Harmony Davenport

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 6, 2023

  Based on clinical record review, observations, staff interviews, and review of the facility's Falls Practice Flow Chart, the facility failed to prevent a fall with serious injury for one of three residents reviewed for supervision (Resident #10). The facility reported a census of 59 residents. Findings Include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #10 with moderate cognitive status with a Brief Interview for Mental Status (BIMS) of 12 out of 15 points and had the following diagnoses: Cancer, Cerebrovascular Accident (stroke) and Non-Alzheimer's Dementia. […]

• Actual harm, isolatedF697Jul 6, 2023

  Based on clinical record review, resident and staff interviews, the facility failed to ensure a resident's pain control during wound care was maintained for two of five residents reviewed (Residents #3 and #9). The facility reported a census of 59 residents. Findings Include: 1. The Minimum Data Set, dated dated dated [DATE] identified Resident #3 as cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15 of 15 points and had the following diagnoses: Cancer, Peripheral Vascular Disease and Malnutrition. […]

• Actual harm, isolatedF686Feb 14, 2023

  Based on observations, clinical record review, staff, Provider and resident interviews the facility failed to prevent the development of a facility acquired pressure ulcer for 1 of 1 residents (Resident #43) sampled. The facility reported a census of 57 residents. Findings Include: The MDS (Minimum Data Set) Assessment identifies the definition of pressure ulcers as follows: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues. Stage II is partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough (dead tissue, usually cream or yellow in color). […]

• No harm, potential for more than minimal, widespreadF851Mar 20, 2025

  Based on the Center of Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report (for October 1st to December 31, 2024) review, facility staffing assignments review and staff interview, the facility failed to submit accurate agency staffing data for the PBJ Staffing Data Report. The facility reported a census of 66 residents. Findings include: The PBJ reported for the first fiscal year (FY) 2025, triggered for Excessively Low Weekend Staffing. The Daily Nursing Staffing Schedule for 9/2024, showed a consistent number of staff from the week and the weekends. The Daily Nursing Staffing Schedule for 10/2024, showed a consistent number of staff from the week and the weekends. […]

• No harm, potential for more than minimal, patternF602Aug 3, 2026

  Based on observations, clinical record review, resident banking financial statement review, security surveillance video review, medication dispensing card review, and staff and residents interviews, the facility failed to prevent the financial exploitation of 2 of 3 resident's financial resources reviewed (Resident's #2 and #9) by Staff A, former Social Service designee, and failed to prevent diversion for 4 of 6 resident's narcotic medications reviewed (Resident's #3, #4, #5 and #6) by Staff B, Licensed Practical Nurse (LPN), The facility reported a census of 70 residents. Findings include:The facility's Patient Protection Guidelines Abuse Prevention, Reporting, and Investigation policy, dated as revised September, 2025 directed staff: 1. […]