Harmony Gardens

Inspection findings

1. Mar 26, 2026 Health · 7 findings
   • Not serious Scope/severity D

     F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

     Corrected Apr 27, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Apr 27, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Apr 27, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 27, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Apr 27, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Apr 27, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Apr 27, 2026 · CMS fire safety

2. Apr 4, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected May 6, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected May 6, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected May 6, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0700 Quality of Life and Care Deficiencies

     Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

     Corrected May 6, 2025 · CMS health inspection

3. Jan 9, 2025 Health · 10 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0554 Resident Rights Deficiencies

     Allow residents to self-administer drugs if determined clinically appropriate.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0676 Quality of Life and Care Deficiencies

     Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide 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.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0698 Quality of Life and Care Deficiencies

     Provide safe, appropriate dialysis care/services for a resident who requires such services.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0800 Nutrition and Dietary Deficiencies

     Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 17, 2025 · CMS health inspection

4. Oct 1, 2024 MDH complaint investigation · 1 finding
   • Severity not stated

     H53818222C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

5. Sep 19, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 18, 2024 · CMS health inspection

6. Jan 5, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0678 Quality of Life and Care Deficiencies

     Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

     Corrected Feb 14, 2024 · CMS health inspection

7. Nov 9, 2023 Health · 3 findings
   • Not serious Scope/severity D

     F0553 Resident Rights Deficiencies

     Allow resident to participate in the development and implementation of his or her person-centered plan of care.

     Corrected Dec 19, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0584 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.

     Corrected Dec 19, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Dec 19, 2023 · CMS health inspection

8. Nov 18, 2021 MDH complaint investigation · 3 findings
   • Severity not stated

     H5381039C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

   • Severity not stated

     H5381040C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

   • Severity not stated

     H5381043C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

9. Oct 29, 2021 MDH complaint investigation · 1 finding
   • Severity not stated

     H5381037C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

Owners and managers (as published by CMS)

• ADDINGTON, JON — corporate director, NOT APPLICABLE, since 01/01/2025
• ADERINKOMI, MICHAEL — corporate director, NOT APPLICABLE, since 01/01/2025
• ALBRECHT, MICHAEL — operational/managerial control, NOT APPLICABLE, since 10/05/1998
• ALMSTED, KRIS — operational/managerial control, NOT APPLICABLE, since 03/15/2025
• BALDWIN, JAMES — operational/managerial control, NOT APPLICABLE, since 12/28/1998
• BRADY, JAIME — adp of the snf, NOT APPLICABLE, since 10/01/2025
• BRADY, JAIME — corporate officer, NOT APPLICABLE, since 10/01/2025
• BRADY, JAIME — operational/managerial control, NOT APPLICABLE, since 10/01/2025
• BROWN, ANGELA — adp of the snf, NOT APPLICABLE, since 01/01/2018
• BROWN, ANGELA — corporate officer, NOT APPLICABLE, since 01/01/2018
• KERN, MATTHEW — corporate officer, NOT APPLICABLE, since 10/01/2025
• LIBBON, PAUL — corporate officer, NOT APPLICABLE, since 10/01/2025
• LIBBON, PAUL — adp of the snf, NOT APPLICABLE, since 10/01/2025
• LIBBON, PAUL — operational/managerial control, NOT APPLICABLE, since 10/01/2025
• MASON, KRISSA — adp of the snf, NOT APPLICABLE, since 10/01/2025
• MASON, KRISSA — corporate officer, NOT APPLICABLE, since 10/01/2025
• MASON, KRISSA — operational/managerial control, NOT APPLICABLE, since 10/01/2025
• NUSS, PATRICK — corporate director, NOT APPLICABLE, since 01/01/2018
• SCHWENSEN, SARAH — adp of the snf, NOT APPLICABLE, since 01/13/2026
• SCHWENSEN, SARAH — operational/managerial control, NOT APPLICABLE, since 01/13/2026
• SONNTAG, ROBERT — adp of the snf, NOT APPLICABLE, since 10/01/2025
• SONNTAG, ROBERT — operational/managerial control, NOT APPLICABLE, since 10/01/2025
• STADTHERR, SEELOCHANI — corporate officer, NOT APPLICABLE, since 01/01/2018
• THOMPSON, LAURIE — operational/managerial control, NOT APPLICABLE, since 12/15/2021
• VLAMINCK, LORES — corporate director, NOT APPLICABLE, since 01/01/2025
• VOGEL, MARISSA — operational/managerial control, NOT APPLICABLE, since 07/11/2017
• WEBER-DANIELS, NICOLETTE — corporate director, NOT APPLICABLE, since 01/01/2025
• YOUNGQUIST, KATHRYN — adp of the snf, NOT APPLICABLE, since 01/01/2018
• YOUNGQUIST, KATHRYN — corporate officer, NOT APPLICABLE, since 01/01/2001
• YOUNGQUIST, KATHRYN — operational/managerial control, NOT APPLICABLE, since 01/01/2018
• CASSIA — operational/managerial control, NOT APPLICABLE, since 01/01/2018
• CASSIA — adp of the snf, NOT APPLICABLE, since 03/05/2026
• CASSIA — 5% or greater indirect ownership interest, 100%, since 01/01/2020
• ELIM CARE INC — 5% or greater direct ownership interest, 100%, since 10/25/1995