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Complaint Investigation

Harmony Village Of Warren

April 8, 2025 · Warren, MI · 11525 East Ten Mile Road
Citations 1
CMS Rating 2/5
Beds 178
Provider ID 235259
Healthcare Facility
Harmony Village Of Warren
Warren, MI  ·  View full profile →
Inspection Summary

Harmony Village of Warren in Warren, MI — inspection on April 8, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF504
Minimal harm or Few and they should not have been left unsupervised. affected

F-F504 was admitted to the facility on [DATE] with diagnosis of cervical disc disorder with myelopathy, carcinoma of the prostate, repeated falls, and adult failure to thrive. R504's Brief Interview for Mental Status (BIMS) Score dated 1/15/2025 assessment was 6/15. A score of 6 indicates severe cognitive impairment. A care plan for mood difficulties and adjustment concerns related to psychotropic medication use was created on 1/10/25. R504 had been identified with Activities of Daily Living (ADL) Care deficit and initiated a plan of care, which included a Bowel and Bladder incontinence on 1/7/25.

R505

Record review revealed R505 was admitted to the facility on [DATE] with a diagnosis of Hemiplegia and Hemiparesis following Cerebral Infarction affecting Left non-dominant side, unsteadiness on feet, reduced mobility, and dysphagia in addition to other diagnoses. R505's ADL Self Care Performance requiring extensive assistance was created on 6/27/24 with Bowel and Bladder Incontinence Care.

An interview with the Activities Director was conducted on 4/8/25 at 12:15 PM.

The Activities Director confirmed witnessing R505 touching another resident's chest in the dining room.

The Activities Director described, There were 3 to 4 residents in the dining room, but no staff was there to supervise them. I just stepped out of my office when I saw the incident.

Social Services Director SSD B was interviewed on 4/8/25 and confirmed R504 was right next to R505 when R505 inappropriately touched R504.

Certified Nurse Aide CNA J was interviewed on 4/8/25 at 3:30 PM. CNA J was assigned to R505 and revealed that R505 was heard exhibiting sexual behaviors before the incident occurred. R505

235259

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 235259 B.

Wing 04/08/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Mission Point Nsg & Phy Rehab Ctr of Warren 11525 E Ten Mile Rd Warren, MI 48089

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Warren, MI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Harmony Village of Warren or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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