Harris Hill Nursing Facility, L L C

In the surveyor’s words

From the most serious findings on record at Harris Hill Nursing Facility, L L C, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF550Apr 21, 2026

  Based on observation, interviews, and record reviews conducted during the survey, the facility failed to ensure that each resident was treated with respect and dignity, cared for in a manner and in an environment that promotes maintenance or enhancement of their quality of life, recognizing each resident's individuality for one (1) (Resident #111) of five (5) residents reviewed for dignity. Specifically, two (2) staff members were in Resident #11's room on their personal cell phones, while the resident was calling out for assistance versus engaging with and assisting the resident.The findings include:The policy and procedure titled Personal Cell Phone/Electronic Device Use dated 08/22/2023 documented the use of a personal cell phone and other electronic devices while at work may present a… […]

• No harm, potential for more than minimal, isolatedF656Apr 21, 2026

  Based on observations, interviews, and record reviews conducted during the survey, the facility did not ensure that the resident's person-centered care plan was implemented to meet the resident's medical and nursing needs for one (1) (Resident #19) of one (1) resident reviewed for positioning. Specifically, Resident #119 did not to have their foot buddy (a device that is strapped to the calf and foot pedals of a wheelchair to prevent legs/feet from slipping behind or off of the wheelchair pedals) in place as per their care plan.The findings include:The policy and procedure titled Interdisciplinary Care Planning dated 09/2025 documented that a comprehensive care plan and Kardex (guide used by staff to provide care) must always be current and accurately reflect the resident's status. […]

• No harm, potential for more than minimal, isolatedF684Apr 21, 2026

  Based on observations, interviews, and record reviews conducted during the survey, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for three (3) (Residents #8, #32 and #58) of seventeen (17) residents reviewed for quality of care. Specifically, weights were not obtained daily as ordered by the physician (#8), lack of identification and documentation of a bruise (#32) and medications that were left at the bedside for self-administration without a physician's order (#58).The findings include:The policy and procedure titled Weight Monitoring dated 5/2013 documented that a weight record was used to monitor changes in weight on a weekly or monthly basis. […]

• No harm, potential for more than minimal, isolatedF803Apr 21, 2026

  Based on observations, interviews, and record reviews conducted during the survey, the facility failed to ensure developed and prepared menus to meet resident choices including their nutritional, religious, cultural, and ethnic needs were met for one (1) of four (4) dining rooms. Specifically, Resident's #17, #52, and #119 were not served with all the fluids and/or food items listed on their meal tickets and Resident #52 was not provided with their inner lip plate as documented on their meal ticket.The findings include: The policy and procedure titled Dining Rooms/Servery Meal Service revised 3/2011 documented that dietary personnel will assemble each resident's tray according to the menu and any special requests as stated on each diet card in accordance with the diet order. […]

• No harm, potential for more than minimal, isolatedF812Apr 21, 2026

  Based on observations, interviews, and record reviews conducted during the survey, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for two (2) (Unit A and Unit D) of four (4) unit servery refrigerators. Specifically, the unit servery refrigerators contained unlabeled, out-of-date food and drink items, and personal food was stored with residents' food. In addition, Unit A servery floor was soiled with food debris/dried spills and Unit D's refrigerator's handle was sticky with an unknown substance, and the front was soiled with food debris. […]