The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Harmony Hall Nursing and Rehabilitation Center
Kinston, NC · Medicare-certified · 175 beds
In good standing
For-profitChain member
3 of 5 overall
Harmony Hall Nursing and Rehabilitation Center has a middling overall rating of 3 out of 5 stars. Its staffing rating is stronger at 4 stars, but reported nurse staffing is below the federal benchmark (3.57 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5738 hrs/resident/day
Quality measures
Last inspection: February 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5738.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 0.47
- Nurse aides
- 2.41
- Weekend nursing
- 3.18
Hours per resident per day.
Total staff turnover: 27%
Registered nurse turnover: 21%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.6%10.4%Worsening
Residents with a fall causing major injury
0%2.9%Worsening
Residents with pressure ulcers (bedsores)
3.3%4.6%Worsening
Residents with a urinary tract infection
0%3%Worsening
Residents who lost too much weight
0%7.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.9%14.5%No change
Residents whose ability to walk got worse
23.8%25.9%Worsening
Long-stay residents on antianxiety or sleep medication
7.8%10.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.4%Worsening
Residents with new or worsening incontinence
6.9%2.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.3%99%Improving
Short-stay residents given the seasonal flu vaccine
—82.8%—
Short-stay residents given the pneumonia vaccine
82.3%90.7%Improving
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $15,593 in total fines.
- $7,797
Federal fine
Aug 25, 2023
- $7,796
Federal fine
Aug 25, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PRINCIPLE LONG TERM CARE · 44 homes · 3.1 stars avg
- Occupancy
- 106.9 residents on an average day (61% of 175 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.