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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Harbor Haven Health & Rehabilitation during CMS and state inspections, most recent first.
Infection prevention and control was deficient when an RN performed wound care for a resident with progressive neurological conditions, a pressure injury, and bilateral ankle wounds without changing gloves or performing hand hygiene between dirty and clean tasks. The facility’s policy required glove changes between tasks on the same resident after contact with material that may contain a high concentration of microorganisms, and the DON confirmed staff should change gloves between dirty and clean tasks during wound care.
Infection Control Lapse During Wound Care
Penalty
Summary
Provide and implement an infection prevention and control program was deficient for one resident with a left heel pressure injury and bilateral ankle wounds. The facility’s Isolation Precautions policy, revised 3/2025, stated that gloves should be worn when touching blood, body fluids, non-intact skin, mucous membranes, and contaminated items, and that gloves should be changed between tasks and procedures on the same resident after contact with material that may contain a high concentration of microorganisms. R7 was admitted with progressive neurological conditions and had a pressure injury on the left heel. A MDS assessment dated 4/23/26 showed a BIMS score of 10 out of 15, indicating moderately impaired cognition. Wound care orders directed cleansing and application of Mepilex to open areas on the left and right ankles every other day. During observation on 6/30/26, RN-C performed wound care on both ankles, completed hand hygiene and donned a gown and gloves, but did not change gloves or perform hand hygiene between removing the left ankle dressing, cleansing and dressing that wound, and then moving to the right ankle wound. RN-C later stated they should have changed gloves between dirty and clean tasks during wound care and were not familiar with the dressing change because it was usually completed on the PM shift. The DON verified staff should change gloves between dirty and clean tasks during wound care.
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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 Fond Du Lac
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avina On Division | 0.2 mi | ★★★★★ | 11 | 1 |
| St Francis Home | 0.3 mi | ★★★★★ | 12 | 0 |
| Edenbrook Of Fond Du Lac | 0.5 mi | ★★★★★ | 0 | 0 |
| Avina Of Fond Du Lac | 1 mi | ★★★★★ | 9 | 0 |
| Fond Du Lac Lutheran Home | 1.2 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 October 2026) and official state health department websites.