Harmony Manor Skilled Nursing Facility

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 42 beds and averages 33.0 residents a day — about 79% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 6.14 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.00 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.37 hrs/resident/day on weekends vs 6.45 on weekdays — 17% thinner on weekends. RN hours go from 1.92 to 0.99 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · D2026-04-23 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, interview and document review, the facility failed to ensure an incident of resident-to-resident physical abuse was reported to the State Agency (SA) for 1 of 12 sampled residents (Resident #10). This deficient practice had the potential to result in lack of investigation of alleged incidents of abuse by the facility and/or the SA, placing residents at risk for further abuse.Findings include:Resident #10Resident #10 was admitted to the facility on [DATE], with diagnoses including Alzheimer's disease, unspecified and episodic tension-type headache, not intractable.A nursing progress note dated 11/01/2025, documented Resident #10 was seen by a Certified Nursing Assistant (CNA) slapping another resident. The other resident slapped Resident #10 back. The on-call manager was called with the information. Per the on-call manager, continue to keep residents apart and if the residents were together, staff were to keep the residents in eye sight.A Physician Progress Note dated 11/14/2025,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ddisputed · IDR2026-04-23 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, interview and document review, the facility failed to provide documented evidence a fall resulting in pain, swelling, and a skin tear, with an age-indeterminate fracture identified on post-fall imaging was thoroughly investigated to determine if the incident was a result of neglect for 1 of 12 sampled residents (Resident #10). This deficient practice had the potential to result in physical and/or psychosocial harm to residents due to incidents with the potential to indicate neglect not being thoroughly investigated and documented to ensure appropriate protections were in place to prevent future neglect.Findings include:Resident #10Resident #10 was admitted to the facility on [DATE], with diagnoses including Alzheimer's disease, unspecified and episodic tension-type headache, not intractable.A final Facility Reported Incident (FRI) report submitted by the facility on 03/03/2026, documented the report was related to an incident involving Resident #10 and the incident type was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-23 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure a care plan was developed with interventions to assist a resident to maintain continence after the previously continent resident began to experience occasional incontinence for 1 of 12 sampled residents (Resident #24). This deficient practice had the potential to result in staff not offering the resident services or assistance to maintain continence resulting in the resident experiencing worsening urinary incontinence.Findings include:Resident #24Resident #24 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including multiple sclerosis, unspecified and polyneuropathy, unspecified.On 04/20/2026 at 2:15 PM, the resident verbalized the resident had recently started experiencing occasional urinary incontinence but was still able to get to the bathroom once the resident realized they were urinating. The resident verbalized the resident could not recall any staff prompting the resident to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-23 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure a previously continent resident received assistance or interventions to ensure the resident maintained or improved the resident's level of urinary continence when the resident began to experience occasional incontinence for 1 of 12 sampled residents (Resident #24). This deficient practice had the potential to result in a resident's incontinence worsening due to a lack of interventions or assistance to maintain or improve the resident's continence.Findings include:Resident #24Resident #24 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including multiple sclerosis, unspecified and polyneuropathy, unspecified.On 04/20/2026 at 2:15 PM, the resident verbalized the resident had recently started experiencing occasional urinary incontinence but was still able to get to the bathroom once the resident realized they were urinating. The resident verbalized the resident could not recall any…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0730 — isolated
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, document review, and personnel record review, the facility failed to ensure a nurse aide performance review was completed at least once every 12 months and areas of weakness were identified and addressed for 1 of 2 sampled Certified Nursing Assistants (CNAs) employed at the facility greater than one year (Employee #8). This deficient practice had the potential to affect the care provided to all residents in the facility.Findings include:Employee #8Employee #8 was hired as a CNA on 10/21/2024.Employee #8's personnel record lacked documented evidence of a nurse aide performance evaluation.On 04/22/2026 at 1:55 PM, the Human Resources (HR) Director verbalized CNA performance evaluations were completed by the facility every year on October 1st to review the year prior. The HR Director explained because of the date of hire, Employee #8 was not reviewed for performance. The HR Director confirmed Employee #8's nurse aide performance review was not completed 12 months after starting at the facility.The Facility Assessment, updated 03/2026, documented areas of weakness as…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0838 — failed to assess facility resources and resident needs — isolated
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and document review, the facility failed to ensure the Facility Assessment accurately reflected current staffing needs for the facility. This deficient practice had the potential to deprive residents of necessary care and services required to meet each individual's needs and preferences.Findings include:The Facility Assessment, updated 03/26/2026, documented the staffing plan included one licensed nurse on night shift for Harmony Manor and one licensed nurse on night shift for Quail Corner (memory care unit). Consistent staffing would be prioritized in the memory care unit. Staffing levels would not be adjusted for low census/low acuity so residents' needs would be met even in times of call in and other circumstances of staff shortages.The April 2026 staffing schedule documented Quail Corner and Harmony Manor would share a licensed nurse during night shift on 04/04, 04/05, 04/06, 04/07, 04/12, 04/13, 04/14, 04/18, 04/19, 04/20, and 04/26 of 2026.On 04/24/2026 at 9:27 AM, the Director of Nursing (DON) explained on Saturday, Sunday, Monday and Tuesday nights, both…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-23 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and document review, the facility failed to ensure the staff maintained sanitary floor drains. This deficient practice had the potential to result in development and transmission of infection.Findings include:On 04/20/2026 at approximately 10:45AM a kitchen floor drain was observed to have a buildup of debris and grime. On 04/20/2026 at approximately 10:50 AM, the Kitchen Manager confirmed the kitchen floor drain had buildup of grime and acknowledged the potential spread of contamination. The Kitchen Manager explained the cleaning of the floor was the responsibility of the Maintenance Department.On 04/23/2026 at approximately 9:15 AM, the Maintenance Manager confirmed the kitchen floor drain had not been recently cleaned, was not sanitary and acknowledged the potential spread of contamination.The facility's policy titled, Maintenance of Strict Sanitary Conditions, dated 07/12/2022 and reviewed 07/08/2024, documented maintenance of strict sanitary conditions was of paramount importance in the Dietary and Nutrition Departments to eliminate food…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited beforedisputed · IDR2026-04-23 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and document review, the facility failed to ensure a resident with a progressive, neurodegenerative disease was screened for a pneumococcal (PNA) vaccine for 1 of 5 residents reviewed for vaccine compliance (Resident #32). This deficient practice had the potential to result in a resident with a chronic illness not receiving a vaccine with the potential to prevent the resident from developing a severe illness leading to increased disability or death. Findings include: Resident #32 Resident #32 was admitted to the facility on [DATE], with diagnoses including Hallervorden-[NAME] Disease (a rare, inherited, and progressive neurodegenerative disorder) and other specified extrapyramidal and movement disorders. The clinical record for Resident #32 lacked documentation the resident had received or been offered a PNA vaccine. On 04/21/2026 at 3:27 PM, the Infection Preventionist (IP) verbalized the resident had not been screened to determine whether the resident wanted to receive a PNA…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0943 — isolated
  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, personnel record review, and document review, the facility failed to ensure elder abuse prevention training was completed timely for 2 of 18 sampled employees (Employee #16 and #17). This deficient practice had the potential to place all residents at risk for abuse and neglect.Findings include:Employee #16Employee #16 was hired as a Cook, with a start date of 11/19/2025.Employee #16's personnel record documented elder abuse prevention training completed on 11/28/2025, 9 days late.Employee #17Employee #17 was hired as a Dietary Aide, with a start date of 12/15/2025.Employee #17's personnel record documented elder abuse prevention training completed on 12/31/2025, 16 days late.On 04/22/2026 at 1:45 PM, the Human Resources (HR) Director verbalized all staff were required to take initial elder abuse prevention training upon hire. The HR Director confirmed Employees #16 and #17 completed initial elder abuse prevention training late.The facility policy titled, Freedom from Abuse/Abuse Prohibition, revised 01/19/2026, documented employees would receive orientation upon…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0949 — failed to train staff on dementia and abuse — isolated
  Provide behavior health training consistent with the requirements and as determined by a facility assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, personnel record review, and document review, the facility failed to ensure annual behavioral health care training was completed for 1 of 18 sampled employees (Employee #7). This deficient practice had the potential to prevent residents with behavioral health care needs from attaining or maintaining their highest practicable physical, mental and psychosocial well-being.Findings include:Employee #7Employee #7 was hired as a Certified Nursing Assistant (CNA) on 06/17/2019.Employee #7's personnel record documented annual behavioral health care training completed on 04/11/2025, however lacked documented evidence of behavioral health care training completed in 2026.On 04/22/2026 at 1:45 PM, the Human Resources (HR) Director verbalized dementia care training (behavioral health care training) was to be completed annually for all staff on or before the date of last completion. The HR Director verbalized Employee #7 was assigned behavioral health care training for 2026; however, Employee #7 had not yet completed the assigned training. The HR Director confirmed Employee #7…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in NV