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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 54 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 46% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 23 findings, above the CA average of 15.4. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families considering Harbor Villa Care Center will find a deeply polarized environment. While many reviewers praise the physical therapy team and specific nursing staff for being compassionate and skilled, there are severe, recurring allegations of medical neglect, understaffing, and poor hygiene. Decisions should be made with extreme caution due to multiple reports of serious medical complications like sepsis and malnutrition occurring under the facility's care.
Quality Themes
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Concerns
Rating Trends
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Distribution · 55 analyzed
Personalized based on this facility's data
Key Review Excerpts
“The rehab team was amazing, the nursing staff was kind and attentive, and the DON made sure we were satisfied with the care.”
“My father was left to rot in a bed and lost over 70 pounds due to malnourishment. Less than 2 weeks after suffering a stroke he was walking with assistance. After 3 months at this facility, the staff said he needed a lift to move out of bed.”
“The rehabilitation department at Harbor Villa is excellent. I am extremely happy with the therapist and the treatment my Mother received.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
3
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility has an extremely concerning pattern of repeated family complaints and persistent safety problems. With 99 deficiencies across frequent surveys, families have filed reports about accident hazards, medication management, and protection from abuse - areas that continue to appear in violations. While the facility claims corrections each time, the recurring nature of complaints about basic safety supervision and medication errors suggests systemic problems that haven't been resolved despite repeated citations.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Environmental Deficiencies
Keep all essential equipment working safely.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Harbor Villa Care Center
for profit
Cambridge Healthcare Services
32 facilities nationwide
Chain avg rating: 2.6/5 · Rank 22 of 31
Owners
Win Win Enterprises, LLC
Owner · Organization
Daniel Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020
Owner (parent company) · Organization
Elizabeth Wintner 2020 Irrevocable Gift Trust Dated November 23,2020
Owner (parent company) · Organization
Jeremy Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020
Owner (parent company) · Organization
Mark Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020
Owner (parent company) · Organization
Phillip Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020
Owner (parent company) · Organization
Sherry Latt Lowy Living Trust Utd July 31, 1992
Owner (parent company) · Organization
Wintner, Daniel
Owner (parent company)
Wintner, Elizabeth
Owner (parent company)
Wintner, Jeremy
Owner (parent company)
Wintner, Mark
Owner (parent company)
Wintner, Phillip
Owner (parent company)
Wintner, Francine
Owner (parent company)
Wintner, Jacob
Owner (parent company)
Hassell, Lance
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
54 reviews from families & visitors
Official Website
Visit harborvillacares.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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