Deficiency timeline

Harmony Suites Rehabilitation and Wellness Center

Dated inspection findings, penalties, and correction notes for this nursing home in Silver Spring, MD. Newest events first.

63 eventsTimeline fines $61,269Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  2. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Oct 31, 2025

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected May 8, 2026

  4. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 8, 2026

  5. Fine $12,740cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  6. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 8, 2026

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected May 8, 2026

  8. Class IIIPotential for more than minimal harm (D)cms

    F0557: Resident Rights

    Resident rights

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected Apr 29, 2025

  9. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Mar 19, 2025

  10. Class IIIPotential for more than minimal harm (D)cms

    F0578: Resident Rights

    Resident rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected Mar 19, 2025

  11. Class IIIPotential for more than minimal harm (D)cms

    F0582: Resident Rights

    Resident rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected Mar 19, 2025

  12. Class IIIPotential for more than minimal harm (D)cms

    F0584: Resident Rights

    Resident rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected Apr 29, 2025

  13. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Apr 29, 2025

  14. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Mar 19, 2025

  15. Class IIIPotential for more than minimal harm (D)cms

    F0685: Quality of Life and Care

    Quality of life & care

    Assist a resident in gaining access to vision and hearing services.

    Corrected Mar 19, 2025

  16. Class IIIPotential for more than minimal harm (D)cms

    F0688: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected Mar 19, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Mar 19, 2025

  18. Class IIIPotential for more than minimal harm (D)cms

    F0697: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected Apr 29, 2025

  19. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Mar 19, 2025

  20. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected Mar 19, 2025

  21. Class IIIPotential for more than minimal harm (D)cms

    F0791: Quality of Life and Care

    Quality of life & care

    Provide or obtain dental services for each resident.

    Corrected Mar 19, 2025

  22. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Mar 19, 2025

  23. Class IIIPotential for more than minimal harm (D)cms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Mar 19, 2025

  24. Class IIIPotential for more than minimal harm (D)cms

    F0925: Environmental

    Environment

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected Mar 19, 2025

  25. Class IVMinimal harm / potential for minimal harm (B)cms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Mar 19, 2025

  26. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Mar 19, 2025

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Mar 19, 2025

  28. Class IIIPotential for more than minimal harm (D)cms

    F0730: Nursing and Physician Services

    Nursing & physician services

    Observe each nurse aide's job performance and give regular training.

    Corrected Mar 19, 2025

  29. Fine $48,529cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  30. Class IImmediate jeopardy (J)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Mar 19, 2025

  31. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Mar 19, 2025

  32. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Mar 19, 2025

  33. Class IIIPotential for more than minimal harm (E)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Mar 19, 2025

  34. Class IIIPotential for more than minimal harm (E)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Apr 29, 2025

  35. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected Nov 16, 2024

  36. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0578: Resident Rights

    Resident rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected Nov 16, 2024

  37. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Nov 16, 2024

  38. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0602: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected Nov 16, 2024

  39. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Nov 16, 2024

  40. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Nov 16, 2024

  41. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Nov 16, 2024

  42. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Nov 16, 2024

  43. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0687: Quality of Life and Care

    Quality of life & care

    Provide appropriate foot care.

    Corrected Nov 16, 2024

  44. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0712: Nursing and Physician Services

    Nursing & physician services

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected Nov 16, 2024

  45. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0919: Environmental

    Environment

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected Nov 16, 2024

  46. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0925: Environmental

    Environment

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected Nov 16, 2024

  47. Class IIIPotential for more than minimal harm (E)cms

    F0926: Environmental

    Environment

    Have policies on smoking.

    Corrected Mar 6, 2020

  48. Class IIIPotential for more than minimal harm (D)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Mar 6, 2020

  49. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Mar 6, 2020

  50. Class IIIPotential for more than minimal harm (D)cms

    F0840: Administration

    Administration

    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

    Corrected Mar 6, 2020

  51. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Mar 6, 2020

  52. Class IVMinimal harm / potential for minimal harm (C)cms

    F0868: Administration

    Administration

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected Mar 6, 2020

  53. Class IVMinimal harm / potential for minimal harm (B)cms

    F0582: Resident Rights

    Resident rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected Mar 6, 2020

  54. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 9, 2019

  55. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 9, 2019

  56. Class IIIPotential for more than minimal harm (D)cms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected May 9, 2019

  57. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 9, 2019

  58. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 9, 2019

  59. Class IIIPotential for more than minimal harm (D)cms

    F0730: Nursing and Physician Services

    Nursing & physician services

    Observe each nurse aide's job performance and give regular training.

    Corrected May 9, 2019

  60. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 9, 2019

  61. Class IIIPotential for more than minimal harm (D)cms

    F0919: Environmental

    Environment

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected May 9, 2019

  62. Class IVMinimal harm / potential for minimal harm (B)cms

    F0569: Resident Rights

    Resident rights

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected May 9, 2019

  63. Class IVMinimal harm / potential for minimal harm (B)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 9, 2019

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile