Resolve Harmony Center, LLC

In the surveyor’s words

From the most serious findings on record at Resolve Harmony Center, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF645Mar 13, 2026

  Based on the review of the clinical records, staff interviews, and review of facility's policy and procedure, the facility failed to ensure PASARR (pre-admission screening and resident review) were updated appropriately and accurately submitted, when applicable, for six of 8 sampled residents (#17, #24, #26, #30, #40, and #42). The deficient practice could result in residents' medically related social and emotional needs not being met. The census was 50. Findings include: -Regarding Resident #17: Resident #17 was admitted to the facility on [DATE] with diagnoses that included Schizoaffective Disorder Bipolar Type, Congestive Heart Failure, and Type 2 Diabetes Mellitus. […]

• No harm, potential for more than minimal, patternF689Mar 13, 2026

  Based on the interview, review of the clinical record, and review of facility policy and procedure, the facility failed to ensure one of 21 sampled residents (Resident #37) was free from accidents and hazards, in regards to safe smoking. The deficient practice can lead to the possibility of burns, fires, smoke inhalation, serious injury, death, and potentially cause facility-wide danger. The sample size is 21. The census was 50. Regarding Resident #37:Resident #37 was admitted to the facility on [DATE], with the diagnosis that included encounter for immunization; multiple sclerosis, unspecified; encounter for therapeutic drug level monitoring; schizoaffective disorder, bipolar type; mood disorder due to known physiological condition, unspecified; generalized anxiety disorder; and other… […]

• No harm, potential for more than minimal, patternF926Mar 13, 2026

  Based on resident and staff interviews, review of the clinical record, facility documentation, and policy, the facility failed to implement its smoking policy for three residents (#12, #26, and #41). The deficient practice could result in inadequate smoking interventions due to the lack of an assessment and put residents at increased risk for smoking-related incidents. The sample size is 21. The census was 50. Findings include: -Regarding Resident #12 Resident #12 was admitted to the facility on [DATE], with diagnoses of type 2 diabetes mellitus, nicotine dependence, chronic obstructive pulmonary disease (COPD), depression, anxiety, and seizures. A safe smoking assessment dated [DATE], indicated that all smoking materials would be kept in a designated area for safety purposes. […]

• No harm, potential for more than minimal, patternF600Jul 18, 2025

  Based on clinical record review, facility documentation, and staff interviews, the facility failed to protect the rights of residents to be free from abuse by another resident (#777, #222, #444). The deficient practice could result in residents being harmed physically and emotionally. -Regarding Resident to Resident altercation between Resident #1001 and #777: -Resident #1001 was admitted to the facility on [DATE] and discharged on May 22, 2023. Diagnoses included schizoaffective disorder depressive type, dysphagia following cerebral infarction, and human immunodeficiency virus (HIV). The care plan dated April 10, 2023 revealed that the resident was involved in an altercation with another resident. He rammed his chair into the resident's feet. […]

• No harm, potential for more than minimal, patternF600Jul 3, 2025

  Based on clinical record review, staff and resident interviews, and facility policy, the facility failed to protect the rights of four out of the seven sample residents to be free from abuse by another resident. The deficient practice could result in other residents being abused.Findings Include: - Regarding a resident-to-resident altercation that occurred on June 20, 2025 involving Resident # 35, Resident #13, and Resident #72. -Regarding Resident #35Resident # 35 was re-admitted to the facility on [DATE], with diagnoses of anxiety disorder, urinary tract infection, and heart failure. A quarterly MDS (Minimum Data Set) assessment, dated February 2, 2025, revealed a BIMS (Brief Interview for Mental Status) score of 12, indicating moderately impaired cognition. […]