Complete Care at Harston Hall: Dignity Violations - PA
The resident, identified in inspection records only as Resident R1, had been at Complete Care at Harston Hall on Haws Lane since August 13, 2025. He is paraplegic, meaning he has no use of his lower body. He is also, by clinical assessment, fully cognitively intact, with a perfect score on the facility's own mental status screening. He understood exactly what was happening to him.
On September 17, 2025, at 12:30 in the afternoon, a federal inspector watched a licensed practical nurse perform wound care on the resident. After perineal care, the nurse left the resident lying with his buttocks exposed while preparing for the dressing change. He stayed that way for approximately two minutes. During that time, multiple staff members came and went through the room. None of them introduced themselves. None of them provided privacy.
Fifteen minutes later, the inspector interviewed the resident directly.
"People come and go while I am getting care," he said. "I don't know who they are, they do not introduce themselves, sometimes it's someone dropping off a tray, other times it is housekeeping. It's uncomfortable when I am exposed and have no privacy and it doesn't seem like anyone cares."
He said it happens often.
The facility's own written policy, implemented September 1, 2024, lists as its first step for wound dressing changes: explain the procedure to the resident and screen for privacy. The nurse performing the care on September 17 did neither before strangers entered the room.
There is something worth sitting with in the specific details here. This is a man who cannot move his lower body. He cannot pull a sheet over himself. He cannot stand up and close the door. He cannot turn away. Whatever happens in that room while he is exposed, he has to endure it. He has no physical recourse. And he knew, each time someone walked in, that he did not know who they were or why they were there.
He has been living with this since at least August.
The inspection, conducted as a complaint investigation, cited the facility for failing to ensure a resident was treated with dignity and respect. The violation was categorized as having minimal harm or potential for actual harm, affecting few residents. That classification reflects the regulatory scale, not the resident's account of his own experience.
The facility is operated as Complete Care at Harston Hall LLC. It sits in Flourtown, a suburb roughly 15 miles northwest of Philadelphia. The September 17 inspection covered 12 residents and found this violation in one of them, the man who told the inspector plainly what it felt like.
"It doesn't seem like anyone cares."
He said that out loud to a federal inspector, on the record, the same day it happened again.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Complete Care At Harston Hall LLC from 2025-09-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 28, 2026 · Our methodology
COMPLETE CARE AT HARSTON HALL LLC in FLOURTOWN, PA was cited for violations during a health inspection on September 17, 2025.
The resident, identified in inspection records only as Resident R1, had been at Complete Care at Harston Hall on Haws Lane since August 13, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.