Inspection Reports for Harmony at Greensboro

The Adult Care Licensure Section conducted an annual and follow-up survey from 04/15/25 to 04/16/25 to assess compliance with regulations in the assisted living facility.

The facility failed to ensure water was served at each meal for 26 of 40 assisted living residents in addition to other beverages. Observations and interviews revealed that water was not listed on the daily menu and was only served upon resident request, contrary to regulatory requirements.

Biennial Follow Up Construction Survey conducted to verify correction of previous deficiencies.

All deficiencies identified in prior inspections have been corrected.

The Adult Care Licensure Section conducted a follow-up survey on 03/26/24 through 03/27/24 to verify correction of previous deficiencies related to health care follow-up for residents.

The facility failed to ensure health care follow-up was completed for one sampled resident (#2) regarding an order to fax daily blood pressure and heart rate results weekly to the primary care provider. Documentation showed vital signs were taken daily, but fax confirmations were missing and staff did not consistently fax the results as ordered until the day of the survey.

Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to building safety and equipment maintenance.

The building was found not maintained in a safe and operating condition due to elevator lobby doors not closing completely and latching, and the cross-corridor doors on the 2nd floor elevator lobby were not labeled, posing fire and smoke containment risks.

The Adult Care Licensure Section and Guilford County Department of Social Services conducted an annual and follow-up survey, and complaint investigation from January 18-19; January 22-26; and January 30-31, 2024. The complaint investigation was initiated by the Guilford County DSS on January 16, 2024.

The facility failed to maintain safe and secure conditions in the secured assisted living unit, including unlocked windows and courtyard gates, resulting in an intruder entering a resident's room. The facility also failed to respond immediately and appropriately to a sexual assault incident involving a resident and an unidentified male intruder, delaying medical evaluation and treatment. Additionally, the facility failed to implement physician orders for laboratory tests and psychiatric referral for a resident, and failed to train staff within 30 days of hire on policies and procedures regarding incident response and abuse prevention.

The complaint investigation was initiated by the Guilford County Department of Social Services on January 16, 2024, related to an intruder found undressed in the shower with a resident in the secured assisted living unit on January 15, 2024.

The visit was conducted as a complaint investigation regarding the facility's failure to ensure timely primary care physician notification related to a resident's indwelling Foley catheter being out.

The facility failed to notify the primary care physician timely for one of five sampled residents when the resident's Foley catheter was out, resulting in the resident being sent to the hospital and diagnosed with sepsis. This failure placed the resident at risk for serious physical harm and neglect, constituting a Type A2 Violation.

The complaint investigation substantiated that the facility failed to notify the PCP timely for Resident #1 regarding the Foley catheter issue, leading to serious health consequences including sepsis.

This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to building and fire safety code compliance.

Multiple deficiencies were found including inadequate headroom clearance, missing handrails on corridors, fire safety equipment and door issues, lack of proper fire-resistance-rated construction and maintenance, non-functioning emergency lighting, and non-working exhaust ventilation in required areas.

The Adult Care Licensure Section conducted an annual and follow-up survey from 02/08/23 to 02/09/23 to assess compliance with medication administration and other regulatory requirements.

The facility failed to administer medications as ordered for two sampled residents, including failure to hold blood pressure medication based on heart rate parameters and incorrect administration times for anxiety and cholesterol medications. Additionally, medication aides failed to observe residents taking their medications, sometimes leaving medications in residents' rooms without supervision.