COMPLETE CARE AT HARSTON HALL LLC

CCN 395791 · COMPLETE CARE AT HARSTON HALL LLC · For profit - Corporation · COMPLETE CARE chain · 120 certified beds · Montgomery · PA


COMPLETE CARE AT HARSTON HALL LLC is a 120-bed nursing home in FLOURTOWN, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1989-06-01. It averages 108.8 residents a day.

What harm was found in the violations cited at COMPLETE CARE AT HARSTON HALL LLC?

CMS lists 66 health-inspection deficiencies for COMPLETE CARE AT HARSTON HALL LLC, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-23.

Survey dateTagDeficiencySeverity
2026-04-23F0604, F0689, F0695, F0697, F0791, F0803, F0812, F0842, F0880Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide or obtain dental services for each resident. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2026-01-20F0584Honor 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.D
2025-10-06F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-09-17F0557, F0610Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Respond appropriately to all alleged violations.D
2025-04-25F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-04-25F0584, F0602, F0725, F0730, F0804, F0880Honor 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. / Protect each resident from the wrongful use of the resident's belongings or money. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.E
2025-04-25F0550, F0607, F0610, F0656, F0677, F0686, F0692, F0695, F0697, F0726, F0755, F0761, F0842, F0908, F0925, F0943Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Keep all essential equipment working safely. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D
2025-01-21F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-11-05F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.B
2024-08-15F0602Protect each resident from the wrongful use of the resident's belongings or money.K
2024-08-15F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J
2024-08-15F0895Have a Compliance and Ethics Program.E
2024-08-15F0576, F0583, F0835Ensure residents have reasonable access to and privacy in their use of communication methods. / Keep residents' personal and medical records private and confidential. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.D
2024-06-21F0550, F0565, F0584, F0585, F0695, F0730, F0732, F0756, F0803, F0812, F0881, F0921Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Provide safe and appropriate respiratory care for a resident when needed. / Observe each nurse aide's job performance and give regular training. / Post nurse staffing information every day. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Implement a program that monitors antibiotic use. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2024-06-21F0554, F0679, F0685, F0688, F0699, F0806, F0842Allow residents to self-administer drugs if determined clinically appropriate. / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / 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. / Provide care or services that was trauma informed and/or culturally competent. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-06-21F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C
2023-09-21F0565, F0808Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D

Why was COMPLETE CARE AT HARSTON HALL LLC fined 2 times?

DateTypeAmount
2024-06-21Fine$8,557
2024-06-21Fine$8,556

How is COMPLETE CARE AT HARSTON HALL LLC staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.469553.88823
Total nursing staff turnover (%)51.444.5
Average number of residents per day108.8104.6

Who owns COMPLETE CARE AT HARSTON HALL LLC, and what chain is it in?

COMPLETE CARE AT HARSTON HALL LLC is registered with CMS as For profit - Corporation, operates under the legal business name COMPLETE CARE AT HARSTON HALL LLC and belongs to the COMPLETE CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPC PA OPCOS LLCsince 05/01/2021
5% OR GREATER INDIRECT OWNERSHIP INTERESTPC WTA OPCO HOLDCO LLC, SMS 2021 TRUSTsince 05/01/2021
INDIRECT OWNERSHIP INTERESTSTEIN, SHALOMsince 05/01/2021
5% OR GREATER SECURITY INTERESTWELLTOWER INCsince 05/01/2021
MANAGING CONTROL - GOVERNING BODYSTEIN, SHALOMsince 05/01/2021
CORPORATE OFFICERSTEIN, SHALOMsince 05/01/2021
OPERATIONAL/MANAGERIAL CONTROLAUGE, JASON, LEVY, JOSHUA, SCHWARTZ, HERSHEL, SHAND, JENNIFER, WILLIAMS, CAMERONsince 05/01/2021
TRUSTEE OF THE SNFSTEIN, SHALOMsince 05/01/2021
ADP OF THE SNFAURORA GUARDIAN HOLDCO II CO-BORROWER, LLC, AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLC, AURORA GUARDIAN HOLDCO II, LLC, AURORA GUARDIAN II REALTY, LLC, AURORA GUARDIAN PARTNERS II LLC, HARSTON HALL REALTY, LLC, J & R FAMILY INVESTMENTS, LLC, L FRIEDMAN 2018 FAMILY TRUST, L FRIEDMAN FAMILY HOLDINGS LLC, LANDAU FAMILY INVESTMENT TRUST, M FRIEDMAN 2018 FAMILY TRUST, PC WTA ACQUISITION LLC, PC WTA MULTI-STATE LLC, PEACE CAPITAL HOLDINGS LLC, R&J FAMILY INVESTMENTS LLC, SMS 2021 TRUST, WELLTOWER INC, CUNNINGHAM, JESSICA, LEVY, JOSHUA, SCHWARTZ, HERSHEL, SHAND, JENNIFER, WILLIAMS, CAMERONsince 05/01/2021

Were you or a family member harmed at COMPLETE CARE AT HARSTON HALL LLC?