Harnett Woods Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Harnett Woods Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Mar 3, 2023

  Based on observation and staff interviews, the facility failed to label, date, and/or remove expired food items stored for use in 1 of 1 walk-in coolers and 1 of 3 nourishment rooms (300 Hall Nourishment room). These practices had the potential to affect food served to residents. Findings included: 1) An initial inspection of the kitchen area was made with Dietary Aide #1 on [DATE] at 9:20 AM revealed the following items stored in the walk-in cooler: - A plastic bag containing what appeared to be fried pork chops dated [DATE]. - A metal pan containing a cooked pork loin, loosely covered with foil, not labeled or dated - An opened plastic bag containing unidentified cream colored round food items not labeled or dated. […]

• No harm, potential for more than minimal, patternF880Jul 23, 2022

  Based on observation, record review, staff interview, and physician interview the facility failed to update their policy regarding transmission-based precautions for COVID-19 prevention and thereby failed to place three (Resident # 1, #7, and #9) out of eight sampled residents reviewed for COVID-19 prevention on transmission-based precautions. This occurred during a coronavirus pandemic. The findings included. The facility's policy entitled, Guidelines for Quarantine Considerations for Community Visits and Close Contact, dated as last revised on [DATE], read in part, Residents, who are fully vaccinated that leave the facility for more than 24 hours or who have close contact with a COVID-19 positive individual in the facility, do not require quarantine. […]

• No harm, potential for more than minimal, patternF727Dec 2, 2021

  Based on record review and staff interview, the facility failed to maintain Registered Nurse (RN) coverage for 8 hours per day, seven days per week, for three of the sixty days reviewed for RN coverage (10/13/2021, 11/6/2021 and 11/7/2021). Findings included: On 12/2/2021 a review of posted staffing for October and November 2021 revealed no Registered Nurse (RN) coverage on 10/13/2021 and on 11/6 and 11/7/2021. The facility Administrator was interviewed on 12/2/2021 at 4:29 PM and stated We are onboarding as much RN staff as possible and recruiting. We are usually covered, but sometimes, with call outs and such, we get stuck.

• No harm, potential for more than minimal, isolatedF644Aug 13, 2026

  Based on record review and staff interviews, the facility failed to submit a request for an updated Preadmission Screening and Resident Review (PASRR) evaluation for a resident with new diagnoses of depression and anxiety for 1 of 3 residents reviewed for PASRR (Resident #10).Findings included:A PASRR Determination Notification letter dated 12/10/25 revealed Resident #1 had a Level I PASRR with no expiration date. The notification letter indicated no further PASRR screening was required unless a significant change occurred with the individual's mental status which suggested a diagnosis of mental illness or mental retardation.Resident #10 was admitted to the facility on [DATE] with diagnoses that included hypertension and unspecified psychosis.Review of the list of active diagnoses revealed… […]

• No harm, potential for more than minimal, isolatedF645Aug 13, 2026

  Based on record review and staff interviews, the facility failed to submit a request for an updated Preadmission Screening and Resident Review (PASRR) evaluation for a resident who was admitted to the facility with a diagnosis of psychosis (a mental state where a person loses touch with reality) for 1 of 3 residents reviewed for PASRR (Resident #10).Findings included:A PASRR Determination Notification letter dated 12/10/25 revealed Resident #1 had a Level I PASRR with no expiration date.A review of a North Carolina PASRR Level I screening form provided by the facility Social Worker revealed the hospital Social Worker had submitted a PASRR evaluation on 12/10/25 for Resident #10 that did not include the diagnosis of psychosis. […]