Harmony Village Of Warren
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.
Inspection Findings
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
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.