Harmony Court Rehab and Nursing

In the surveyor’s words

From the most serious findings on record at Harmony Court Rehab and Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 14, 2026

  :THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on record review, staff interview, review of facility Self-Reported Incidents (SRI), review of the facility investigation, review of the local weather report, and review of the facility policy, the facility failed to provide adequate supervision to prevent a cognitively impaired resident from eloping from the facility. This resulted in Immediate Jeopardy when Resident #70 left the facility without staff knowledge, was missing approximately three hours and was found approximately 0.8 miles from the facility by a facility staff member before returning to the facility. This affected one (Resident #70) of three residents reviewed for risk of elopement. […]

• Immediate jeopardy, isolatedF600Dec 26, 2023

  Based on medical record review, staff interview, review of hospital records, review of hospice notes, review of a transportation report, observations, and review of facility policy, the facility failed to ensure one resident (Resident #87) did not experience neglect. This resulted in Immediate Jeopardy and the potential for serious harm, injury, and/or negative health outcomes when on 12/03/23 Resident #87, whose left hand was discolored and painful, did not receive an x-ray as ordered, was not medicated for pain, and was not assessed by a physician or appropriately assessed by a nurse. She was not seen by a physician, and the primary care physician was not made aware of her condition. […]

• No harm, potential for more than minimal, widespreadF803Dec 26, 2023

  Based on observation, review of a food menu, review of a food substitution log, staff interview, and policy review, the facility failed to ensure approved menus were followed. This affected all residents except seven (#43, #75, #77, #96, #353, #354, and #359) residents that received no food by mouth. The facility census was 108. Findings include: Review of the facility's menu for 12/06/23 revealed regular diets were to receive three (3) ounces (oz) of barbeque chicken, four (4) oz of macaroni and cheese, 4 oz of baked beans, one square of cornbread, and 4 oz of seasoned fruit. Mechanical diets were to receive 3 oz of ground barbeque chicken, 4 oz of macaroni and cheese, 4 oz of mashed baked beans, one square of cornbread, and one piece of fresh banana. […]

• No harm, potential for more than minimal, widespreadF812Dec 26, 2023

  Based on observation, staff interview, review of a facility provided list of residents by diet type, and policy review, the facility failed to ensure the kitchen and equipment were clean and sanitary, and resident food and drink items were stored in a manner to prevent spoilage. This affected all resident with the exception of seven (#43, #75, #77, #96, #353, #354, and #359) residents identified by the facility that received no food by mouth. The facility census was 108. Findings include: 1. Observation of the facility's kitchen on 12/04/23 at 10:29 A.M. […]

• No harm, potential for more than minimal, widespreadF880Dec 26, 2023

  Based on observation, medical record review, staff interview, review of water management logs, review of infection control logs, review of staff personnel files, review of a water management plan, and review of facility policies, the facility failed to ensure newly hired employees and residents admitted to the facility were timely screened for tuberculosis, failed to ensure resident personal use items were clean and sanitary, failed to ensure testing measures were maintained to prevent bacteria growth in the water system, failed to adequately track resident infections, and failed to maintain proper infection control measures when performing resident care. […]