Below average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Renaissance Terrace during CMS and state inspections, most recent first.
Failure to notify residents of excess trust account balances. The facility did not document notifying three residents or their reps when their resident trust account balances exceeded the Medicaid resource limit. Records showed the residents had balances well above the $2,000 limit, and the BOM and Administrator confirmed there was no documentation of notice regarding Medicaid eligibility requirements or the over-limit balances.
A facility failed to ensure accurate controlled substance accountability when two nurses transferred a medication cart and did not count a resident’s Gabapentin bottle during shift change. The resident was receiving Gabapentin for diabetic neuropathy and was cognitively intact. When the bottle was later counted, 3 pills were missing compared with the narcotic log, and the DON and Administrator confirmed the count was not completed as expected.
Failure to Provide Hand Hygiene Before Meals: A CNA brought lunch trays to 3 residents, opened beverage containers, and left without offering or assisting with hand hygiene before meal service. The residents included one with severe cognitive impairment and assistance needs, one cognitively intact resident needing set-up assistance, and one resident with aphasia, malnutrition, and assistance needs. The CNA confirmed the omission, and the DON confirmed residents were expected to be offered and assisted with hand hygiene before meals.
The facility did not follow its admission agreement requirement to refund any resident credit balance within 30 days, resulting in a significant delay in returning funds owed to a responsible party after a resident with a history of stroke, CHF, and metabolic encephalopathy died of natural causes. Although the responsible party was clearly documented as authorized for healthcare and financial decisions and was listed on the resident’s private bank accounts, the facility withheld a $1,995.00 refund until a notarized Heirship Affidavit was obtained and then delayed issuing the check for an additional 41 days, leading to the refund being paid more than five months after the resident’s death.
A resident with paraplegia, neurogenic bladder, chronic Foley use, and a documented latex allergy required a latex-free indwelling catheter, and this allergy was recorded on the MAR/TAR. Clinical standards cited in an online urology and continence care journal specify that PTFE-coated catheters are latex-based and must be avoided in patients with latex sensitivity. Despite this, nursing staff replaced the resident’s leaking Foley with a stock silicone-coated latex catheter rather than a 100% silicone, latex-free device, even though both types were available in the facility. The resident later reported burning, itching, and concern about having a latex Foley, requested transfer to the hospital, and in the ED the catheter was exchanged for a non-latex device. The DON acknowledged that a silicone-coated latex catheter had been inserted in error, constituting a failure to follow recognized standards for residents with known latex allergies.
Failure to Notify Residents of Excess Trust Account Balances
Penalty
Summary
The facility failed to notify residents or their representatives when resident trust account balances exceeded the Medicaid eligibility limit for 3 residents out of 26 reviewed. The facility policy stated that residents receiving Medicaid must be notified when their account reaches $200 less than the SSI resource limit, and the notice must explain that exceeding the applicable resource limits may affect Medicaid or SSI eligibility. However, the record review and interviews showed no documentation that Residents #7, #13, and #27 were notified that their balances were over the $2,000 Medicaid eligibility limit. Resident #7 was admitted with diagnoses including Frontal Lobe and Executive Function Deficit, Altered Mental Status, Aphasia, Cerebral Infarction, and Schizophrenia, and a quarterly MDS showed modified independence for cognitive skills for daily decision making. Resident #13 was admitted and readmitted with diagnoses including Hemiplegia and Hemiparesis, Aphasia, and Anxiety, and a quarterly MDS showed independence in cognitive skills for daily decision making. Resident #27 was admitted and readmitted with diagnoses including Type 2 Diabetes, Dementia, and COPD, and an annual MDS showed a BIMS score of 15 indicating cognitive intactness. Their resident fund statements showed balances of $3,957.98, $4,581.83, and $3,296.67, respectively, and the BOM and Administrator confirmed there was no documentation that the residents or their representatives had been notified of the balances or the Medicaid eligibility requirements.
Controlled Substance Count Not Completed at Shift Change
Penalty
Summary
The facility failed to ensure accurate accountability of controlled substances for one resident who was receiving Gabapentin 600 mg three times daily for diabetic neuropathy and had a BIMS score of 15, indicating cognitive intactness. Facility policy required controlled substances to be counted at the beginning and end of every shift, and nursing reference material stated that narcotics are to be counted during shift change with both nurses signing the narcotic record when the count is correct. On 5/17/2026, RN B became ill during the shift and left the facility. RN A took over the medication cart, and the two nurses counted the controlled substances on the cart, but they did not count the bottle of Gabapentin for the resident before RN B left. Later, RN A and LPN C counted the bottle and found a discrepancy: the narcotic log showed 79 pills, but only 76 pills were present, leaving 3 pills unaccounted for. The facility investigation and staff interviews confirmed that RN A and RN B failed to count the resident’s Gabapentin bottle before the cart was transferred. The DON confirmed the incident and stated the facility expected nurses to visually check and count all controlled substances during shift changes. The Administrator also confirmed the expectation that controlled substances should be counted before one nurse takes over a medication cart from another nurse and that the count should match the narcotic log.
Failure to Provide Hand Hygiene Before Meals
Penalty
Summary
The facility failed to provide hand hygiene for 3 residents prior to lunch meal service, despite a facility policy stating that hand hygiene is the primary means to prevent the spread of infections and that residents will be encouraged to practice hand hygiene before eating or handling food. Resident #33 had diagnoses including vascular dementia and muscle weakness, scored 3 on the BIMS indicating severe cognitive impairment, and required set-up assistance with meals and partial/moderate assistance with personal hygiene. During an observation, CNA G entered the resident’s room with the lunch tray, placed it on the bedside table, opened the beverage containers, and left without offering or assisting with hand hygiene. Resident #20 had diagnoses including dementia, muscle weakness, and need for assistance with personal care, scored 14 on the BIMS indicating cognitive intactness, and required set-up assistance with meals and personal hygiene. Resident #10 had diagnoses including cerebral infarct, aphasia, severe protein malnutrition, and palliative care, scored 11 on the BIMS indicating mild cognitive impairment, and required supervision or touching assistance with eating and personal hygiene. During observations, CNA G brought each resident’s lunch tray into the room, placed it on the bedside table, opened the beverage containers, and left without offering or assisting with hand hygiene. CNA G confirmed she had not offered or provided hand hygiene to the three residents prior to lunch, and the Regional Director of Nursing confirmed the expectation was for residents to be offered and assisted with hand hygiene prior to meal service.
Failure to Timely Refund Resident Credit Balance After Death
Penalty
Summary
The facility failed to timely disburse a resident refund in accordance with its admission agreement, which required that any credit balance be refunded within a reasonable time not to exceed 30 days after discharge or transfer, minus any outstanding private insurance balance. The admission and financial records showed that the responsible party was clearly identified on the admission documents, face sheet, and financial records, and was authorized for healthcare decision making, care plan participation, emergency contact status, healthcare representative status, and management of the resident’s financial liabilities. The responsible party was also an authorized party on the resident’s private bank accounts used to pay the resident’s monthly private pay liability to the facility. The resident, who had diagnoses including unspecified cerebral infarction (stroke), chronic CHF, and metabolic encephalopathy, was admitted on the specified date and later died of natural causes at the facility. At the time of death, the business office and resident account records showed that $1,995.00 was owed to the responsible party to settle the account. The facility did not disburse these funds until after it received a notarized Heirship Affidavit from the local court and then further delayed issuing the refund check for 41 days after receipt of that document, resulting in the refund being paid more than five months after the resident’s death. During interview, the Administrator confirmed that, under the admission agreement, the refund should have been issued within 30 days of the resident’s death and that the agreement had not been followed by the former administration.
Latex Catheter Used for Resident With Documented Latex Allergy
Penalty
Summary
The deficiency involves the facility’s failure to follow established clinical guidelines regarding the use of latex-containing urinary catheters in a resident with a documented latex allergy. Clinical standards from an online professional journal on urology and continence care state that PTFE (a type of silicone) coated catheters are latex catheters and must be avoided in patients with known latex allergy or sensitivity due to ongoing risk of latex reaction. The facility’s medical storeroom stocked both PTFE silicone-coated latex catheters and 100% silicone, latex-free catheters intended for residents with latex sensitivity or allergies. The resident involved was admitted with multiple diagnoses including paraplegia, cervical spinal stenosis, post-laminectomy syndrome, flaccid neuropathic bladder, UTI, and anxiety disorder, and required use of a latex-free indwelling urinary catheter for urinary elimination. The resident’s MDS showed a BIMS score of 15, indicating intact cognition, and the MAR/TAR documented latex as an allergy. Despite this, a nurse’s note documented that on 8/6/2025 the resident’s leaking Foley catheter with sediment was replaced using sterile technique with a new catheter from facility stock, and there is no indication in the note that a latex-free catheter was selected, even though the resident had a known latex allergy. Subsequently, the resident reported concerns about having a latex Foley catheter in place and requested transfer to the hospital, stating she did not want to return to the facility. Hospital records documented that the resident reported a latex catheter had been inserted four days earlier despite her latex allergy and that she was experiencing burning and itching and felt she was having a reaction. In the ED, the urinary catheter was replaced with a non-latex catheter. During interview, the DON confirmed that, based on review of hospital and facility documentation, a stock silicone-coated latex catheter had been inserted for this resident in error, and that the facility failed to follow recognized standards of care related to the use of latex-containing devices in persons with known latex sensitivity.
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Illustrative
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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Harriman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Signature Healthcare Of Rockwood Rehab & Wellness | 2.8 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Morgan County | 14.9 mi | ★★★★★ | 0 | 0 |
| The Preserve At Fairfield Glade | 16.3 mi | ★★★★★ | 1 | 0 |
| River Grove Health And Rehabilitation | 19.5 mi | ★★★★★ | 0 | 0 |
| Spring City Care And Rehabilitation Center | 20 mi | ★★★★★ | 5 | 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 October 2026) and official state health department websites.