Harmony Hall Nursing and Rehabilitation Center
312 Warren Avenue · Kinston, NC · 28501 · 2525230082
175 certified beds For profit - Corporation Chain: Principle Long Term Care
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | 2 · $15,593 |
Inspection citations (21 in the current record)
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Potential for harm · D February 27, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
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.
Corrected March 12, 2026 · Pharmacy Service
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Potential for harm · D February 27, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 12, 2026 · Quality of Life and Care
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Potential for harm · D July 9, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 30, 2025 · Quality of Life and Care
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Potential for harm · D July 9, 2025 · found via complaint
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 July 30, 2025 · Quality of Life and Care
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Potential for harm · D October 30, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 13, 2024 · Resident Rights
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Potential for harm · D October 30, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 13, 2024 · Resident Rights
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Potential for harm · D October 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 13, 2024 · Quality of Life and Care
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Potential for harm · D October 30, 2024 · found via complaint
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 November 13, 2024 · Quality of Life and Care
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Actual harm · G August 25, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 15, 2023 · Quality of Life and Care
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Actual harm · G August 25, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 25, 2023 · Pharmacy Service
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Potential for harm · D August 25, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 25, 2023 · Resident Rights
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Potential for harm · D August 25, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected September 25, 2023 · Quality of Life and Care
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Potential for harm · D August 25, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 25, 2023 · Pharmacy Service
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Potential for harm · E August 25, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 31, 2023 · Pharmacy Service
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Potential for harm · E August 25, 2023
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 September 25, 2023 · Pharmacy Service
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Potential for harm · F August 25, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 25, 2023 · Nutrition and Dietary
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Potential for harm · D August 25, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 25, 2023 · Administration
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Potential for harm · E August 25, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · B August 25, 2023
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 September 25, 2023 · Resident Rights
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No harm found · B August 25, 2023
Ensure each resident receives an accurate assessment.
Corrected September 25, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 25, 2023 | Fine | $7,796 |
| August 25, 2023 | Fine | $7,797 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345156 · certified since May 12, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.