Harmony Suites Rehabilitation and Wellness Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 20, 2026

  Based on interviews, records review and facility investigative material the facility failed to ensure adequate supervision and failed to implement appropriate interventions to prevent one Resident (R), R16, with a history of exit seeking behaviors from elopement, when R16 exited the facility without the facility knowledge for approximately eight hours. Out of 1 of 3 sampled Residents. The census was 90. Findings Include:A review on 3/17/26 at 9:15 am of the undated facility policy Elopement Prevention and Management Overview found that elopement occurs when a resident leaves the facility or a safe area without permission or supervision, putting them at risk. […]

• Immediate jeopardy, isolatedF689Feb 4, 2025

  Based on observations, interviews and record reviews, it was determined that the facility failed to supervise and provide protective devices for Residents that smoked. This was found to be evident for 2 (Resident #18 & #61) out of 4 Residents observed for smoking. The Maryland Office of Health Care Quality (OHCQ) determined that this concern met the Federal definition of Immediate Jeopardy, and the facility was notified verbally and in writing of this determination at 4:05 PM on 01/29/25. The facility provided a plan to remove the immediacy while the surveyors were onsite. The removal plan was accepted by the OHCQ at 8:37 PM on 01/29/25. On 01/30/25 the survey team confirmed the facility met the compliance date of their action plan and the Immediate Jeopardy was abated on 01/29/25. […]

• Immediate jeopardy, isolatedF600Feb 25, 2022

  Based on the review of resident and facility records; interviews with residents and staff; and observations, it was determined that the facility's staff failed to keep residents free from sexual, physical, and verbal abuse. This finding was evident for 2 of 7 residents (Residents #2 and #3) reviewed for abuse during a complaint survey. On Wednesday, 2/23/2022, at 10:00 p.m. an Immediate Jeopardy was called related to the facility's failure to prevent Resident #1 from sexually abusing vulnerable residents. On Thursday, 2/24/2022, the facility presented three corrective action plans (one at 12:49 a.m., 1:09 a.m., and 1:52 a.m.) to address the immediate concern related to sexual abuse. These plans were not accepted by the Office of Health Care Quality surveyors. […]

• Immediate jeopardy, isolatedF689Feb 25, 2022

  Based on the review of resident and facility records; interviews with residents and staff; and observations, it was determined that the facility staff failed to provide adequate supervision of Resident #1 to prevent sexual abuse of Resident #2 on two occasions and failed to ensure Resident #1 did not have unsupervised access to other vulnerable residents (Resident #4). This was evident for 2 of 7 residents (Residents #2 and #4) reviewed for abuse during a complaint survey. On Wednesday, 2/23/2022, at 8:00 p.m. an Immediate Jeopardy was called related to the facility's failure to provide adequate supervision of Resident #1 to prevent sexual abuse of residents. […]

• Actual harm, isolatedF697May 15, 2026

  Based on resident interviews, record reviews and staff interviews, it was determined that the facility failed to provide pain management according to professional standards. This was evident for 3 (Residents #59, #3, and #8) of 6 residents reviewed for unnecessary medications and pain during the annual/complaint survey. This resulted in actual harm to Resident #59.The findings include: A pain scale is a 0-10 numerical tool for assessing pain severity, with zero representing no pain and 10 the worst pain imaginable. […]