Harmony Hall Nursing and Rehabilitation Center in Kinston, NC was fined $15,593 by CMS across 2 separate penalties following 20 deficiency citations identified during federal surveys.

Harmony Hall Nursing and Rehabilitation Center (Kinston, NC) — $15,593 in CMS Fines

Outcome: Harmony Hall Nursing and Rehabilitation Center in Kinston, NC was fined $15,593 by CMS across 2 separate penalties following 20 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.


• Try 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.


• Allow residents to self-administer drugs if determined clinically appropriate.


• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.


• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.


• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.


• Honor 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.


• Honor 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.