Inspection Reports for
Harmony at Harbour View
5871 Harbour View Blvd, Suffolk, VA 23435, United States, VA, 23435
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Inspection Reports Summary
Covers 48 inspections · Jan 2021 – Mar 2026Visit Reason
This report covers 48 inspections of Harmony at Harbour View from January 6, 2021 to March 10, 2026, including routine and complaint investigations.
Complaint Details
The facility underwent 28 complaint inspections prompted by allegations in areas including Resident Care and Related Services, Safe Secure Environment, Personnel, Staffing and Supervision, Buildings and Grounds, and Administration and Administrative Services. Investigations resulted in findings of non-compliance in some but not all allegations, with violations issued accordingly.
Findings
Across that history VDSS cited 143 violations under 75 distinct standards. 28 inspections were prompted by a complaint.
Deficiencies (65)
22VAC40-73-860-G: Hot water at taps was below required 105°F to 120°F range.
22VAC40-73-460-D: Failed to provide supervision of resident schedules, care, and activities including fall and wandering prevention.
22VAC40-73-1150-A: Doors to unprotected areas were not secured or monitored as required.
22VAC40-73-460-B: Failed to ensure resident-centered care with prompt response to resident needs.
22VAC40-73-680-D: Medications not administered per physician or prescriber instructions.
22VAC40-73-680-D: Medications not administered per physician or prescriber instructions.
22VAC40-73-930-D: Failed to document two-hour rounds for residents unable to use signaling devices.
22VAC40-73-220-A: Failed to ensure private duty personnel from licensed home care organizations met requirements.
22VAC40-73-220-B: Failed to ensure private duty personnel not employed by licensed home care organizations met requirements.
22VAC40-73-450-C: ISP lacked description of identified needs and expected outcomes.
22VAC40-73-350-B: Failed to ascertain and document sex offender status prior to admission.
22VAC40-73-450-F: ISP not reviewed and updated at least annually or as needed.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or designee and resident or legal representative.
22VAC40-73-680-M: PRN medications not available, properly labeled, or stored.
22VAC40-73-310-D: Failed to provide written assurance of appropriate license to meet resident care needs at admission.
22VAC40-73-440-A: Failed to complete UAI annually and prior to admission.
22VAC40-73-450-A: Failed to develop preliminary plan of care on or within 7 days prior to admission.
22VAC40-73-40-A: Failed to ensure compliance with all regulations and facility policies.
22VAC40-73-290-A: Work schedules lacked names, job classifications, and person in charge.
22VAC40-73-290-B: Failed to post name of current on-site person in charge conspicuously.
22VAC40-73-1140-E: Non-administrator staff lacked required dementia training within first month.
22VAC40-73-870-A: Facility not maintained in good repair and clean; vent covered with substance.
22VAC40-73-320-B: Failed to complete annual TB risk assessment for residents.
22VAC40-73-450-D: Failed to coordinate hospice care plan with licensed hospice organization.
22VAC40-73-860-I: Cleaning supplies and hazardous materials not stored in locked area.
22VAC40-73-440-H: Failed to complete annual reassessment using UAI for resident needs.
22VAC40-73-460-B: Failed to provide resident-centered care with prompt response to resident needs.
22VAC40-73-210-B: Direct care staff did not complete required 18 hours of annual training.
22VAC40-73-990-B: Failed to review resident emergency procedures with staff at least every six months.
22VAC40-73-260-A: Direct care staff lacked current certification in first aid.
22VAC40-73-460-D: Failed to provide supervision of resident schedules, care, and activities including fall and wandering prevention.
22VAC40-73-40-B: Current license not posted conspicuously in facility.
22VAC40-73-250-D: Staff lacked required annual TB risk assessment documentation.
22VAC40-73-280-B: Failed to maintain written staffing plan based on resident acuity and needs.
22VAC40-73-470-F: Failed to secure immediate medical attention and document for serious resident incidents.
22VAC40-73-460-A: Failed to assume general responsibility for resident health, safety, and well-being.
22VAC40-73-680-C: Medications administered outside one hour before or after scheduled times.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or designee and resident or legal representative.
22VAC40-73-870-I: Elevator certificate of inspection expired and not current.
22VAC40-73-660-A: Medications not stored locked and consistent with standards.
22VAC40-73-310-D: Failed to provide written assurance of appropriate license to meet resident care needs at admission.
22VAC40-73-450-A: Failed to develop preliminary plan of care on or within 7 days prior to admission.
22VAC40-73-440-A: Failed to complete UAI annually and prior to admission.
22VAC40-73-460-E: Failed to regularly observe residents for changes and document actions taken.
22VAC40-73-460-B: Failed to ensure resident-centered care with prompt response to resident needs.
22VAC40-73-210-G: Failed to maintain documentation of staff training including dates and hours.
22VAC40-73-260-A: Direct care staff lacked current certification in first aid.
22VAC40-73-460-D: Failed to provide supervision of resident schedules, care, and activities including fall and wandering prevention.
22VAC40-73-40-A: Failed to ensure compliance with all regulations and facility policies.
22VAC40-73-680-K: PRN medication orders lacked exact dosage instructions.
22VAC40-73-970-E: Fire and emergency drill records lacked required information.
22VAC40-73-250-D: Staff lacked required TB risk assessment documentation.
22VAC40-73-200-C: Direct care staff did not meet qualification requirements within two months of employment.
22VAC40-73-660-A-1: Medication cart unlocked and unstaffed.
22VAC40-73-930-D: Failed to document two-hour rounds for residents unable to use signaling devices.
22VAC40-73-460-A: Failed to assume general responsibility for resident health, safety, and well-being.
22VAC40-73-40-A: Failed to ensure compliance with all regulations and facility policies.
22VAC40-73-460-E: Failed to regularly observe residents for changes and document actions taken.
22VAC40-73-450-C: ISP lacked description of identified needs and expected outcomes.
22VAC40-73-460-D: Failed to provide supervision of resident schedules, care, and activities including fall and wandering prevention.
22VAC40-73-220-B: Failed to ensure private duty personnel not employed by licensed home care organizations met requirements.
22VAC40-73-930-D: Failed to document two-hour rounds for residents unable to use signaling devices.
22VAC40-73-450-A: Failed to develop preliminary plan of care on or within 7 days prior to admission.
22VAC40-73-680-B: Medications not kept in pharmacy issued container with label until administration.
22VAC40-73-680-I: MAR did not include medication errors or omissions.
Report Facts
Violations cited: 143
Distinct standards: 75
Inspections on page: 48
Inspections with violations: 35
Complaint visits: 28
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