Harborside Senior Living

Failure to maintain an organized program for resident protection: Narcotic count logbook was left blank on multiple dates (11/22/25, 11/23/25, 12/1/25, and 12/14/25), making it impossible to verify if counts were completed. Additionally, five residents had unsafe bedside assistive devices (potential entrapment risks) without physician orders, and service plans lacked necessary monitoring/maintenance instructions. The facility also lacked a policy for these devices.

Failure to update resident service plans at least annually or when significant changes in care needs occur (Note: This rule was cited in the report header/context).

Resident B's admission contract was incomplete, missing required elements and consisting of only specific pages.

Failure to follow incident reporting procedures: The incident report lacked key details, including the time the resident was located, corrective measures taken, and documentation of when the authorized representative and hospice agency were notified.

Failure to provide adequate protection/supervision: A resident eloped (walked out of the facility) at 4:30 AM and was found on the ground outside with injuries. The resident's pre-admission assessment noted a propensity to wander, which was not reflected in the service plan provided to staff.