COMPLETE CARE AT HARSTON HALL LLC
350 HAWS LANE, FLOURTOWN, PA 19031 · CCN 395791
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 103.6
- Phone
- 2152330700
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-25 | 26 | 10.1 | 9.5 | +15.9 worse |
| 2 | 2024-06-21 | 28 | 10.9 | 9.8 | +17.1 worse |
| 3 | 2023-09-21 | 36 | 10.5 | 9.3 | +25.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 5 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 3 |
| Resident rights | 4 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.59 | 60.3% |
| RN staffing (reported) | 0.62 | 63.2% |
| Total nurse staffing (adjusted) | 3.50 | — |
Fines & penalties
- Total fines
- $17,113
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (90)2 immediate jeopardy
- DF0584Honor 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.2026-01-20 · Health
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-09-17 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-09-17 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- EF0584Honor 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.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- EF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0761Ensure 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.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-04-25 · Health · corrected 2025-06-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-21 · Health · corrected 2025-03-10
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-05 · Health · corrected 2024-11-24
Potential for minimal harm
- DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-08-15 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-08-15 · Health · corrected 2024-09-20
Potential for more than minimal harm
- KF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-08-15 · Health · corrected 2024-08-01
Immediate jeopardy
- JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-15 · Health · corrected 2024-08-01
Immediate jeopardy
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-08-15 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0895Have a Compliance and Ethics Program.2024-08-15 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-06-21 · Health · corrected 2024-08-12
Potential for minimal harm
- EF0584Honor 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.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0585Honor 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.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- DF0688Provide 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.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0803Ensure 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.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-06-21 · Health · corrected 2024-08-12
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-09-21 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0567Honor the resident's right to manage his or her financial affairs.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0585Honor 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.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0688Provide 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.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0761Ensure 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.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0808Ensure 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.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-09-21 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-28 · Health · corrected 2023-07-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PC PA OPCOS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-05-01 |
| PC WTA OPCO HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-01 |
| PEACE CAPITAL HOLDINGS LLC (DE) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-01 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-01 |
| AUGE, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| LEVY, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| SCHWARTZ, HERSHEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| SHAND, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| WILLIAMS, CAMERON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2021-05-01 |
| WELLTOWER INC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2021-05-01 |
Other facilities in FLOURTOWN
| Name | Overall | Beds |
|---|---|---|
| SAINT JOSEPH VILLA | ★★★★★ | 106 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.