Harmony Village of Beverly Hills

18200 W 13 Mile Road · Beverly Hills, MI · 48025 · 2486476500

96 certified beds For profit - Limited Liability company Chain: Certus Healthcare

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 24
Serious harm & abuse 20% 20
Staffing 20% 65
Federal penalties 15% 63
Trend 10% 91
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day3.423.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day2.91≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $3,147

Inspection citations (73 in the current record)

  • Immediate jeopardy · J February 18, 2026 · found via complaint

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

    Corrected February 8, 2026 · Quality of Life and Care

  • Actual harm · G December 4, 2025 · found via complaint

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

    Corrected January 1, 2026 · Quality of Life and Care

  • Potential for harm · D December 4, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected January 1, 2026 · Resident Rights

  • Potential for harm · E December 4, 2025

    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 January 1, 2026 · Resident Rights

  • Potential for harm · D December 4, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected January 1, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 4, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 1, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected January 1, 2026 · Quality of Life and Care

  • Potential for harm · D December 4, 2025

    Have enough outside ventilation via a window or mechanical ventilation, or both.

    Corrected January 1, 2026 · Environmental

  • Potential for harm · D September 3, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 3, 2025 · found via complaint

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

    Corrected July 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 11, 2025

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

    Corrected July 3, 2025 · Quality of Life and Care

  • Potential for harm · D June 11, 2025

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

    Corrected July 3, 2025 · Quality of Life and Care

  • Potential for harm · D June 11, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 3, 2025 · Pharmacy Service

  • Potential for harm · D June 11, 2025

    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 July 3, 2025 · Pharmacy Service

  • Potential for harm · D June 11, 2025

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected July 3, 2025 · Administration

  • Potential for harm · D June 11, 2025

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected July 3, 2025 · Quality of Life and Care

  • Potential for harm · E June 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 3, 2025 · Infection Control

  • Potential for harm · D June 11, 2025 · found via complaint

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

    Corrected July 3, 2025 · Quality of Life and Care

  • Potential for harm · D December 18, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 18, 2024

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected January 14, 2025 · Quality of Life and Care

  • Potential for harm · D December 18, 2024

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected January 14, 2025 · Quality of Life and Care

  • Potential for harm · D December 18, 2024

    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 January 14, 2025 · Pharmacy Service

  • Potential for harm · F December 18, 2024

    Provide and implement an infection prevention and control program.

    Corrected January 14, 2025 · Infection Control

  • Potential for harm · D December 18, 2024

    Implement a program that monitors antibiotic use.

    Corrected January 14, 2025 · Infection Control

  • Potential for harm · E December 18, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 14, 2025 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 15, 2024Payment Denial39 days
July 31, 2023Fine$3,147

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235664 · certified since May 10, 2013. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.