Harmony Village of Clawson

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Dec 26, 2025

  This citation pertains to intake #'s 2688115 and 2682315.Based on observation, interview and record review, the facility failed to appropriately assess, supervise and ensure an environment was free of sexual abuse for two legally incapacitated residents with severely impaired cognition (R909 and R910) of ten residents reviewed for abuse, resulting in R909 and R910 being found unsupervised involved in a sexual encounter in R909's bed, both unclothed from the waist down, with R910 in between R909's legs with R909's legs up in the air. Applying the reasonable person concept standard, this deficient practice resulted in the increased likelihood of serious psychosocial harm, serious injury and/or death to occur. […]

• Immediate jeopardy, isolatedF610Mar 7, 2024

  This citation pertains to intake: MI00143015 & MI00143012. Based on observations, interviews, and record reviews, the facility failed to protect a vulnerable resident (R702) who lacks cognitive ability to consent to sexual activity, from a sexual incident initiated by R703 a cognitively intact resident for two of six residents reviewed for abuse, resulting in the failure of the facility to protect R702 and other vulnerable residents who resided in the facility on the day of the incident, the failure to conduct a thorough investigation, the failure to preserve potential criminal evidence and the failure to notify law enforcement of the incident, which resulted in an Immediate Jeopardy (IJ). The IJ was identified on 3/6/24 at 9:15 AM. The IJ began on 2/27/24. […]

• Actual harm, isolatedF689Dec 26, 2025

  This citation pertains to incident: 2647112.Based on observation, interview and record reviews the facility failed to prevent a preventable fall for one (R901) of one resident reviewed for falls with injury, resulting in a preventable closed fracture of the distal end of the left femur and pain. Findings include:On 12/23/25 at 10:10 AM, R901 was observed laying in bed with a white sheet covering their head. The resident was unable to be awoken by verbal stimuli. A review of the medical record revealed R901 was initially admitted to the facility on [DATE] with diagnoses that included- dementia and required assistance from staff for all activities of daily living (ADLs).A review of a Facility's investigation documented the following in part, . […]

• Actual harm, isolatedF600Jul 9, 2025

  This citation pertains to Intake Number(s): 1278772. Based on observation, interview and record review, the facility failed to protect the resident's right to be free from physical abuse by a resident for two (R203 and R204) of four residents reviewed for abuse, resulting in R204 physically assaulting R203 (witnessed by R205 and R207) causing a scalp laceration that required three staples, a hematoma and swelling of the left eye, and expressions of fear of returning back to the facility from the hospital and R204 sustaining scratches to his nose, under right eye, and neck. Findings include:A review of a Facility Reported Incident (FRI) submitted to the State Agency (SA) revealed an allegation that (R203) was arguing with his roommate (R204) and hit him. No injuries noted. […]

• Actual harm, isolatedF689Aug 13, 2024

  This citation pertains to intake: MI00145934. Based on observation, interviews and record reviews the facility failed to implement interventions to prevent injury for one (R403) of three residents reviewed for an injury of unknown origin, resulting in pain and a right subtle nondisplaced medial malleolus (break of the tibia, at the inside of the lower leg) fracture. Findings include: Review of a Facility Reported Incident (FRI) submitted to the State Agency documented a bruise identified on R403's right ankle. An onsite investigation was conducted to investigate the injury of unknown origin. Review of a facility five day investigation summary report submitted to the SA, documented in part . […]