Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Jamieson Nursing Home during CMS and state inspections, most recent first.
No RN Coverage Documented on Multiple Days: The facility failed to ensure an RN was on duty for 8 consecutive hours a day, 7 days a week. CMS PBJ staffing data showed no RN staffing, and staffing sheets and punch cards confirmed no RN coverage on multiple days. The NHA stated the DON worked some morning shifts but did not punch in, and on other days two LPNs were scheduled with no RN coverage.
A facility failed to document appropriate assessments, consents, or MD orders for restraint-like devices used with four residents, including bed alarms, wheelchair alarms, a lap buddy, a bed bolster, a soft wedge, and beds placed against the wall. Residents with dementia, hemiplegia, and other conditions were observed with these devices in use, while the record lacked the required authorization and the DON stated the facility did not do consents for alarms.
Failure to prevent and properly assess a left heel pressure ulcer: A resident with dementia and severe cognitive impairment was identified as high risk for pressure ulcers, yet no early skin interventions were documented and a stage II ulcer later developed. Records showed missed treatment documentation, incomplete wound assessments, and skin audits noting a blister, necrosis, and drainage without measurements or staging. Staff reported the heel boots were added only after the blister appeared, and the DON said the resident was constantly moving the feet and rubbing the heel on the bed.
The facility failed to monitor the dish machine's operation, using incorrect testing strips to measure chlorine levels, leading to potential foodborne illness risks for 18 residents. The kitchen staff used expired chlorine strips without a comparison chart, and the CDM noted incorrect recording of sanitizer levels since the interim CDM's departure.
The facility failed to implement an enhanced barrier precautions (EBP) policy and did not update infection control policies annually. A resident with a catheter did not have EBP in their care plan, and only gloves were used during catheter care. Several infection control policies were outdated, and the DON was unaware of the need for EBP per CDC guidance.
The facility failed to serve correct portion sizes as planned on the menu, potentially affecting the nutritional status of 18 residents. Observations revealed discrepancies in portion sizes for both regular and puree diets, with the puree diet receiving significantly less than planned. The Registered Dietitian confirmed that puree diets should match regular diet portions, but recipes lacked necessary details, contributing to the deficiency.
The facility failed to provide State-approved training for a Certified Dietary Manager (CDM) who was observed feeding a resident a pureed diet without proper training. The CDM had only received a refresher from the DON years ago, and the facility lacked comprehensive documentation and policies for feeding assistance. This deficiency put residents at risk of complications such as choking.
A facility failed to assess nutritional needs and follow diet orders for two residents, leading to potential nutritional compromise. One resident with multiple diagnoses was served a pureed meal despite a regular diet order, and missed assessments delayed identifying malnutrition risk. Another resident with chronic conditions was also served a pureed diet without updated orders, and assessments were not conducted after July, despite weight loss. The CDM admitted to missing assessments and not notifying the RD of changes, compromising nutritional care.
The facility failed to provide rationale for declining pharmacy medication regimen review recommendations for two residents. One resident with severe cognitive impairment continued to receive Lorazepam without a stop date, and another resident with diabetes continued to receive Glimepiride despite risks. The Medical Director declined recommendations without providing rationale, contrary to facility policies.
The facility failed to manage psychotropic medications properly for three residents, leading to deficiencies in medication administration and care planning. A resident was prescribed Lorazepam without a specified end date or indication for use, and the care plan lacked non-pharmacological interventions. Another resident did not receive a required gradual dose reduction for citalopram, and their care plan also lacked non-pharmacological interventions. A third resident's care plan did not include non-pharmacological interventions for Duloxetine, and no behavioral interventions were documented.
No RN Coverage Documented on Multiple Days
Penalty
Summary
The facility failed to ensure an RN was on duty for eight consecutive hours a day, seven days a week, affecting all 21 residents residing in the facility. Review of the CMS PBJ Staffing Data Report for the 4th quarter of 2025 showed the facility triggered for no RN staffing. Review of the requested Daily Staffing Sheets for the same quarter identified dates without RN staffing on 7/4/2025, 7/12/2025, 8/10/2025, and 9/1/2025. During an interview on 1/7/26 at 11:00 AM, the NHA stated the DON worked the morning shift on 7/4/2025 and 7/12/2025 but was salaried and did not punch in, and stated that on 8/10/2025 and 9/1/2025 two LPNs were scheduled for the morning and night shifts with no RN coverage. Review of the facility's punch cards confirmed no RN coverage documented on those dates.
Failure to Document and Authorize Restraint-Like Devices
Penalty
Summary
The facility failed to provide appropriate assessments and documentation supporting the use of physical restraints for four residents who had bed alarms, wheelchair alarms, bed positioning against the wall, and other positioning devices in place without documented consents or physician orders. R5, admitted with weakness and dementia and assessed with severe cognitive impairment, was observed with a bed against the wall and a functioning bed alarm in the room, and later with a padded alarm under the resident while seated in a recliner; the record contained no consent or physician order for the alarms or for the bed placement. R11, admitted with hemiplegia and severe cognitive impairment, was observed with a lap buddy in the wheelchair, a bed against the wall, a functioning bed alarm, a bed bolster restricting movement, and a fall mat, but the record contained no consent or physician orders for these devices or for the bed placement. R20, admitted with dementia and anxiety and assessed with severe cognitive impairment, was observed sitting in a wheelchair with a padded alarm on the back of the chair and had a bed against the wall; the record contained no consent or physician orders for the alarm or bed placement. R18, admitted with multiple myeloma, anemia, and hyperlipidemia and assessed with moderate cognitive impairment, was observed in bed with the right side pushed against the wall, a soft wedge on the left side, and a bed alarm underneath, and later with the alarm clipped to the back of the shirt and then on the resident in a recliner. The resident stated the alarm was used so they would not get up and fall out of bed. The care plan noted a bed alarm at night, but the record lacked consent for the bed/positioning alarm, and the DON stated the facility did not do consents for alarms and that beds against the wall had no care plan or quarterly reassessment.
Failure to Prevent and Properly Assess a Left Heel Pressure Ulcer
Penalty
Summary
The facility failed to implement interventions, accurately assess, and prevent the development of a stage II pressure ulcer for one resident with dementia, insomnia, hyperlipidemia, and hypertension who required substantial to maximal assistance with activities of daily living and had severe cognitive impairment. The resident’s initial MDS showed no pressure ulcers and identified the resident as at risk for pressure ulcers, but no skin treatments or interventions were listed at that time. A later quarterly MDS documented that the resident had developed a stage II pressure ulcer. The resident’s pressure ulcer risk assessment, completed 74 days after admission, showed a score of 14, which the assessment identified as high risk for pressure ulcers. The care plan later addressed an ulcer of the left heel and included daily foot inspection and twice-daily dressing changes. Physician orders over time included wound wash and bandaging, cadexomer iodine gel, repositioning every two hours in bed with pillows, doxycycline, and later wound wash with iodine and bandaging. The treatment administration record showed multiple missed signatures for ordered treatments in September, October, and November 2025. Skin audit tools documented a blister on the left heel, then left heel necrosis/ulcer, and later drainage from the left heel, but the tools lacked pressure ulcer assessments for size, drainage, color, pain, odor, or staging. During observation, the resident was seen in a reclining chair with feet elevated, wearing heel protector boots, with the left foot drawn up and adding pressure to the heel; the room had a regular mattress and no heels-up pad was observed. RN C stated the boots came after the blister developed and that the ulcer had to be debrided and the resident was placed on antibiotics because of poor healing and cellulitis. RN C also stated no measurements were taken during the dressing change, and the DON stated the resident was constantly moving the feet around, rubbing on the bed, and pounding them on the floor.
Improper Monitoring of Dish Machine Sanitization
Penalty
Summary
The facility failed to properly monitor the operation of their dish machine, which is crucial for ensuring that dishes, utensils, and other food preparation equipment are adequately sanitized. During an observation, it was noted that the kitchen staff were using a chlorine-based cold temperature dish machine for sanitizing. However, the staff used a quaternary strip, which is not suitable for measuring chlorine levels, to test the sanitizer. This led to an inability to accurately determine the amount of chlorine being dispensed by the dish machine. Furthermore, the only available chlorine strips were expired, and there was no comparison color chart to verify the chlorine levels. The Certified Dietary Manager (CDM) acknowledged that the kitchen staff had been incorrectly recording the sanitizer levels since the interim CDM left the previous April. This oversight in using the wrong testing strips and the lack of proper monitoring could potentially lead to foodborne illnesses among the facility's 18 residents. The FDA Food Code 2017 specifies the requirements for chemical sanitization, including the necessary contact time and concentration for chlorine solutions, which were not adhered to in this instance.
Failure to Implement Enhanced Barrier Precautions and Update Infection Control Policies
Penalty
Summary
The facility failed to implement and develop an enhanced barrier precautions (EBP) policy and did not update infection control policies annually based on standards of practice. During the survey, it was observed that a resident with a neurogenic bladder and catheter did not have EBP initiated in their care plan, as recommended by the CDC for high contact care activities involving medical devices. The resident's room lacked any personal protective equipment (PPE) cart or EBP sign indicating necessary precautions for catheter care. Interviews with the resident and a certified nurse aide (CNA) revealed that only gloves were used during catheter care, without additional PPE such as gowns. Further review of the facility's infection control policies showed that several policies, including those for Covid-19, influenza, and pneumococcal vaccinations, as well as isolation and antibiotic stewardship, had not been updated annually. The Nursing Home Administrator (NHA) and Director of Nursing (DON) were unaware of the requirement for annual policy reviews and updates. The DON admitted that the facility did not have a policy for EBP and was unaware of the new CDC guidance. The facility's Quality Assurance policy, which should encompass infection control, was also undated, indicating a lack of adherence to maintaining updated and effective infection control measures.
Facility Fails to Serve Correct Menu Portions
Penalty
Summary
The facility failed to serve the correct portion sizes as planned on the menu, which had the potential to negatively affect the nutritional status of all 18 residents. During an observation in the dietary department, the Certified Dietary Manager (CDM) served lunch with incorrect portion sizes for both regular and puree diets. Specifically, the regular diet received 4 oz of split pea soup instead of the planned 8 oz, and the puree diet received 2 oz of split pea soup instead of the planned 4 oz. Similar discrepancies were observed during another meal service, where the puree diet received only half of the planned portions for pork, mixed vegetables, and mashed potatoes. The Registered Dietitian (RD) confirmed that residents on a pureed diet should receive the same portions as those on a regular diet. However, the recipes for the ham salad sandwich and split pea soup lacked portion sizes and nutritional breakdowns, and the ham salad sandwich recipe did not provide steps or ingredient amounts for a puree portion. This inconsistency in portion sizes and lack of detailed recipes contributed to the deficiency in meeting the nutritional needs of the residents.
Failure to Provide State-Approved Training for Feeding Assistants
Penalty
Summary
The facility failed to ensure that non-licensed employees, specifically a Certified Dietary Manager (CDM), received the State-approved training course for feeding assistance to residents. During a breakfast observation, the CDM was seen feeding a resident a pureed diet without having completed the required training. The CDM admitted to receiving only a refresher from the Director of Nursing (DON) several years ago, rather than the comprehensive State-approved training. The DON confirmed that the CDM had not taken the official training course and was unaware of its requirements, indicating a lack of proper training for staff involved in feeding residents. The deficiency was further highlighted by the facility's inadequate documentation and policies regarding feeding assistance. The facility provided a brief and undated procedure for feeding residents a pureed diet, which lacked comprehensive guidelines. Additionally, a policy allowed the DON to train kitchen staff on feeding procedures, but it was also undated and lacked detail. This lack of formal training and documentation put residents, particularly those on pureed diets, at risk of complications such as choking, as acknowledged by the CDM during the observation.
Failure to Assess Nutritional Needs and Follow Diet Orders
Penalty
Summary
The facility failed to regularly assess the nutritional needs and follow the physician's diet orders for two residents, leading to potential nutritional compromise. Resident #11, who has a history of dementia, anxiety, depression, stroke, and traumatic brain injury, was observed consuming a pureed meal despite the tray card indicating a regular diet. The care plan for Resident #11 specified a pureed diet, but the physician's order was for a regular consistency diet. The facility did not complete quarterly nutritional assessments between March and December 2024, missing the opportunity to identify a decline in nutritional status earlier. The Certified Dietary Manager (CDM) admitted to missing assessments and did not alert the consulting Registered Dietitian (RD) after the December 2024 assessment indicated the resident was at risk of malnutrition. Resident #18, diagnosed with kidney disease, depression, diabetes, dementia, and anxiety, was also served a pureed diet despite the tray card indicating a regular diet. The care plan and physician's order were not updated to reflect the handwritten telephone order for a pureed diet and additional nutritional supplements. The facility failed to conduct nutritional assessments after July 2024, during which the resident's weight decreased from 90.2 pounds to 86.1 pounds by January 2025. The CDM acknowledged being behind on assessments and missing two evaluations, despite the resident being consistently at risk for malnutrition. The deficiencies in nutritional assessment and adherence to diet orders for both residents highlight a lack of proper documentation and communication within the facility. The CDM's failure to complete timely assessments and notify the RD of changes in residents' nutritional status contributed to the potential for undetected physical decline and weight loss. The facility's oversight in maintaining accurate and updated dietary orders and assessments compromised the residents' nutritional care.
Lack of Rationale for Declined Pharmacy Recommendations
Penalty
Summary
The facility failed to provide a rationale for declining pharmacy medication regimen review (MRR) recommendations for two residents. Resident #11, who has severe cognitive impairment due to dementia, had a pharmacy recommendation to discontinue a PRN anxiolytic medication, Lorazepam, which had been in place for over 14 days without a stop date. The recommendation was declined by the Medical Director without providing a rationale for the continuation of the medication. Similarly, Resident #6, who has diagnoses including depression, anxiety, and diabetes, had multiple pharmacy recommendations to discontinue the use of Glimepiride, a sulfonylurea, due to the risk of cardiovascular events and hypoglycemia in older adults. These recommendations were also declined by the Medical Director without providing a rationale. The Director of Nursing (DON) acknowledged the issue and mentioned having addressed it with the physician in the past. The facility's Quality Assurance (QA) Committee policy requires the review of medication records for safety and effectiveness, and the policy on antipsychotic medication use mandates that physicians document the rationale for continued use if the benefits outweigh the risks. However, in these cases, the required documentation and rationale were not provided, leading to the deficiency.
Deficiencies in Psychotropic Medication Management
Penalty
Summary
The facility failed to properly manage psychotropic medications for three residents, leading to deficiencies in medication administration and care planning. Resident #11 was prescribed Lorazepam on an as-needed basis without a specified end date or indication for use. Despite a pharmacy recommendation to discontinue the medication or document its necessity, the medical director declined the recommendation without providing a rationale. The resident's care plan lacked non-pharmacological interventions for anxiety, and there was no evidence of monitoring the medication's effectiveness. Resident #12 was prescribed citalopram for depression, but the facility did not attempt a gradual dose reduction (GDR) as required, nor did they document any clinical rationale for not performing a GDR. The resident's care plan also lacked non-pharmacological interventions for depression, and there was no documentation in the physician's progress notes regarding the medication. Resident #6 was prescribed Duloxetine for depression, but their care plan did not include any non-pharmacological interventions. The facility's behavior/mood symptom tracking tool did not document any behavioral interventions for the resident throughout January. The facility's policies on pharmaceutical services and antipsychotic medication use were not adhered to, as evidenced by the lack of appropriate documentation and interventions for the residents involved.
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What surveyors actually found near you
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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 Harrisville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lincoln Haven Nursing & Rehabilitation Community | 2.8 mi | ★★★★★ | 13 | 0 |
| Lakeview Manor Healthcare Center | 27.7 mi | ★★★★★ | 0 | 0 |
| Medilodge Of Tawas City | 27.9 mi | ★★★★★ | 15 | 0 |
| Iosco County Medical Care Facility | 28.1 mi | ★★★★★ | 30 | 0 |
| Medilodge Of Alpena | 29.4 mi | ★★★★★ | 8 | 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.