Harrison Trail Health Campus

In the surveyor’s words

From the most serious findings on record at Harrison Trail Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880May 23, 2024

  Based on observation, interview, and review of facility policy, the facility failed to ensure Enhanced Barrier Precaution (EBP) guidelines were followed for all residents that required EBP. This affected four (Residents #5, #27, #36, #255) of five reviewed for EBP. The facility census was 49. Findings include: 1. Review of the medical record for Resident #36 revealed an admitted [DATE]. Diagnoses included sepsis, urinary tract infection, atrial fibrillation, Parkinson's disease, chronic diastolic (congestive) heart failure, and use of indwelling urinary catheter. Review of the Admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #36 had intact cognition. Resident #36 required use of a urinary catheter. Observation of Resident #36's room on 05/20/24 at 9:20 A.M. […]

• No harm, potential for more than minimal, isolatedF842Feb 26, 2026

  Based on record review and interview, the facility failed to ensure staff accurately documented when medications were held from being administered and the rationale for holding the medication, which affected 1 (Resident #2) of 5 residents reviewed for unnecessary medications. The facility census was 54.Findings included:An Resident Face Sheet indicated the facility admitted Resident #2 on 04/01/2024. According to the Resident Face Sheet, the resident had a medical history that included diagnoses of ST elevation myocardial infarction of unspecified site (heart attack) permanent atrial fibrillation, hypertensive heart disease with heart failure, end stage renal disease, and dementia. […]

• No harm, potential for more than minimal, isolatedF880Feb 26, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to maintain appropriate infection control practices while providing suprapubic (SP) catheter care to 1 (Resident #5) of 2 residents observed for suprapubic catheter care. The facility census was 54.Findings included:A facility policy titled, Suprapubic Catheter Care, dated 12/16/2024, revealed, Overview: To prevent skin irritation around the stoma site and to prevent infection of the resident's urinary tract. The policy revealed, 3. To perform the procedure: a. […]