Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 1, 2025
Visit Reason
An unannounced complaint/incident investigation survey was conducted to determine compliance with state regulations.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was based on complaint reference numbers 101915, 101791, and 101786. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 18, 2025
Visit Reason
An unannounced complaint/incident investigation survey was conducted at Atria Harborhill on 06/18/2025 to determine compliance with state regulations following allegations of inappropriate touching of a resident by a visitor.
Findings
The investigation found that a visitor was observed putting their hand down the resident's shirt and kissing the resident. Staff intervened and reported the incident. The resident was evaluated by a nurse practitioner and police were contacted for follow-up. The facility has policies requiring staff to report suspected abuse and plans to provide training to ensure compliance.
Complaint Details
The complaint investigation was substantiated based on observations and staff interviews confirming inappropriate touching of Resident ID #1 by a visitor. The resident was not exhibiting distress but was removed from the situation and evaluated. Staff failed to ensure adequate supervision to prevent the incident.
Deficiencies (1)
| Description |
|---|
| Failure to provide services in accordance with the prevailing community standard of care for residents with dementia related to supervision for a singular resident, resulting in an incident of inappropriate touching by a visitor. |
Report Facts
Date of incident: Jun 4, 2025
Date of survey: Jun 18, 2025
Plan of Correction completion date: Aug 1, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Ingram | Executive Director | Signed the report and involved in surveyor interview regarding supervision |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 17, 2025
Visit Reason
An unannounced complaint/incident investigation survey was conducted to determine compliance with state regulations.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was related to complaint reference numbers 99159 and 99141 and found no deficiencies.
Inspection Report
Annual Inspection
Deficiencies: 5
Nov 7, 2024
Visit Reason
An unannounced biennial State Licensure survey was conducted from 11/6/2024 through 11/7/2024 at Atria Harborhill to assess compliance with residency requirements and other regulatory standards.
Findings
Deficiencies were identified related to residency requirements including failure to maintain complete resident records, failure to update comprehensive assessments and service plans timely, and failure to conduct required nurse reviews and evaluations as per Rhode Island regulations.
Deficiencies (5)
| Description |
|---|
| Failure to maintain complete resident records including documentation from outpatient therapy service providers and communication details. |
| Failure to review resident comprehensive assessments at intervals not to exceed 12 months and when condition changes significantly. |
| Failure to update resident assessments within five working days of readmission from a health care facility for multiple residents. |
| Failure to complete nurse reviews at least once every 90 days including monitoring medication regimens and reviewing physician orders. |
| Failure to update resident service plans to reflect receipt of outside services such as occupational therapy and skilled nursing services. |
Report Facts
Dates of survey: Survey conducted from 11/6/2024 through 11/7/2024
Number of residents reviewed: 7
Timeframes for updating assessments: 5
Nurse review frequency: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Community Business Director | Interviewed on 11/7/2024 regarding resident therapy services and record keeping | |
| Registered Nurse, Staff A | Interviewed on 11/7/2024 regarding resident therapy services and record keeping | |
| Resident Services Director or Designee | Responsible for reviewing compliance at Quarterly Quality Assurance Meetings and ensuring corrective actions | |
| Executive Director | Responsible for reviewing compliance at Quarterly Quality Assurance Meetings and ensuring corrective actions |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 25, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted at the facility.
Findings
No deficiencies were identified as a result of this survey.
Complaint Details
The investigation was unannounced and no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 11, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted at the facility on 06/11/2024, referencing complaint numbers 93827, 94404, 95008, and 95548.
Findings
No deficiencies were identified during the complaint/incident investigation survey.
Complaint Details
The investigation was based on multiple complaint reference numbers (93827, 94404, 95008, and 95548) and resulted in no deficiencies found.
Inspection Report
Complaint Investigation
Deficiencies: 2
Aug 21, 2023
Visit Reason
An unannounced complaint/incident investigation survey, ACTS reference number 91527, was conducted at Atria Harborhill on 08/21/2023.
Findings
The residence failed to operate in accordance with regulations regarding the maintenance and operation of the residence and services to residents, specifically related to the management of pets and vaccination records for two residents' dogs. The facility lacked a policy on pets and could not provide evidence of vaccination records for the dogs of Resident ID #1 and Resident ID #2.
Complaint Details
The complaint investigation was unannounced and referenced ACTS number 91527. The findings were substantiated by record review, staff interview, and direct observation of pets in the facility. The facility did not have a policy on pets and could not provide vaccination records for the dogs of Resident ID #1 and Resident ID #2.
Deficiencies (2)
| Description |
|---|
| Failure to staff the residence with adequate and qualified personnel to attend to food preparation, housekeeping, assistance with personal care, medication administration, and other services. |
| Failure to comply with regulations regarding animal vaccination records and pet management policies, including lack of evidence of rabies vaccination and absence of a pet policy. |
Report Facts
Date of survey: Aug 21, 2023
Number of residents with pets reviewed: 4
Days to obtain license for dog owner: 30
Months for rabies vaccination age requirements: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Interviewed during survey; revealed no pet policy and lack of vaccination records |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 6, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was unannounced and complaint/incident related; no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 2
Jan 30, 2023
Visit Reason
An unannounced biennial State Licensure survey and a complaint investigation survey were conducted at this residence on 01/30/2023.
Findings
The facility failed to maintain complete resident records including documentation of physician orders for wound care and specific health problems for residents receiving outside services. Additionally, the service plans for residents receiving outside services were not reviewed or updated accurately to reflect these services.
Complaint Details
The complaint investigation was substantiated as deficiencies were identified related to resident records and service plans for residents receiving outside services.
Deficiencies (2)
| Description |
|---|
| Failure to maintain complete resident records including physician orders and documentation of specific health problems for residents receiving outside services. |
| Failure to review and update resident service plans to accurately reflect outside services received. |
Report Facts
Sample residents reviewed: 6
Residents with outside services: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Residence Service Director | Interviewed on 1/31/2023 acknowledging documentation deficiencies |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 30, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at the facility on 01/30/2023.
Findings
No deficiencies were identified relative to this complaint survey.
Complaint Details
The investigation was unannounced and complaint/incident related; no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 4, 2022
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was unannounced and no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 4, 2022
Visit Reason
An unannounced complaint/incident investigation survey and a biennial State licensure survey were conducted at the facility.
Findings
No deficiencies were identified relative to the complaint survey.
Complaint Details
The complaint survey was unannounced and no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 26, 2021
Visit Reason
An unannounced complaint/incident investigation survey and a biennial State licensure survey were conducted at this residence.
Findings
No deficiencies were identified under the complaint/incident investigation survey.
Complaint Details
The complaint/incident investigation survey found no deficiencies.
Inspection Report
Routine
Deficiencies: 0
Jan 5, 2021
Visit Reason
An administrative review/offsite investigation was conducted related to COVID19 infection control at the facility.
Findings
No deficiencies were identified during the COVID19 infection control review.
Report
File
ATRIA HARBORHILL POC EXIT DATE 4.6.2022.pdf
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