Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Homeland Center during CMS and state inspections, most recent first.
A resident with TBI and Parkinson’s became combative during PM incontinence care provided by two NAs. According to documentation and staff statements, the resident struck one NA in the face, either directly or by hitting a wet washcloth that then contacted the NA. In response, the NA immediately slapped the resident in the face with an open hand and made a verbal remark about the resident hitting her. The resident was later assessed with facial redness but no skin tears, bruising, pain, or change in baseline status. The facility’s investigation determined that the NA’s action constituted physical abuse in violation of facility policy prohibiting hitting or slapping residents.
A resident with dementia and osteoporosis suffered a hip fracture and facial laceration after staff failed to implement required fall prevention interventions, including proper bed positioning and placement of floor mats and alarms, as outlined in the care plan. Staff statements and documentation confirmed that the care plan was not fully followed, leading to the resident's fall and subsequent injuries.
A deficiency occurred when a resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, resulting in care that was not individualized or consistent with documented directives.
Two residents with significant cognitive and physical impairments did not receive consistent assistance with grooming, specifically shaving, as required by their care plans and facility policy. Despite documentation indicating personal hygiene was provided every shift and no refusals were recorded, both residents were repeatedly observed with visible facial hair. Staff interviews confirmed that shaving was only performed on shower days, and there was no evidence that additional grooming was offered or documented.
A staff member was observed using an ink pen to poke holes in medication blister packs and push pills into medication cups for two residents, contrary to facility policy requiring avoidance of direct contact with medications unless gloved. The staff member admitted to this practice and could not confirm that the pen did not touch the pills, and facility leadership confirmed this was not appropriate.
The facility failed to provide appropriate restorative nursing programs for two residents with limited mobility. One resident with a history of cerebrovascular accident and hemiplegia did not receive the passive range of motion program as documented, while another resident with muscle weakness and chronic pain did not receive the transfer and splint assistance programs. Documentation errors were noted, and the care plan for one resident was not updated to reflect the current program.
Two residents in an LTC facility had inaccurate assessments in their clinical records. One resident, using a CPAP machine, was incorrectly documented as not using a non-invasive mechanical ventilator. Another resident, with a pressure ulcer, had inaccurate MDS entries regarding nutrition interventions. The DON and RN Assessment Coordinator acknowledged these errors.
The facility failed to provide residents with access to grievance information and forms, as required by policy. Interviews with residents revealed they were unaware of how to file grievances, and observations confirmed the absence of posted grievance information. The facility's handbook also lacked details on filing grievances anonymously and the contact information of the grievance official. Interviews with the administration indicated that grievances were expected to be resolved verbally, with no formal grievance forms available.
Resident Physically Abused by NA During Combative Care Episode
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident’s right to be free from physical abuse. Facility policy on resident abuse, neglect, and exploitation, revised July 2023, defines physical abuse as including hitting, slapping, punching, biting, and kicking, and states that the facility will protect the health, welfare, and rights of each resident by prohibiting and preventing abuse. Despite this policy, a nurse aide (Employee 1) physically struck a resident during the provision of care. The resident involved had diagnoses including intracranial injury (TBI) and Parkinson’s disease. During evening care, the resident became combative while two nurse aides, Employee 1 and Employee 2, were providing incontinence care and transferring the resident to bed. According to clinical documentation and staff statements, the resident hit Employee 1 in the face, either directly with his hand or by striking a wet washcloth that then hit Employee 1. Employee 2 reported that immediately after being hit, Employee 1 responded by smacking the resident in the face with an open hand and verbally stating, “You think you’re just going to keep hitting me!” The resident was assessed following the incident and was noted to have redness to the right cheek, with no bruising or skin tears, no reported pain, stable vital signs, and no change from baseline mental status. Resident interview was not possible due to the resident’s diagnosis. In interviews with facility leadership, Employee 1 admitted that she slapped the resident, characterizing it as a reaction to being hit, although she later attempted to modify her account to say she pushed the resident’s arm away. The facility’s investigation concluded that Employee 1 was physically abusive when she chose to hit the resident in return for the resident’s actions, and that the resident’s behavior did not warrant this response, which was considered resident abuse.
Failure to Implement Fall Prevention Care Plan Results in Resident Injury
Penalty
Summary
The facility failed to ensure that a comprehensive, person-centered care plan was implemented for a resident with dementia and osteoporosis, resulting in actual harm. The resident's care plan included specific fall prevention interventions such as a tab alarm at all times in bed and chair, bilateral floor mattresses/alarming floor mats, and a low bed. However, on the day of the incident, these interventions were not properly implemented. The bed was not in the low position, and the fall mats were not placed on the floor as required by the care plan. Clinical documentation and staff witness statements revealed that the certified nurse assistant (CNA) assigned to the resident did not fully follow the care plan. Although the CNA reported placing the bed in the lowest position and setting up alarms and mats, a subsequent statement admitted to failing to put down the second fall mat. Other staff who responded to the incident found the bed elevated, fall mattresses propped against the wall, and alarms not connected. This failure to follow the care plan led to the resident rolling out of bed, sustaining a 4-5 cm laceration to the forehead and a mildly displaced fracture of the proximal left femoral metaphysis (hip fracture). The incident was unwitnessed and occurred after the CNA had left the room. The resident required emergency medical attention, including repair of the facial laceration and hospital admission for orthopedic evaluation. The facility's investigation confirmed that the care plan was not followed, which directly resulted in the resident's injuries.
Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
A deficiency was identified when treatment and care were not provided in accordance with physician orders, as well as the resident's preferences and goals. The report notes a failure to ensure that care was individualized and aligned with the documented directives and wishes of the resident, as required by regulations.
Failure to Provide Adequate Personal Hygiene and Grooming for Dependent Residents
Penalty
Summary
The facility failed to maintain adequate personal hygiene and grooming for two residents who were dependent on staff for assistance with activities of daily living (ADLs). Both residents had significant medical conditions, including dementia, Parkinson's disease, hemiplegia, and generalized muscle weakness, which limited their ability to perform self-care. Facility policy required that residents unable to carry out ADLs receive necessary services to maintain good grooming and hygiene. Care plans for both residents specified that they were dependent on staff for grooming tasks such as shaving. However, repeated observations over several days showed that both residents had visible facial hair, indicating that shaving was not consistently provided. Staff interviews revealed that shaving was typically performed on shower days, and residents or their families could request additional grooming if needed. Documentation indicated that both residents received personal hygiene every shift, with no refusals of care recorded. Despite this, the presence of facial hair persisted across multiple observations, and there was no documentation to support that shaving was offered or refused outside of scheduled shower days. The DON confirmed that shaving should have been provided or at least offered and documented if refused, in accordance with facility policy.
Improper Medication Preparation Compromises Infection Control
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program during the preparation and administration of medications for two residents. Facility policy required staff to avoid touching tablets or capsules unless wearing gloves. During a medication pass, a staff member was observed using an ink pen to poke holes in the back of medication blister packs and then push pills through into medication cups, potentially allowing the pen to come into contact with the pills. The staff member acknowledged using the pen in this manner and was unsure if the pen had touched the medications. Facility leadership confirmed that this practice was not in accordance with policy.
Failure to Implement Restorative Nursing Programs for Residents
Penalty
Summary
The facility failed to ensure that residents with limited mobility received appropriate services and assistance to maintain or improve their mobility. Specifically, two residents, identified as Resident 30 and Resident 40, did not receive the necessary restorative nursing programs (RNP) as outlined in their care plans. Resident 30, who has a history of cerebrovascular accident, hemiplegia, and muscle weakness, was supposed to be on a passive range of motion (PROM) program to maintain functional mobility and prevent contractures. However, documentation revealed that the program was not implemented 25 times on the day shift and 11 times on the evening shift. Similarly, Resident 40, diagnosed with muscle weakness, chronic pain, and major depressive disorder, was supposed to be on a transfer program and a splint assistance program to prevent decline in functional mobility and contracture development. The documentation showed that the transfer program was not implemented 51 times on the day shift and 73 times on the evening shift, while the splint program was not implemented 44 times on the day shift and 81 times on the evening shift. Additionally, Resident 40's care plan did not reflect the current splint RNP program. The Director of Nursing acknowledged the documentation errors, which were initially attributed to refusals by the residents.
Inaccurate Resident Assessments in LTC Facility
Penalty
Summary
The facility failed to ensure accurate resident assessments for two residents, leading to deficiencies in their clinical records. Resident 28, diagnosed with chronic kidney disease and heart failure, was observed using a CPAP machine daily. However, the Minimum Data Set (MDS) for Resident 28 inaccurately marked the use of a non-invasive mechanical ventilator as 'No,' despite progress notes indicating the CPAP was used throughout the night. The Director of Nursing (DON) was unaware of the CPAP usage, and a modification to the MDS was initiated to correct this oversight. Resident 66, diagnosed with dementia, a pressure ulcer, and hypertension, had physician orders for a diabetic supplement to support skin health. Despite this, the Quarterly MDS and subsequent assessments inaccurately marked 'No' for nutrition or hydration interventions to manage skin problems. The Registered Nurse Assessment Coordinator acknowledged the coding errors, and the DON expressed an expectation for accurate MDS coding. These inaccuracies in resident assessments were identified as deficiencies during the survey.
Failure to Provide Grievance Information and Access in LTC Facility
Penalty
Summary
The facility failed to honor residents' rights to voice grievances without discrimination or reprisal by not posting the required grievance information and not providing access to grievance forms. The facility's policy, titled 'Resident and Family Grievances,' was reviewed and found lacking in providing the contact information of the grievance official, including their name, business address, and phone number. Observations across all resident areas confirmed the absence of posted grievance information and the identification of the Grievance Official. Interviews with three residents revealed that they were unaware of how to file a grievance or where to find grievance forms or information, despite attending monthly Resident Council meetings. Additionally, the facility's Skilled Nursing Resident Handbook did not include information on filing grievances anonymously or the contact details of the grievance official. Interviews with the Nursing Home Administrator and Director of Nursing indicated that no grievance forms were available, and grievances were expected to be resolved verbally through staff. The facility's grievance log showed only one grievance filed in the past six months, suggesting a lack of formal grievance processes.
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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 Harrisburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gardens At Camp Hill, The | 1.9 mi | ★★★★★ | 0 | 0 |
| Gardens At West Shore, The | 2.2 mi | ★★★★★ | 5 | 1 |
| Camp Hill Skilled Nursing And Rehabilitation Ctr | 2.8 mi | ★★★★★ | 15 | 0 |
| Spring Creek Rehabilitation And Nursing Center | 3 mi | ★★★★★ | 5 | 1 |
| Amoroso Healthcare And Rehabilitation Woodridge | 3.4 mi | ★★★★★ | 16 | 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.