Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Harbor Hill Center during CMS and state inspections, most recent first.
A resident was transferred using a sit-to-stand lift, contrary to recent therapy recommendations for a full mechanical lift due to instability and inability to bear weight. During the transfer, the resident's foot slipped, resulting in a fall and a femur fracture that required hospitalization and surgery. The care plan contained conflicting transfer instructions, and there was no evidence that nursing staff were notified of the updated transfer status.
The facility did not maintain complete and accurate clinical records for several residents, including missing documentation of bathing preferences, meal intake, oral hygiene, and toileting assistance. For example, a resident's care plan required showers to be offered, but only bed baths were documented, and there was no record of showers being offered or refused. Other residents had incomplete records for meal intake and oral hygiene, despite specific care plan requirements. Staff interviews indicated a lack of awareness of care preferences and delayed documentation practices.
A resident was repeatedly observed without access to a call bell, as it was left out of reach on top of a refrigerator despite staff entering the room multiple times. The care plan required the call light to be within reach, but staff failed to ensure this, and no alternative communication device was provided or documented. The deficiency was confirmed through observation and staff interviews.
A resident with anoxic brain damage and identified as a fall risk was observed with a fall mat in use, but the care plan did not include this intervention. The care plan only addressed placing the call light and personal items within reach, and was not updated to reflect the use of the fall mat as required by facility policy.
A side rail on a resident's bed was found to be improperly attached, causing it to extend outward when used for support. Despite a previous work order for repair, the issue persisted, and both a RN and the Clinical Marketing Director confirmed the problem during separate observations. The resident reported using the side rail for support when getting out of bed.
A resident's room was found to have a torn fall mat that could not be properly cleaned and an unwrapped bed pan stored next to the toilet, both of which did not meet infection control standards. Staff confirmed the bed pan should have been wrapped.
The facility failed to maintain a sanitary and homelike environment, with deficiencies observed in both Fort Point and Harbor House units. Issues included scuffed walls, cracked safety mats, soiled curtains, and dirty caulking around toilets. The kitchenette and dining areas had split floor seams and marked cabinets, while patient lifts and the laundry room showed signs of neglect.
The facility failed to develop comprehensive care plans for two residents. One resident's care plan did not address diabetes management or insulin use, despite having a diagnosis of Type 2 Diabetes and an insulin order. Another resident's care plan lacked focus, goals, and interventions for wandering or elopement, despite having a physician order for a Wander Guard due to poor safety awareness. These deficiencies were confirmed in interviews with the facility's clinical advisors.
The facility failed to maintain respiratory equipment in a sanitary manner for two residents, one of whom had acute and chronic respiratory failure. Observations revealed that oxygen concentrators were heavily soiled with dust and debris, and a nebulizer was improperly stored. The DON confirmed these findings, noting that maintenance was responsible for cleaning the equipment.
The facility failed to prevent accident hazards by improperly storing Micro-Kill Bleach Germicidal Bleach Wipes at wheelchair height in a hallway accessible to residents and visitors. A RN confirmed the wipes should not be accessible, as residents could ambulate and use wheelchairs in the area. This was discussed with the DON.
The facility failed to correct previously identified deficiencies related to maintaining a safe, clean, and homelike environment. Despite a plan of correction, issues such as a soiled shower chair, urine odor, and unfinished handrails persisted. The Administrator cited a lack of matching paint as a reason for incomplete corrections.
The facility did not hold a required quarterly QAPI meeting for one of the four quarters. Meetings were documented on three occasions, but there was no evidence of a meeting in the fourth quarter. The Marketing Clinical Advisor confirmed the absence of a meeting during an interview.
A facility failed to accommodate a resident's bathing preferences, resulting in a deficiency. The resident's MDS indicated the importance of choosing their bathing options, but CNA documentation showed showers were only given on two occasions, with no evidence of showers during two separate weeks. The Market Clinical Advisor confirmed the facility's policy of providing at least one bath or shower per week was not followed.
The facility did not provide a SNFABN to a resident whose Medicare Part A services were discontinued, preventing the resident from making an informed decision about continuing services and assuming financial responsibility. The MDS Coordinator confirmed the oversight during an interview.
Failure to Implement Consistent Transfer Instructions Resulting in Resident Injury
Penalty
Summary
The facility failed to ensure safe transfer practices and implement clear, consistent transfer instructions for a resident reviewed for falls. Staff attempted to transfer the resident using a sit-to-stand lift, despite recent therapy recommendations indicating the need for a full mechanical lift (Hoyer) due to the resident's instability and inability to safely bear weight. During the transfer, the resident's foot slipped from the lift platform, and staff were unable to safely reposition the foot, resulting in the resident being lowered to the floor. The transfer was then completed using a full mechanical lift. The resident subsequently complained of pain, and an assessment revealed swelling and a femur fracture, requiring hospitalization and surgical intervention. Review of the resident's care plan revealed conflicting transfer instructions, with both sit-to-stand and full mechanical lift interventions listed simultaneously. The clinical record did not contain evidence that nursing staff were notified of the change in transfer status prior to the incident. The resident's functional assessment indicated a need for substantial to total assistance with transfers, and the care plan had not been appropriately updated to reflect the therapy recommendations. The administrator confirmed that the care plan continued to list both transfer methods and had not been edited to reflect the change.
Incomplete and Inaccurate Clinical Record Documentation for Multiple Residents
Penalty
Summary
The facility failed to ensure that clinical records were complete and contained accurate information for several residents, as evidenced by missing or incomplete documentation in multiple areas. For one resident, the care plan specified a preference for showers on certain days, but documentation showed only bed baths were provided over a three-week period, and there was no evidence that showers were offered or refused as required. Additionally, meal intake records for this resident were incomplete, with several meals lacking documentation despite the resident being at nutritional risk and under hospice care. A CNA reported not being aware of the resident's bathing preferences due to lack of information on the task sheet and not knowing how to access this information in the electronic medical record. Another resident with dental issues and a recent hip fracture had a care plan requiring oral hygiene to be offered twice daily, but records lacked evidence that this was done or refused on multiple days. For a resident with Parkinson's and anxiety disorder receiving end-of-life care, documentation of meal offerings was missing for several meals. Furthermore, for a resident requiring two-person assistance for toileting due to a hip fracture and confusion, there was no documented evidence of appropriate toileting assistance during admission. Staff interviews revealed that documentation was often completed at the end of shifts rather than in real time, despite in-service training on timely ADL documentation.
Failure to Ensure Call Bell Accessibility for Resident
Penalty
Summary
The facility failed to ensure that a call bell was accessible to a resident as required by policy. During multiple observations, the call bell was found attached to the wall behind the bed and draped over a box of popcorn and two photo frames on top of the resident's refrigerator, making it out of reach for the resident while lying in bed. When asked how assistance would be summoned, the resident attempted to reach for the call bell with both arms but was unsuccessful. The resident's care plan specified that the call light and desired personal items should be placed within reach when the resident was in bed or a bedside chair. Certified Nursing Assistant (CNA) staff entered and exited the resident's room several times without ensuring the call bell was accessible, leaving it in the same inaccessible position. When a Registered Nurse (RN) was present, the call bell was finally placed within reach by tying it to the bed. The RN was unaware of any alternative accommodations for the resident to use the call system, despite the facility's policy requiring evaluation for special needs and documentation in the care plan. The deficiency was identified through direct observation and interviews, confirming that the resident did not have consistent access to the call bell as required.
Care Plan Not Updated to Reflect Fall Prevention Interventions
Penalty
Summary
The facility failed to update and implement a care plan addressing communication needs for a resident identified as a fall risk with a diagnosis of anoxic brain damage. The resident was observed in bed with a fall mat placed on the floor, but the care plan, last updated on 2/5/25, did not include the use of a fall mat as an intervention. The care plan only specified placing the call light and personal items within reach when the resident was in bed or a bedside chair. There was no evidence that the care plan was revised to reflect the use of the fall mat, as required by facility policy, which states that care plans must be customized, communicated, and updated to reflect changing needs and responses to care.
Improperly Attached Bed Side Rail Creates Accident Hazard
Penalty
Summary
A deficiency was identified when a side rail on the left side of bed 107-B was found to be improperly attached, causing it to extend outward when used for support. The issue was first noted in a previous work order indicating the need for repair, but during subsequent observations, the side rail remained inadequately secured. The resident currently occupying the bed reported using the side rail for support when getting out of bed, and demonstrated that the rail extended outward when grabbed. A registered nurse confirmed the improper attachment and was unable to reattach the rail during the observation. The findings were further confirmed by the Clinical Marketing Director during a later observation. The deficiency centers on the facility's failure to maintain the resident environment as free from accident hazards as possible, specifically regarding the unresolved issue with the bed side rail used by a resident for mobility support.
Failure to Maintain Sanitary Equipment and Proper Bed Pan Storage
Penalty
Summary
The facility failed to maintain a sanitary environment and adhere to professional standards of infection prevention and control. During observations, a fall mat with two tears was found on the floor next to a resident's bed, creating a surface that could not be properly cleaned. Additionally, an unwrapped bed pan was observed leaning against the wall next to the toilet in the resident's bathroom, making it available for use in an unsanitary condition. These deficiencies were confirmed through interviews and direct observation, with staff acknowledging that the bed pan should have been wrapped.
Facility Fails to Maintain Sanitary and Homelike Environment
Penalty
Summary
The facility failed to maintain a sanitary and homelike environment, as evidenced by multiple deficiencies observed during environmental tours of the Fort Point and Harbor House units. In Fort Point, several rooms had issues such as gauged and scuffed bathroom walls, cracked and torn safety fall mats, soiled and stained room divider curtains, and missing paint on walls. The dining room and kitchenette areas also showed signs of neglect, with scuffed and gouged wooden thresholds and marred cabinets. In Harbor House, the kitchenette and dining areas had split and unsealed floor seams filled with dirt and debris, and cabinets were marked with black marks. The hallway ceiling tiles had large brown stains, and the whirlpool room had chipped paint. Patient lifts had chipped paint, and several rooms had dirty caulking around toilets, split floor seams, and missing privacy curtain hooks. The laundry room had chipped paint on the floor and stained ceiling tiles, with a heavily soiled ceiling vent. These observations indicate a lack of adequate housekeeping and maintenance services necessary to maintain the building in a sanitary condition.
Deficiency in Comprehensive Care Planning
Penalty
Summary
The facility failed to develop a comprehensive care plan addressing the physical needs of two residents. One resident was admitted with a diagnosis of Type 2 Diabetes and had an order for 15 units of Insulin Glargine to be administered subcutaneously at bedtime. However, the care plan did not include management strategies for diabetes or the use of insulin. This was confirmed during an interview with the Marketing Clinical Advisor. Another resident had a physician order for a Wander Guard/Wander Elopement Device due to poor safety awareness, but the care plan lacked focus, goals, and interventions for wandering or elopement. This omission was also confirmed in an interview with the Market Clinical Advisor.
Failure to Maintain Sanitary Respiratory Equipment
Penalty
Summary
The facility failed to maintain respiratory equipment in a sanitary manner, which was observed during a survey. Two residents, one with acute and chronic respiratory failure and dependence on supplemental oxygen, were affected. The surveyor noted that the oxygen concentrators for both residents were heavily soiled with dust and debris. Additionally, one resident's nebulizer was left exposed to the environment, contrary to the facility's procedure that requires nebulizers to be stored in a labeled treatment bag after use. The Director of Nursing confirmed these findings and stated that the maintenance department was responsible for cleaning the concentrator equipment.
Improper Storage of Bleach Wipes Poses Hazard
Penalty
Summary
The facility failed to ensure that the resident's environment was free of accident hazards due to improper storage of chemicals. During a survey, a container of Micro-Kill Bleach Germicidal Bleach Wipes was observed stored at wheelchair height in a hallway storage area containing personal protective equipment and oxygen concentrators. The Safety Data Sheet for the bleach wipes indicated potential hazards, including the need for emergency medical attention if ingested. A Registered Nurse confirmed that the bleach wipes should not be accessible to residents and visitors, as there were residents capable of ambulating and using wheelchairs in the hallway. This finding was discussed with the Director of Nursing.
Recurrent Deficiency in Maintaining a Homelike Environment
Penalty
Summary
The facility's quality assurance committee failed to ensure the effectiveness of the plan of correction for deficiencies identified during a Recertification Survey. Specifically, the deficiency F584, which pertains to maintaining a safe, clean, comfortable, and homelike environment, was identified again during a Re-visit Survey. The initial survey found issues with housekeeping and maintenance services, resulting in unsanitary and disorderly conditions in two units. The facility's plan of correction included auditing and repairing various aspects of the environment, such as flooring, walls, and caulking, with a completion date set for mid-January. During the Re-visit Survey, the same deficiency was re-cited, indicating that the facility did not follow through with their plan of correction. Observations included a soiled shower chair in the hallway, a strong smell of urine on one unit, unfinished handrails, and scuff marks on walls. An interview with the Administrator revealed that the corrections had not been completed due to a lack of matching paint, confirming the surveyor's findings.
Failure to Hold Quarterly QAPI Meeting
Penalty
Summary
The facility failed to hold a required quarterly Quality Assessment and Assurance (QAPI) meeting for one of the four quarters. A review of the facility's QAPI Committee meeting attendance sheets revealed that meetings were held on 9/27/24, 6/18/24, and 3/5/24. However, there was no evidence of a meeting being held in December 2023 or January 2023 for the fourth quarter. During an interview with the surveyor, the Marketing Clinical Advisor confirmed that the facility did not conduct a quarterly QAPI meeting in the specified time frame, and the last documented meeting was dated 10/24/23.
Failure to Accommodate Resident's Bathing Preferences
Penalty
Summary
The facility failed to accommodate the bathing preferences of a resident, leading to a deficiency in care. The resident, who was admitted and later discharged within a specified period, had indicated in their admission minimum data set (MDS) that choosing their bathing options was very important. However, the facility's Certified Nurse's Assistant (CNA) bathing documentation showed that the resident only received showers on two specific dates and lacked evidence of showers during two separate weeks. An interview with the Market Clinical Advisor confirmed that the facility's policy required residents to receive at least one bath or shower per week, which was not adhered to in this case.
Failure to Provide SNFABN to Resident
Penalty
Summary
The facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) to a resident whose Medicare Part A services were discontinued. The review of the resident's Skilled Beneficiary Notification form, completed by the Minimum Data Set (MDS) Coordinator, indicated that the resident's Medicare Part A services ended on 10/30/24. However, there was no evidence that the required SNFABN was issued to the resident, which would have allowed them to make an informed decision about continuing skilled services that may not be covered by Medicare and assuming financial responsibility. During an interview with the surveyor on 12/3/24, the MDS Coordinator confirmed that the SNFABN was not provided to the resident, highlighting a lapse in the facility's process for notifying residents of their Medicare coverage status and potential financial liabilities.
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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 Belfast
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Windward Gardens | 16 mi | — | 26 | 0 |
| Breakwater Commons | 23 mi | — | 22 | 0 |
| Brewer Center For Health & Rehabilitation, Llc | 27 mi | — | 2 | 0 |
| Bangor Nursing & Rehabilitation Center | 27.6 mi | — | 24 | 0 |
| Westgate Center For Rehab & Alzheimers Care | 28 mi | — | 0 | 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 August 2026) and official state health department websites.