Harmony Physical Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF600Mar 4, 2022

  Based on review of facility policy, clinical records and incident reports and staff interviews, it was determined that the facility failed to ensure that residents were free from neglect by not performing a safe bed positioning for one of one resident reviewed (Resident R120), which resulted in actual harm of an left femur fracture requiring transfer to the hospital for admission and treatment. This was identified as harm for past non-compliance for one resident (Resident R120). […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2023

  Based on a review of facility policy, observations and staff interview, it was determined that the facility failed to properly maintain kitchen equipment in a sanitary condition and failed to prepare and serve food in a sanitary manner creating the potential for cross contamination in the kitchenette of the facility. Findings include: Review of the facility policy Dietary Infection Control last reviewed on 1/19/23, with a previous review date of 1/20/22, indicated that the dietary department follows standards of all regulatory agencies for cleanliness and proper food storage, preparation and handling. […]

• No harm, potential for more than minimal, patternF755Nov 14, 2023

  Based on review of clinical records, and staff interview, it was determined that the facility failed to implement procedures to ensure availability of prescribed medications for four of six residents (Residents R1, R2, R3, and R4). Findings include: Review of the National Institute of Health, National Institute on Aging published information reviewed on 10/1/22, defined high blood pressure as systolic pressure of 130 or higher (first/top number, or a diastolic pressure of 80 or higher (second/bottom number). Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF761Mar 4, 2022

  Based on review of facility policy, observations and staff interview, it was determined that the facility failed to properly store medications and biologicals in two of two medication refrigerators (First Floor and Second floor nursing unit medication refrigerators). Findings include: A review of the facility policy Medication Storage in the Facility dated 1/20/22, indicated medications and biologicals are stored safely, securely, and properly. A review of the manufacturer package insert for [MEDICATION(S)] (solution injected to test for [CONDITION(S)]) indicated a vial of [MEDICATION(S)] that is in use for 30 days should be discarded. During an observation on 3/3/22, at 3:30 p.m. […]

• No harm, potential for more than minimal, isolatedF880Feb 21, 2025

  Based on review of facility policy , documentation, and review of Centers for Disease Control (CDC) guidelines for Legionella (bacteria that causes disease found in contaminated water) control, and staff interviews it was determined that the facility failed to maintain a comprehensive program for water management to monitor the potential development and spread of Legionella and failed to implement control measures for Legionella within the facility for eleven of twelve months (February 2024 through January 2025). Finding include: Review of the facility policy Water Management Program dated 1/16/25 indicated the facility will utilize water management practices to reduce the risk of growth and spread of Legionella and other opportunistic pathogens in building water systems. […]