Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055742

Harbor Villa Care Center

78 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $8,824.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
78
Total citations
48
Last 3 years
2
Actual harm+
1
Federal penalties
$8,824
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care22 Resident Rights18 Care Planning10 Medication & Pharmacy9 Abuse & Neglect7

Most common F-tags at this facility

F6846 F6895 F6564 F8424 F5543

Citation history

78 on record
SurveyF-TagViolationSeveritySource
Jan 23, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.BComplaint
Jun 12, 2025F610Respond appropriately to all alleged violations.DComplaint
Jun 12, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 10, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Mar 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 27, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Mar 4, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 10, 2025F908Keep all essential equipment working safely.BStandard
Jan 10, 2025F881Implement a program that monitors antibiotic use.DStandard
Jan 10, 2025F880Provide and implement an infection prevention and control program.EStandard
Jan 10, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Jan 10, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BStandard
Jan 10, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jan 10, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.BStandard
Jan 10, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Jan 10, 2025F760Ensure that residents are free from significant medication errors.DStandard
Jan 10, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Jan 10, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Jan 10, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jan 10, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.BStandard
Jan 10, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.BStandard
Jan 10, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Jan 10, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 10, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 10, 2025F679Provide activities to meet all resident's needs.DStandard
Jan 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.BStandard
Jan 10, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesBStandard
Jan 10, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.BStandard
Jan 10, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.BStandard
Jan 10, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard
Jan 10, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 10, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Jul 17, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 5, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Feb 12, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Oct 30, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 30, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Aug 22, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 22, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 6, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 6, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jul 6, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 28, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 12, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 9, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 9, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Aug 23, 2022F908Keep all essential equipment working safely.DStandard
Aug 23, 2022F880Provide and implement an infection prevention and control program.EStandard
Aug 23, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Aug 23, 2022F814Dispose of garbage and refuse properly.BStandard
Aug 23, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 23, 2022F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Aug 23, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 23, 2022F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Aug 23, 2022F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Aug 23, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LStandard
Aug 23, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Aug 23, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 23, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 23, 2022F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Aug 23, 2022F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Aug 23, 2022F558Reasonably accommodate the needs and preferences of each resident.DStandard
Aug 23, 2022F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Aug 23, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Aug 23, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 23, 2019F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 23, 2019F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Aug 23, 2019F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 23, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 23, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 23, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Aug 23, 2019F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Aug 23, 2019F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $8,824 .

DateTypeFinePayment denial
Jun 28, 2023Fine$8,824—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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