Harmony Care at Beaumont

In the surveyor’s words

From the most serious findings on record at Harmony Care at Beaumont, in the surveyor’s own words.

• Immediate jeopardy, patternF600Sep 29, 2025

  Based on observation, interview and record review, the facility failed to ensure residents had the right to be free from abuse and neglect for 10 of 25 residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #9, Resident #11, Resident #14, and Resident #216) reviewed for abuse. 1. The facility failed to ensure Resident #6 was free from sexual abuse when Resident #25 came into Resident #6's room and rubbed her right leg under the covers on 08/21/2025.2. […]

• Immediate jeopardy, patternF656Sep 29, 2025

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 7 of 25 residents (Resident's #1,2,3,4,5, 6, 25) reviewed for care plans. 1. The facility failed to develop and implement interventions in Resident #25's the care plan revised 08/22/2025 to prevent Resident #25's inappropriate and unwanted touching of Resident #6 on 08/21/25. 2. […]

• Immediate jeopardy, patternF600Oct 6, 2024

  36214 Based on observation, interview, and record review, the facility failed to ensure residents the right to be free from abuse for 2 of 6 residents (Residents #Unnamed & Resident #4) reviewed for abuse. 1. On 08/02/24 Resident #1 was grabbing Resident #Unnamed breasts. 2. On 08/25/24 Resident #1 touched Resident #4's breast. On 10/05/24 at 4:40 p.m. an Immediate Jeopardy (IJ) was identified. While the IJ was removed on 10/06/24, the facility remained out of compliance at a severity of no actual harm with potential for more than minimal harm that is not immediate jeopardy with a scope of pattern due to the facility continuing to monitor the implementation and effectiveness of the Plan of Removal. […]

• Immediate jeopardy, patternF607Oct 6, 2024

  36214 Based on observation, interview and record review the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property for 2 of 6 residents (Resident #4 and Resident #Unnamed) reviewed for abuse and neglect. 1. The facility failed to implement their written policies and procedures to prevent sexual abuse and potential further sexual abuse by Resident #1 when Resident #1 grabbed Resident #Unnamed's breast. 2. The facility failed to implement their written policies and procedures to prevent sexual abuse and potential further sexual abuse by Resident #1 when Resident #1 touched Resident #4's breast. On 10/05/24 at 4:40 p.m. […]

• Immediate jeopardy, isolatedF627Aug 19, 2026

  Based on interview, and record review, the facility failed to provide and document sufficient preparation and orientation to residents to ensure safe and orderly transfer or discharge from the facility for 1 of 3 residents (Resident #1) reviewed for discharges.The facility discharged Resident #1 on 07/21/26 to a private care home that was not aware of the level of care Resident #1 required and the facility did not ensure the private care home could meet his medical needs.The facility failed to follow their discharge planning policy and federal regulations when they did not implement an effective discharge planning process for Resident #1 to ensure his discharge rights were not violated.Resident #1 was located by his legal guardian on 08/13/26 at an unlicensed facility and observed in a… […]