Harmony Village of Clinton

In the surveyor’s words

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

• Actual harm, isolatedF602Dec 10, 2025

  This citation pertains to intakes: 2684900,2686660,2687810, and 2689521.Based on observation, interview, and record review, the facility failed to prevent financial exploitation for one resident (R700) out of two reviewed for misappropriation of funds, resulting in mental anguish and emotional distress. Findings include:A review of a Facility Reported Incident (FRI) noted the following, . Findings: Misappropriation of Resident Funds, Substantiated Psychological abuse, Substantiated Conclusion: An investigation was initiated on 11/25/2025 after [R700] reported concerns involving the Business Office Manager, [Business Office Manager (BOM) B. […]

• Actual harm, isolatedF600Nov 6, 2023

  This citation pertains to intakes MI00140142 and MI00139650. Based on observation, interview and record review, the facility failed to protect the resident's right to be free from physical abuse for one resident (R602) of three reviewed for abuse resulting in R602 being choked by R603, causing small scratch around R602's neck. Findings include: A review of the intake allegation noted, Details: It was reported there was a resident to resident physical abuse incident that did not result in injury. A review of R603's progress notes revealed, 8/14/2023 06:11 Nursing Progress Note Text: Patient is being combative with assigned CNA (Certifed Nursing Assistant). […]

• Actual harm, isolatedF790Sep 22, 2022

  This citation pertains in part to intake MI 944. Based on observation, interview, and record review, the facility failed to effectively coordinate additional dental services for one of eight residents (R902) reviewed for dental care, resulting in on-going tooth pain, delayed services and treatment, and the potential for infection. Findings include: On 9/20/22 at 8:58 AM, during an interview with R902. R902 was lying in bed and complained that his teeth were hurting, and stated that he needs them pulled. R902 stated, I've been able to bear it but it's at the point where it's got to be done. R902 indicated that last Friday he relayed this information to his assigned nurse but has not heard anything since. […]

• No harm, potential for more than minimal, widespreadF732Jun 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure nurse staffing postings were completed and readily accessible for all 74 residents, families, and visitors in the facility. Findings include: On 6/4/25 at 2:02 PM, the Nursing Home Administrator (NHA) was requested to provide the daily staff postings for the past 18 months. The NHA provided a 2024 binder and explained they were gathering the 2025 postings. A review of the binder revealed forms dated 11/3/24, 11/6/24, and 7/2/2024 that were incomplete, missing dates, and staffing information. On 6/4/25 at 2:21 PM, the staffing coordinator acknowledged the forms were incomplete. On 6/4/25 at 2:58 PM, the facility provided the 2025 postings for the months of March through June. […]

• No harm, potential for more than minimal, widespreadF880Jun 4, 2025

  Based on observation, interview, and record review, the facility failed to properly store nebulizer masks and a bi-pap mask for three residents (R15, R17, and R25) out of ten reviewed for infection control. Findings include: R15 On 6/2/2025 at 9:53 AM, R15's nebulizer mask was observed sitting on the nightstand with no barrier noted between the mask and the nightstand. R15 explained they use their nebulizer everyday. A review of the medical record revealed that R15 admitted into the facility on 7/9/2024 with the following medical diagnoses, Epilepsy and Personal History of Covid-19. A review of the most recent Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status assessment score of 14/15 indicating an intact cognition. […]