Above average — CMS composite of the measures below.
The next survey window likely opens around May 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 Harmony Park At Wilson during CMS and state inspections, most recent first.
A resident with Type 2 DM had active orders and MAR documentation showing receipt of insulin during the MDS look-back period, but the admission MDS was coded as not receiving a hypoglycemic medication. The MDS Coordinator confirmed the resident was receiving insulin and acknowledged the MDS should have been coded for hypoglycemic medication.
Surveyors found that expired yogurt and sour cream were stored in the walk-in refrigerator, and a hot food item was not maintained at the required safe temperature during meal service. Staff failed to remove or reheat the food promptly, and the Dietary Manager confirmed that proper procedures for checking expiration dates and food temperatures were not followed.
A resident with moderate cognitive impairment experienced a monetary loss of $3957.55 due to unauthorized use of his debit card by contracted nurse aides and another individual. The resident had given his card to multiple people for small purchases but noticed unauthorized withdrawals over several months. The police identified the perpetrators, and the resident's bank replaced the lost funds. The facility was involved in assisting the resident with fraud disputes.
A facility failed to report an allegation of misappropriation of a resident's property to DSS. The resident noticed unauthorized withdrawals from his bank account after giving his ATM card to multiple people. The Administrator and Social Worker confirmed DSS was not notified, as the Administrator was unaware of the requirement. The police were informed and identified suspects, but the facility did not document notifying DSS.
A resident with diagnoses of psychosis and depression was admitted without an updated PASRR screening, as only an outdated Level I PASRR from several years prior was on file. The social services department did not ensure a current PASRR was completed prior to admission, despite the resident's mental health diagnoses and use of antipsychotic and antidepressant medications.
A resident with multiple comorbidities and a recent foot amputation did not receive double portions at breakfast as ordered by the physician, nor was a surgeon's recommendation for a high protein diet implemented. Staff interviews and record reviews revealed that the dietary orders were not followed due to oversight and lack of communication regarding the surgeon's typewritten note, resulting in the resident not receiving appropriate nutritional support for wound healing.
Inaccurate MDS Coding for Hypoglycemic Medication
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for Resident #8 in the area of medications. Resident #8 was admitted with diagnoses including Type 2 diabetes mellitus and had active physician orders for hypoglycemic medications, including Insulin Aspartame administered with meals and Insulin Glargine 20 units, later increased to 24 units. The MAR showed the resident received Insulin Aspartame on multiple days and Insulin Glargine on multiple days during the assessment look-back period. However, the admission MDS coded the resident as not receiving a hypoglycemic medication during that period. During interview, the MDS Coordinator confirmed the resident was receiving insulin during the assessment period and stated the MDS should have been coded for hypoglycemic medication, including insulin. The Administrator stated the expectation was that MDS assessments be completed accurately and reflect residents' diagnoses, medications, treatments, and services received.
Expired Food Storage and Unsafe Hot Food Holding Temperatures
Penalty
Summary
The facility failed to properly manage food storage and preparation, resulting in expired food items being stored in the walk-in refrigerator and hot food not being maintained at safe temperatures. Observations revealed multiple containers of yogurt and tubs of sour cream with expiration or 'best if used by' dates that had passed, some of which had been opened and used. The Dietary Manager acknowledged that these items were expired and should have been removed, but stated that the process for checking expiration dates was not followed as intended, leading to the oversight. Additionally, during a meal observation, a staff member measured the temperature of mashed potatoes on the steam table and found it to be significantly below the required holding temperature, with readings between 111 and 127 degrees Fahrenheit. Despite recognizing that the food was not at the correct temperature, the staff member did not immediately remove the pan from service or reheat it, and began plating the food for service. The Dietary Manager intervened only after surveyor involvement, and the food was eventually reheated to an appropriate temperature before being served.
Misappropriation of Resident's Funds by Contracted Staff
Penalty
Summary
The facility failed to protect a resident's right to be free from misappropriation of property, resulting in a suspected monetary loss of $3957.55. The resident, who had a cognitive communication deficit and cerebral infarction, was found to have moderate cognitive impairment. The resident had given his ATM debit card to multiple people over time for small purchases but noticed unauthorized withdrawals over several months. The facility was notified of the missing funds, and the local police were involved in the investigation. During the investigation, the resident identified a staff member, NA #3, as someone he had given his debit card to for a purchase, but she was later cleared of involvement. The police identified three individuals, including two contracted nurse aides and another individual, as the alleged perpetrators. These individuals were found to have used the resident's debit card without authorization, leading to charges of identity theft and obtaining property under false pretenses. The resident's bank account showed multiple unauthorized transactions, including ATM withdrawals and online purchases. The facility's administrator and unit manager were involved in assisting the resident with obtaining bank statements and filing fraud disputes. The resident was not physically or mentally harmed and was primarily concerned with recovering his funds, which the bank eventually replaced. The facility acknowledged the involvement of contracted staff in the misappropriation and noted that the resident preferred to keep his wallet with him at all times for control, despite having a lock box and locked nightstand drawer.
Failure to Report Misappropriation of Resident Property to DSS
Penalty
Summary
The facility failed to report an allegation of misappropriation of a resident's property to the Department of Social Services (DSS). This deficiency affected a resident who discovered funds missing from his bank account. The resident had previously given his ATM debit card to multiple people to make purchases, but noticed unauthorized withdrawals over several months. Although the local police were notified and began an investigation, the facility did not document that DSS was informed of the allegation. The Administrator completed a 24-hour Initial Report and a Facility Investigation Report, both of which lacked documentation of notification to DSS. During interviews, the Administrator and Social Worker confirmed that DSS was not notified, as the Administrator was unaware of the requirement to inform DSS in addition to the state agency and local police. The police investigation identified suspects, and one individual was arrested, but the facility's failure to notify DSS remained unaddressed in the reports.
Failure to Complete Updated PASRR Prior to Admission for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure an updated Preadmission Screening and Resident Review (PASRR) was completed prior to admission for a resident with diagnoses of psychosis and depression. Record review showed that the only PASRR determination letter on file was dated from several years prior to the current admission, and no updated PASRR screening was found in the facility's records. The resident was admitted with diagnoses including psychosis not due to a substance or known physiological condition and depression, and was taking antipsychotic and antidepressant medications. The admission Minimum Data Set (MDS) confirmed the presence of these diagnoses and indicated that the resident had not been evaluated by a Level II PASRR for serious mental illness. Interviews with the Social Services Director revealed that the social services office, responsible for ensuring PASRR completion, did not realize that an updated PASRR had not been obtained since the previous one from several years ago. The Social Services Director stated that the office should have ensured a Level I assessment was done if one was not received from the hospital. The Administrator confirmed that the social services department was responsible for PASRR information and acknowledged that only an outdated Level I screen was available.
Failure to Provide Ordered Double Portions and Implement High Protein Diet Recommendation
Penalty
Summary
The facility failed to provide a resident with double portions at breakfast as ordered by the physician, and did not implement a surgeon's recommendation for a high protein diet following a surgical amputation. The resident, who had a history of hypertension, peripheral vascular disease, congestive heart failure, type 2 diabetes mellitus, atherosclerotic heart disease, and was on anticoagulants, was admitted with significant nutritional risks and required specialized dietary interventions. Physician orders specified a controlled carbohydrate, no added salt diet with double portions at breakfast, but observations revealed the resident received only standard portions, and both the resident and dietary staff confirmed the omission. Additionally, after the resident underwent a transmetatarsal amputation for dry gangrene, the surgeon's typewritten consultation report recommended a high protein diet to aid in wound healing. This recommendation was not incorporated into the resident's care plan or physician orders, and no protein supplements were provided. The omission occurred because the nursing staff and registered dietitian were unaware of the recommendation, as it was only included in a typewritten note that was not reviewed by the relevant staff. The resident's albumin level was low, and the registered dietitian noted the need for nutritional support, but no changes were made to the diet or supplementation. Interviews with facility staff, including the dietary manager, nurse practitioner, and director of nursing, confirmed that the resident did not receive the ordered double portions or the recommended high protein diet. The oversight was attributed to a lack of communication and review of all relevant medical documentation, particularly the typewritten surgical consultation note. The failure to implement the prescribed and recommended dietary interventions resulted in the resident not receiving the nutritional support necessary for wound healing and recovery.
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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 Wilson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wilson Pines Nursing And Rehabilitation Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Wilson Healthcare And Rehabilitation Center | 0.9 mi | ★★★★★ | 0 | 0 |
| Wilson Rehabilitation And Nursing Center | 2.4 mi | ★★★★★ | 3 | 0 |
| Longleaf Neuro-medical Treatment Center | 3.2 mi | ★★★★★ | 16 | 0 |
| Autumn Care Of Nash | 17.4 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.