Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 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 Regency Harmony House Rehab & Nursing during CMS and state inspections, most recent first.
A resident receiving comfort care was not protected from the misappropriation of their prescribed liquid lorazepam. Staff observed irregular handling of the medication, and investigation revealed a tampered bottle with an unusual color, confirmed by pharmacy staff. The resident continued to receive the medication as ordered, with no evidence of unmet care needs.
Two residents were administered lorazepam, a controlled psychotropic medication, by an RN who was not authorized to do so, using medication prescribed for another resident. This was done in response to nighttime wandering and behavioral issues, resulting in one resident exhibiting unusual sleep and lethargy. Facility investigation confirmed medication tampering and unauthorized administration, with documentation supporting the occurrence of chemical restraint.
A facility failed to honor a resident's right to choose their attending physician, requiring them to use one of the facility's approved physicians instead of their own PCP. The resident, with a complex medical history, had their collateral contact request the PCP's involvement, but was denied. Interviews revealed the facility's policy limited physician choice, and the Administrator noted this was the first such request, highlighting a lack of procedure for accommodating resident physician preferences.
A facility failed to report and investigate an alleged abuse incident involving a cognitively intact resident and another resident with severe cognitive impairment. The incident, which involved nonconsensual kissing, was not logged, reported to the State Agency, or investigated as required by the facility's policies and guidelines.
A facility failed to provide trauma-informed care for a resident with PTSD, lacking a comprehensive care plan to identify triggers and interventions. Staff interviews revealed a lack of awareness and understanding of the resident's condition, placing the resident at risk for re-traumatization.
The facility failed to date food items and dispose of expired items during a kitchen inspection. Undated items included Caesar salad, margarine, romaine lettuce, celery, bread, herbs, spices, cocoa, canned tuna, cereal, cooking wine, olive oil, and pasta. Staff C acknowledged the lack of proper dating, which posed a risk for food-borne illnesses.
Failure to Protect Resident from Misappropriation of Controlled Medication
Penalty
Summary
The facility failed to protect a resident from the misappropriation of controlled medications, specifically liquid lorazepam prescribed for comfort care. During a shift exchange, a nurse observed another nurse taking possession of a medication cup containing liquid, stating it was for later use for a specific resident. Upon further investigation, facility leadership discovered a bottle of liquid lorazepam with an unusual pink tint, which was confirmed by pharmacy staff to have been tampered with, as the medication should be colorless. The tampered bottle was immediately removed from circulation. The resident involved was nearing the end of life and receiving comfort care, with physician orders for as-needed administration of liquid lorazepam for generalized anxiety disorder. Medication administration records indicated the resident received the medication as ordered during the period in question, and there was no documentation or interview evidence suggesting the resident did not experience relief from symptoms. The incident was reported and investigated after staff observed irregular handling and storage of the controlled medication.
Failure to Prevent Use of Unnecessary Psychotropic Medications as Chemical Restraints
Penalty
Summary
The facility failed to ensure that residents were free from chemical restraints, specifically regarding the administration of unnecessary psychotropic medications. Staff C, an RN, discovered a clear liquid in an unmarked medication cup in the medication cart, which Staff D, another RN, identified as lorazepam intended for a resident other than those prescribed. Staff D admitted to giving this controlled medication to two residents, not prescribed the medication, in response to their nighttime wandering and behaviors. Documentation and interviews confirmed that this practice occurred on several occasions. Resident 1, who had diagnoses of Alzheimer's disease and dementia with severe mood disturbance, exhibited unusual sleep patterns and difficulty getting out of bed following the suspected administration of lorazepam. Nursing notes indicated that Resident 1 was verbally aggressive and exit-seeking during the night, followed by an atypical period of extended sleep and lethargy the next day. Observation later showed the resident to be cognitively impaired but active and interactive, which contrasted with the documented behavior after the suspected medication administration. For Resident 3, records showed cognitive impairment and discharge from the facility, but there was no sleep chart or supporting evidence of side effects from the alleged administration of lorazepam. The facility's investigation found an opened bottle of lorazepam, prescribed for another resident, that had been tampered with and removed from use. The administrator acknowledged that the sleep and activity changes in Resident 1 were not typical and likely supported the occurrence of chemical restraint.
Failure to Honor Resident's Right to Choose Physician
Penalty
Summary
The facility failed to honor a resident's right to choose their attending physician, as evidenced by the case of a resident who was admitted with a complex medical history, including a recent surgery for a right upper leg fracture and hip replacement revision. Upon admission, the resident's collateral contact requested that the resident's primary care physician (PCP) be contacted for orders and medical history, given their familiarity with the resident's complex medical needs. However, a facility nurse informed the collateral contact that the resident was required to use the facility's designated physician, Staff D, instead of their own PCP. Interviews with facility staff revealed that the facility had a policy of allowing residents to choose from only three approved physicians while admitted. The Director of Nursing confirmed this policy, and the Administrator acknowledged challenges in securing physicians due to the facility's rural location. The Administrator also noted that this was the first instance of a resident requesting to use their own PCP, indicating a lack of established procedures to accommodate such requests. This oversight resulted in the resident being unable to receive care from their preferred physician, potentially impacting the quality of care provided.
Failure to Report and Investigate Alleged Abuse
Penalty
Summary
The facility failed to implement its Abuse and Neglect Prohibition Policies and Procedures by not reporting an allegation of abuse to the State Agency within the required timeframe and not conducting a thorough investigation. The policy required immediate reporting to the Abuse Hotline, no later than 2 hours if serious bodily injury was involved, and within 24 hours if not. Additionally, the policy mandated a thorough investigation of all alleged incidents of abuse or neglect. However, the facility did not log the incident, report it to the State Agency, or notify law enforcement as required by the guidelines. The incident involved Resident 23, who was cognitively intact and independent with mobility, and an unnamed resident with severe cognitive impairment. They were observed kissing in the dining room, and the unnamed resident was unable to give consent. Despite being informed of the incident, the facility's staff, including the Administrator and Director of Nursing, did not log the incident or report it to the appropriate authorities. This oversight left the incident uninvestigated, failing to determine the extent of any nonconsensual contact and potentially placing residents at risk.
Deficiency in Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to adequately assess and address the trauma-informed care needs of a resident diagnosed with post-traumatic stress disorder (PTSD). The resident, who had a history of traumatic events related to military service, was not provided with a comprehensive care plan that identified specific triggers or interventions to prevent re-traumatization. Despite having a care plan that mentioned minimizing triggers, it lacked detailed information on what those triggers were and how staff should respond to potential episodes of re-traumatization. Interviews with facility staff revealed a lack of awareness and understanding of the resident's PTSD diagnosis and its implications. The Social Services Director acknowledged the absence of clarity and guidance in the care plan regarding the resident's PTSD, while other staff members were either unaware of the resident's condition or unsure of its meaning. This deficiency in trauma-informed care placed the resident at risk for re-traumatization and psychological harm.
Failure to Date and Dispose of Expired Food Items
Penalty
Summary
The facility failed to adequately date food items and ensure expired food items were disposed of, as observed during an inspection of the main kitchen. The facility's guideline for dry, refrigerated, and freezer storage was undated, but it documented proper storage times for various food items and instructed staff to follow manufacturer's directions and expiration dates. During the inspection, several food items in the refrigerated and dry storage areas were found without proper dating, including Caesar salad, margarine blocks, romaine lettuce, celery heads, loaves of bread, herbs, spices, cocoa powder, canned tuna, dry cereal, cooking wine, olive oil, and various dry pastas. Staff C, the Dietary Services Manager, acknowledged during the interview that adequate dates had not been documented on the identified foods. The lack of proper dating on these food items placed residents at risk for food-borne illnesses, as staff would not be able to determine when food items needed to be discarded or how long they could be stored. The facility's failure to adhere to its own storage guidelines and ensure proper dating of food items was a significant deficiency identified during the inspection.
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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 Brewster
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency Omak | 25.1 mi | — | 4 | 0 |
| Colville Tribal Convalescent C | 37.4 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.