Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Harvard Rest Haven during CMS and state inspections, most recent first.
A facility failed to accurately document a resident's use of CPAP and oxygen therapy in the MDS. The resident, diagnosed with Obstructive Sleep Apnea and COPD, used a CPAP machine and had an order for oxygen therapy, but these were not reflected in the MDS. The ADON confirmed the oversight in the annual assessment.
A facility failed to include the use of a CPAP machine and oxygen concentrator in a resident's care plan, despite the resident's diagnoses of Obstructive Sleep Apnea and COPD. Observations confirmed the presence of these devices in the resident's room, and the resident confirmed their use at night. The ADON acknowledged the oversight, which did not align with the facility's policy for comprehensive care planning.
A facility failed to ensure a resident was evaluated by a provider before renewing a PRN antipsychotic medication, Seroquel. The resident, with multiple mental health diagnoses, had PRN orders renewed without the required evaluations. Records showed gaps in documentation and no evidence of evaluations on renewal dates, violating facility policy and regulatory requirements.
Inaccurate MDS Documentation for Respiratory Treatments
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) for a resident, specifically regarding the use of Continuous Positive Airway Pressure (CPAP) and oxygen therapy. The resident, who was admitted with diagnoses of Obstructive Sleep Apnea and Chronic Obstructive Pulmonary Disease (COPD), was observed to have a CPAP machine and an oxygen concentrator in their room. Despite this, the MDS did not reflect the use of these respiratory treatments, as the relevant sections for oxygen therapy and non-invasive mechanical ventilation were not checked. Interviews and record reviews revealed that the resident used a CPAP machine every night and had an order for oxygen at 2 liters per nasal cannula at bedtime when not using the CPAP. The Assistant Director of Nursing (ADON) confirmed that the MDS was an annual assessment and acknowledged that the sections for oxygen therapy and non-invasive mechanical ventilation were not marked as being used, indicating a failure to accurately document the resident's treatment needs.
Failure to Include CPAP and Oxygen Use in Resident Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident, identified as Resident 13, who was using a Continuous Positive Airway Pressure (CPAP) machine and an oxygen concentrator. The care plan, dated 2/11/25, did not include any focus, goals, or interventions related to the usage of the CPAP or oxygen, despite the resident's diagnoses of Obstructive Sleep Apnea and Chronic Obstructive Pulmonary Disease (COPD). This omission was confirmed through record reviews, observations, and interviews. Observations on 2/24/25 and 2/25/25 revealed the presence of a CPAP machine and an oxygen concentrator in Resident 13's room. An interview with the resident confirmed the use of these devices at night. The Assistant Director of Nursing (ADON) acknowledged that the care plan should have addressed the resident's oxygen and CPAP usage, indicating a lapse in the facility's adherence to its policy of developing person-centered care plans that meet professional standards of quality.
Failure to Evaluate Resident Before Renewing PRN Antipsychotic Medication
Penalty
Summary
The facility failed to ensure that a resident was evaluated by a provider prior to the renewal of an as-needed antipsychotic medication, Seroquel. The resident, who had diagnoses including dementia, paranoid personality disorder, delusional disorder, depression, and anxiety, was receiving Seroquel 25 mg by mouth at various dosages and frequencies, including a PRN order. The facility's policy required that PRN orders for antipsychotic medications be limited to 14 days, with a new order necessitating an evaluation by the attending physician or prescribing practitioner. A review of the resident's records revealed multiple instances where the PRN Seroquel was renewed without an evaluation. The Medication Administration Record (MAR) and Treatment Administration Record (TAR) showed orders for Seroquel with start and end dates, but there were gaps in documentation regarding evaluations. Specifically, there was no record of an evaluation on the dates when the PRN Seroquel was ordered, and the Assistant Director of Nursing confirmed the absence of in-person or telehealth evaluations on those dates. The resident's progress notes and electronic health records indicated that faxes were sent to the psychiatric nurse practitioner requesting renewals of the PRN Seroquel, but there was no evidence of a corresponding evaluation. The resident had appointments with the psychiatric nurse practitioner, but these did not coincide with the dates of the PRN medication renewals. This lack of evaluation before renewing the PRN order for Seroquel constituted a failure to adhere to the facility's policy and regulatory requirements.
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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 Harvard
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sutton Community Home, Inc. | 12.2 mi | ★★★★★ | 9 | 0 |
| Good Samaritan Society - Hastings Village | 14.8 mi | ★★★★★ | 2 | 0 |
| Westfield Quality Care Of Aurora | 17.5 mi | ★★★★★ | 1 | 0 |
| Memorial Community Care | 17.7 mi | ★★★★★ | 4 | 0 |
| Legacy Square | 18.5 mi | ★★★★★ | 10 | 1 |
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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.