Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Harbour Health Center during CMS and state inspections, most recent first.
Failure to Apply Ordered Skin-Protection Devices: A resident with dementia, HF, and DM2 had a care plan and MD orders for Geri sleeves to the upper and lower extremities and offloading heel boots while in bed for skin protection. Surveyors observed the resident without the ordered sleeves or heel boots, the resident said she did not know why staff had not applied them, a CNA said she had never seen the devices for the resident, and the DON could not locate them in the room even though the TAR had been signed as if they were applied.
A resident admitted with multiple diagnoses did not have signed admission physician's orders or documentation that hospital discharge information was reviewed and communicated to the attending physician. The Medical Records Coordinator, following instructions from an interim DON, shredded original hospital discharge orders and other records without maintaining required destruction logs, in violation of facility policy. The Administrator and current DON were unaware of this practice until it was identified during the survey.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
The facility failed to protect residents from neglect, with two residents experiencing inadequate incontinence care and emotional distress. One resident was left in a puddle of urine during meals, while another was told to use a diaper instead of receiving assistance. The facility lacked ongoing staff training and audits to prevent neglect.
The facility failed to ensure effective corrective actions following two incidents. In the first, an investigation into possible drug diversion involving pain medications for nine residents revealed incomplete documentation, leading to the termination of a staff member. In the second, an allegation of neglect related to incontinence care was confirmed, resulting in another staff termination. However, no further actions, such as Performance Improvement Plans or continued monitoring, were implemented to verify the effectiveness of these measures.
The facility failed to provide timely incontinence care for two residents. A resident with Alzheimer's and mobility issues was left in urine for hours, and another resident had to wait excessively for bathroom assistance, leading to soiling themselves. The CNA falsely documented care availability, and the Administrator confirmed no performance improvement plans were in place.
Failure to Apply Ordered Skin-Protection Devices
Penalty
Summary
The facility failed to ensure Resident #7 received care and services in accordance with the care plan and physician’s orders to maintain skin integrity. Resident #7 had diagnoses including dementia, heart failure, and type 2 diabetes, and the care plan identified a risk for impaired skin integrity related to impaired mobility, fragile skin, diabetes, neuropathy, edema, impaired cognition, and incontinence. The care plan and physician’s orders required Geri sleeves to the bilateral upper and lower extremities and offloading heel boots to both feet while in bed, as tolerated, with refusal documented as needed. During observations, Resident #7 was seen in a wheelchair and in bed without the ordered Geri sleeves on the upper or lower extremities, and without the offloading heel boots while in bed. The resident stated she did not know why staff did not apply the Geri sleeves or heel boots. A CNA assigned to the resident said the resident never refuses care, verified the sleeves were not on, and stated she had not seen Geri sleeves for the resident’s arms or legs and had never seen heel boots for the resident’s feet. The TAR showed licensed nurses and an RN signed that the Geri sleeves and heel boots had been applied as ordered, but the DON later verified by observation that the resident was not wearing the Geri sleeves and could not locate the sleeves or heel boots in the room.
Failure to Safeguard and Retain Resident Medical Records
Penalty
Summary
The facility failed to maintain a complete and safeguarded medical record for one resident following admission from an acute care hospital. The resident, who had diagnoses including hip fracture post-surgery, hypothyroidism, hypertension, and arthritis, was admitted without proper documentation of signed admission physician's orders. There was also no evidence that the discharge summary and medication list from the hospital were reviewed or communicated to the attending physician, and no progress note was written to document physician contact or new orders. The facility's policy required reconciliation of medications and documentation of physician orders, but these steps were not followed for this resident. Additionally, the original hospital discharge orders for the resident were shredded by the Medical Records Coordinator, who stated she was instructed by an interim DON to destroy paper records as the facility transitioned away from paper charts. This shredding occurred for several months and included records from multiple residents, with no record kept of what was destroyed, contrary to facility policy and regulatory requirements. The Administrator and current DON were unaware of this practice until it was discovered during the survey, and the facility's policy for proper destruction and retention of medical records was not followed.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Neglect in Incontinence Care and Emotional Distress
Penalty
Summary
The facility failed to protect residents from neglect, specifically in providing necessary incontinence care and preventing emotional distress. Two residents were affected by this deficiency. One resident, diagnosed with Alzheimer's disease and requiring assistance with hygiene care, was left sitting in a puddle of urine during breakfast and lunch services on a specific date. The facility's records confirmed that the assigned Certified Nursing Assistant (CNA) did not provide the necessary incontinent care during these times. Additionally, the facility lacked ongoing staff training on neglect, with only the staff present on a specific date having received such training. Another resident, with a history of dementia and requiring assistance with mobility, reported that CNAs did not assist with toileting or incontinence care during dinner time, often stating they were too busy. This resident experienced emotional distress when told to use the diaper instead of receiving assistance. The facility was aware of a similar incident involving a former staff member but had not identified other residents with the same complaint. The facility had not conducted audits to ensure neglect was not occurring, and there was no comprehensive training for all caregivers following the neglect allegations.
Failure to Ensure Effective Corrective Actions for Drug Diversion and Neglect
Penalty
Summary
The facility failed to take appropriate corrective action following two separate incidents. In the first incident, the facility investigated 19 possible instances of drug diversion involving as-needed pain medications for nine residents. Although the investigation did not confirm drug diversion, it did reveal incomplete documentation in all 19 instances. The staff member involved was terminated, but no further actions were taken to ensure the effectiveness of this measure. In the second incident, the facility investigated an allegation of neglect related to incontinence care. The investigation confirmed the neglect, and the staff member involved was terminated. However, similar to the first incident, no further actions were taken to verify the effectiveness of the corrective measures. The facility did not implement any Performance Improvement Plans (PIPs) or conduct continued monitoring or audits for either incident.
Inadequate Incontinence Care for Two Residents
Penalty
Summary
The facility failed to provide adequate incontinence care for two residents, leading to deficiencies in their care. Resident #1, who has Alzheimer's disease, impaired gait and mobility, and generalized muscle weakness, was found sitting in a puddle of urine at 8:00 a.m. on 2/20/25. Despite this, the resident did not receive incontinence care until after lunch, indicating a significant delay in addressing the resident's needs. The facility's investigation revealed that the CNA falsely documented that the resident was not available for incontinence care, which was confirmed by the Administrator. Resident #2 reported having to request assistance to use the bathroom, as the CNA did not offer help. On one occasion, the resident had to wait so long for assistance that they were forced to use their diaper and remained in it until after dinner when someone finally provided help. The Administrator confirmed that there were no performance improvement plans in place to monitor toileting and incontinence care at the facility, contributing to the lack of timely and appropriate care for these 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 Port Charlotte
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Solaris Healthcare Charlotte Harbor | 0.3 mi | ★★★★★ | 1 | 0 |
| Charlotte Bay Rehab And Care Center | 0.4 mi | ★★★★★ | 1 | 0 |
| Village Place Healthcare And Rehabilitation Center | 2.1 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Punta Gorda | 3.3 mi | ★★★★★ | 0 | 0 |
| Douglas Jacobson State Veterans Nursing Home | 4.2 mi | ★★★★★ | 1 | 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.