Harmony Hills Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Harmony Hills Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 14, 2022

  Based on facility policies, clinical records, incident reports, and staff interview, it was determined that the facility failed to provide adequate assistance during a transfer, resulting in actual harm (laceration [cut] to lower left leg between the calf and ankle) for one of two residents (Resident R1). Findings include: The facility Fall Risks and Prevention Guideline policy last reviewed 5/4/21, indicated the facility, through resident assessment, fall risk assessment and implementation of appropriate intervention, will provide a medical and environmentally safe home for the resident thus ensuring his/her optimum physical, mental, and psychosocial well-being. […]

• No harm, potential for more than minimal, widespreadF812Jul 17, 2025

  Based on review of facility policy, observations and staff interview, it was determined that the facility failed to maintain sanitary conditions and practice proper infection control which created the potential for cross contamination and food borne illness (Main Kitchen) the facility failed to properly monitor refrigerator temperatures on one of two nursing units (C & D Hall unit) and failed to properly monitor residents in room personal refrigerator temperatures for three of three residents (Resident R20, R23, R50) which created the potential for food borne illness. Review of facility policy Environment dated 1/13/25 indicates all food preparation areas, and dining areas will be maintained in a clean and sanitary condition. […]

• No harm, potential for more than minimal, widespreadF812Oct 18, 2024

  Based on a review of policy, observations, and staff interviews, it was determined that the facility failed to properly maintain kitchen equipment in a sanitary condition and failed to properly label, date, and store food products in the kitchen refrigerator and basement freezer creating the potential for unsafe conditions and the potential for cross contamination in the main kitchen, basement freezer storage area and in one of two kitchenettes (C and D level kitchenette). Findings include: A review of the facility Labeling and Dating Inservice, last reviewed 6/17/24, indicates policy statement: Healthcare Service Group, Inc., and its subsidiaries (HCSG) promotes the health and safety of all employees, as well as that of the clients and residents we serve. […]

• No harm, potential for more than minimal, widespreadF801Dec 22, 2022

  Based on a review of facility policy, facility documents, and staff interviews, it was determined that the facility failed to employ staff with the required skills and competencies to carry out the daily functions of the Dietary Department (Dietary Manager Employee E2). Findings include: A review of facility policy Dining Services Manager dated 7/21/22, indicated that a qualified Dining Services Manager is a qualified Dietitian or Dietetic Technician registered with the Commission on Dietetic Registration or a qualified dietetics supervisor who has been certified as a Dietary Manager in accordance with the Association of Nutrition and Foodservice Professionals, its regulations and guidelines, or a qualified dietetics supervisor who meets State regulation criteria. […]

• No harm, potential for more than minimal, widespreadF802Dec 22, 2022

  Based on observations, resident interview, and staff interviews, and facility documents it was determined that the facility failed to have sufficient dietary staff to perform essential kitchen duties in the Main Kitchen. Findings include: Review of facility document Meal Times revealed that first breakfast cart was to be delivered at 7:30 a.m., second cart was to be delivered at 7:40 a.m., third cart delivered at 7:50 a.m., and fourth cart to be delivered at 8:00 a.m. During a review of the facility document Daily Work Schedule, for the Dietary Department, it was revealed that there is only one employee scheduled for breakfast. It was also revealed that the first employee on the scheduled for the weekends is at 9:00 a.m During an observation on 12/19/22, at 9:30 a.m. […]