliance. Findings include: The facility's policy on mechanical lifts, dated September 11, 2024, indicated that a two-person assist is required for all mechanical lifts, including Hoyer lifts (a mechanical lift that features a U-shaped base, an overhead bar, and a sling that work together to lift, reposition, and lower a patient into a chair or bed). […]

• Actual harm, isolatedF600Jul 20, 2023

  Based on review of facility policies, investigation reports, clinical records, and staff education records, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from neglect for one of 32 residents reviewed (Resident 14), resulting in harm to Resident 14 due to an improper transfer that resulted in fractures. This deficiency was cited as past non-compliance. Findings include: The facility's policy regarding abuse and neglect, dated May 12, 2023, indicated that each resident had the right to be free from abuse, neglect, misappropriation of property, and exploitation. […]

• Actual harm, isolatedF689Jul 20, 2023

  Based on review of clinical records, investigative reports, and staff education, as well as staff interviews, it was determined that the facility failed to ensure that safe transfer techniques were used in accordance with their care plans and physican's orders for one of 32 residents reviewed (Resident 14) who required the use of a mechanical lift for transfer, resulting in fractured bones for the resident, and to use leg rests to transport one resident out of 32 residents reviewed (Resident 10). […]

• No harm, potential for more than minimal, patternF605May 7, 2026

  Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that non pharmacological interventions were attempted prior to the administration of a psychotropic medication for one of 43 residents reviewed (Resident 89).Findings include: The facility's policy regarding use of psychotropic medications, dated August 14, 2025, indicated that . A comprehensive Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 89, dated March 13, 2026, revealed that the resident was cognitively impaired, was taking an anti-anxiety medication, and had a diagnosis of anxiety. […]