Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs Of Harrison during CMS and state inspections, most recent first.
The facility failed to address elevated levels of a hazardous gas, [NAME], found over a year ago. Mitigation systems were installed using orange electrical cords running through windows, compromising safety. Staff were unaware of the systems' purpose, and residents were not informed about the testing or results. A spike in respiratory infections was noted, raising concerns about the gas's impact on health.
The facility failed to inform residents and their representatives about high concentrations of a hazardous gas, violating their rights to make informed decisions. Despite testing revealing elevated gas levels, no notifications were documented in residents' health records. Interviews confirmed the lack of communication, and the administrator admitted to not notifying residents, expressing disbelief in the gas issue.
The facility failed to ensure proper storage, maintenance, and sanitation of food and kitchen equipment. Observations revealed undated and expired food items, improper handling of kitchen equipment, and a lack of proper cleaning and maintenance of the fryer and dishwasher. Interviews highlighted a lack of communication and training among staff, and maintenance issues with a leaking pipe remained unresolved for several months.
The facility failed to maintain a safe, functional, and sanitary environment, with residents using damaged wheelchairs and geriatric chairs, and multiple rooms having rusted door frames, missing baseboards, and peeling paint. Maintenance issues were not effectively reported or addressed, posing risks to residents.
A resident with Alzheimer's and a Stage IV pressure ulcer did not receive appropriate care, as staff failed to provide necessary pressure-relieving devices and follow care plan interventions. Observations and staff interviews revealed a lack of awareness and responsibility, leading to potential infection and deterioration of the resident's condition.
The facility failed to ensure proper infection control measures during wound care and meal service. An LPN did not change gloves or perform hand hygiene at critical points while treating a resident's stage IV pressure ulcer. Additionally, CNAs were observed feeding multiple residents without washing hands or using hand sanitizer between residents, contrary to the facility's hand hygiene policy.
The facility failed to ensure interventions were in place for a resident with hemiplegia and a contracture in the left hand. Despite the resident's care plan noting the need for interventions, none were observed during multiple observations. Interviews with staff revealed a lack of awareness and implementation of necessary interventions, such as foot pedals and hand rolls, to prevent worsening of the condition.
Failure to Address Hazardous Gas Levels and Improper Installation of Mitigation Systems
Penalty
Summary
The facility failed to provide a safe environment by not addressing elevated levels of a hazardous gas, identified as [NAME], found in the facility over a year ago. Observations revealed that mitigation systems were installed in various rooms, including resident rooms and common areas, but were not hardwired, leading to the use of orange electrical cords running through windows. These cords were observed to be improperly installed, with windows closed over them, potentially compromising the safety and security of the facility. Interviews with staff, including CNAs and the Maintenance Director, indicated a lack of awareness and understanding of the purpose and function of the mitigation systems. The Maintenance Director confirmed that the systems were installed to lower elevated [NAME] levels, but the installation process was not adequately communicated to staff or residents. The Administrator admitted to not notifying residents or their representatives about the testing or the results, and there was a general lack of follow-up on the elevated [NAME] levels. The facility's policy on hazardous areas and equipment was not effectively implemented, as evidenced by the improper installation of mitigation systems and the lack of communication regarding the elevated [NAME] levels. Additionally, there was a noted spike in respiratory infections among residents, which could not be attributed to known pathogens, raising concerns about the potential impact of the elevated [NAME] levels on resident health. The facility's failure to address these issues in a timely and effective manner highlights significant deficiencies in ensuring a safe environment for residents and staff.
Failure to Notify Residents of Hazardous Gas Exposure
Penalty
Summary
The facility failed to notify residents or their representatives about high concentrations of a hazardous gas, depriving them of their right to make informed decisions about their living conditions. This deficiency was identified through observations, interviews, and records review, revealing that no documentation of notifications was present in the electronic health records of several residents. The facility's policy required notification of all building occupants at least 24 hours before testing for the gas, but this was not adhered to. Resident #6, who had severe cognitive impairment and a post-COVID-19 condition, was not informed about the gas exposure. Similarly, Resident #8, diagnosed with COPD and also severely cognitively impaired, and Resident #9, with moderate cognitive impairment and persistent asthma, were not notified. The facility's failure to communicate these critical details was further highlighted by interviews with residents and their family members, who confirmed the lack of information provided about the gas testing and mitigation efforts. The facility's administrator admitted to not notifying residents or their representatives about the gas levels or the mitigation system, expressing disbelief in the existence of the gas issue. The testing conducted in March 2023 revealed elevated gas levels in numerous areas of the facility, necessitating mitigation measures. Despite this, no communication was made to the residents or their families, violating their rights to be informed and to make decisions regarding their safety and living environment.
Improper Food Storage and Kitchen Maintenance
Penalty
Summary
The facility failed to ensure proper storage, maintenance, and sanitation of food and kitchen equipment. Observations revealed multiple instances of undated and expired food items, including powdered milk, ice cream, frozen coconut, salami, lemonade, tortillas, cabbage salad mix, salad mix, lemon juice, pie crusts, tater tots, and fries. Additionally, improper handling of kitchen equipment was noted, such as a staff member placing an ice scoop on a stainless-steel table and a towel tied around a leaking pipe with a bin underneath to catch water. The grease in the fryer was cloudy and contaminated, and the fryer itself was coated in grime, indicating it had not been cleaned as scheduled. The vent above the dishwashing area was discolored, and the low-temperature dishwasher was not maintaining the required chemical levels for sanitization due to an empty disinfectant container and lack of clarity on who was responsible for changing it. The temperature/chemical log for the dishwasher was also incomplete for April, and the Dietary Manager admitted to not being in-serviced on dishwasher maintenance and chemical testing. Interviews with staff and management highlighted a lack of communication and training regarding kitchen maintenance and food safety protocols. The Dietary Manager, who had only been in the position for two weeks, was unaware of the procedures for maintaining the dishwasher and ensuring proper chemical levels. The District Manager acknowledged that in-service training had been conducted six months prior, but the forms documenting this training had disappeared. The Administrator was aware of issues with food dating and expiration but was not informed about the dishwasher problems. Maintenance staff confirmed ongoing issues with a leaking pipe near the garbage disposal, which had been an unresolved problem for several months despite multiple repair attempts. The facility's documentation and cleaning schedules were not being followed consistently. The deep fryer was supposed to be cleaned every second and fourth Saturday, but this had not been done due to a lack of oil. The kitchen cleaning list and night shift close-down check-off documents were provided, but observations indicated that these protocols were not being adhered to. The lack of proper food storage, equipment maintenance, and sanitation practices posed significant risks to the health and safety of the residents.
Failure to Maintain Safe and Sanitary Environment
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and homelike environment for its residents, leading to potential injury and the spread of disease. Observations revealed that several residents were using wheelchairs and geriatric chairs with damaged armrests, some wrapped in bubble plastic and duct tape, and others with exposed foam and dried substances. These issues were not reported for repair, and the maintenance log did not document any work orders for these deficiencies. Additionally, multiple rooms and common areas had rusted and protruding metal door frames, missing baseboards, peeling paint, and other environmental hazards that were not addressed in a timely manner, posing a risk of injury to residents. Resident #28 was observed sitting in a wheelchair with armrests wrapped in bubble plastic and duct tape, which was not their own but modified by a family member. Resident #25's wheelchair had a torn vinyl armrest with exposed foam, and Resident #23's geriatric chair had a missing plastic end and was wrapped in duct tape with a dried white substance on it. Maintenance staff confirmed that these issues needed repair but had not been reported or addressed. Additionally, the facility's process for reporting maintenance issues was not effectively utilized, as evidenced by the lack of work orders for these problems. Further observations revealed environmental hazards in various rooms, including rusted and protruding metal door frames, missing baseboards, peeling paint, and discolored tiles. Maintenance staff acknowledged these issues and stated that some had been reported but not yet addressed, while others had not been reported at all. The facility's failure to maintain a safe and clean environment was further highlighted by the presence of a soiled comforter that remained unchanged for several days, despite being identified as needing replacement by a CNA. The Director of Nursing provided the Resident's Rights document, which emphasized the facility's responsibility to ensure a clean and healthy environment, but the observed deficiencies indicated a failure to uphold these standards.
Failure to Provide Appropriate Pressure Ulcer Care
Penalty
Summary
The facility failed to ensure that a resident with a pressure ulcer received appropriate care and treatment to prevent potential infection or deterioration and promote healing. The resident, diagnosed with Alzheimer's disease and severely impaired for daily decision-making, had a Stage IV pressure ulcer and was dependent on staff for activities of daily living. Despite physician orders and care plan interventions, the resident was repeatedly observed without a pressure-relieving device or cushion in their chair over several days. Additionally, the resident's heels were not offloaded as required, and staff were unaware of the necessity for these interventions. Interviews with staff, including CNAs, an LPN, the DON, and the ICP, revealed a lack of awareness and responsibility regarding the resident's need for pressure-relieving devices. The facility's policy on the prevention of pressure injuries was not followed, as evidenced by the absence of appropriate support surfaces and the failure to review and implement effective interventions. This deficiency highlights a significant lapse in the facility's adherence to care plans and physician orders, directly impacting the resident's care and treatment for pressure ulcers.
Infection Control and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure proper infection control measures, including hand hygiene, during wound care for a resident diagnosed with Alzheimer's disease and a stage IV pressure ulcer. During an observation, an LPN did not change gloves or perform hand hygiene at multiple critical points while treating the resident's wound. This included not changing gloves after removing a dirty dressing, handling clean supplies with contaminated gloves, and not performing hand hygiene before applying new dressings. The LPN acknowledged the need to change gloves to prevent infections but did not follow through with the practice during the procedure. Additionally, the facility failed to ensure hand hygiene was performed during meal service. Observations revealed that CNAs were feeding multiple residents without washing hands or using hand sanitizer between residents. One CNA was seen assisting a third resident without performing hand hygiene after feeding two other residents. Another staff member also failed to perform hand hygiene after leaving to get sweetener for a resident and then continued to feed two residents without sanitizing hands. The facility's policy on hand hygiene, dated August 2019, specifies that hand hygiene is the primary means to prevent the spread of infections and should be performed before and after handling clean or soiled dressings, after contact with blood or bodily fluids, and after removing gloves. The policy also states that the use of gloves does not replace the need for hand washing. Despite this policy, staff failed to adhere to these guidelines, leading to potential risks of infection for the residents.
Failure to Implement Interventions for Contracture
Penalty
Summary
The facility failed to ensure interventions were in place for a contracture for Resident #20, who had diagnoses including hemiplegia and hemiparesis following a cerebral infarction affecting the left non-dominant side. The resident had a BIMS score of 15, indicating cognitive intactness, and had limited range of motion on one side both upper and lower extremity. Despite having a care plan that noted an ADL self-care deficit related to left side hemiplegia and a contracture to the left hand, no interventions were observed to be in place for the contracture during multiple observations. The resident mentioned that a splint apparatus on their chair was broken and foot pedals were missing, and they expressed concern about their left hand getting worse. The resident attempted to use a washcloth as an intervention, but it fell out, and they performed passive range of motion exercises using their right hand to open up their left hand. During interviews, a CNA and an LPN acknowledged the lack of interventions for the resident's left hand and foot. The CNA, who had been at the facility for six months, was unaware of any interventions for the resident's left hand or foot and mentioned potential issues such as skin breakdown and infection. The LPN also noted that the resident's left foot could get run over and suggested that a foot pedal could be an intervention. For the contracted left hand, the LPN mentioned that nails could grow in or the contracture could worsen and suggested that a hand roll or washcloth could help. A review of the facility's policy on assistive devices and equipment indicated that the facility is responsible for maintaining and supervising the use of such devices for residents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Harrison
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Springs Of Mt Vista | 0.1 mi | ★★★★★ | 1 | 0 |
| Hillcrest Home | 1.1 mi | ★★★★★ | 0 | 0 |
| Countryside Health & Rehab Of Newton County | 17 mi | ★★★★★ | 0 | 0 |
| Creekside At The Springs | 24.5 mi | ★★★★★ | 0 | 0 |
| The Blossoms At Berryville Rehab & Nursing Center | 25.3 mi | ★★★★★ | 16 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.