Surry Community Health Center by Harborview
State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-03-27 — IMMEDIATE JEOPARDY (tag F0755, severity K)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-03-27 — IMMEDIATE JEOPARDY (tag F0607, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2024-03-27 — IMMEDIATE JEOPARDY (tag F0602, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from the wrongful use of the resident's belongings or money.
2024-03-27 — IMMEDIATE JEOPARDY (tag F0585, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
2024-03-27 — IMMEDIATE JEOPARDY (tag F0604, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2024-03-27 — IMMEDIATE JEOPARDY (tag F0880, severity K)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
2024-03-27 — IMMEDIATE JEOPARDY (tag F0603, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
2024-03-27 — ACTUAL HARM (tag F0550, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing, from payroll records
Nursing hours / resident / day
2.14
state median 3.11
Weekend staffing gap
−8%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.10
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
12
with residents present
Nursing staff turnover
37%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $145,262 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-03-27 | Fine | $145,262 |
Ownership
Ownership type: For profit - Corporation. Part of the HARBORVIEW HEALTH SYSTEMS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- PENINSULA HEALTH CENTER BY HARBORVIEW (TARPON SPRINGS, FL) —
- BAYONET POINT HEALTH CENTER BY HARBORVIEW (HUDSON, FL) —
- HARBORVIEW HEALTH CENTER WEST ALTAMONTE (ALTAMONTE SPRINGS, FL) —
- NURSING & REHABILITATION CENTER OF MELBOURNE (MELBOURNE, FL) —
- HARBORVIEW SARASOTA (SARASOTA, FL) —
- KISSIMMEE NURSING & REHABILITATION CENTER (KISSIMMEE, FL) —
- HARBORVIEW DECATUR (DECATUR, GA) —
- GLENWOOD HEALTH CENTER BY HARBORVIEW (DECATUR, GA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-06-11 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-11 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-11 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-11 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-27 | F0550 | Resident Rights Deficiencies | G | not recorded |
| 2024-03-27 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-27 | F0585 | Resident Rights Deficiencies | K | not recorded |
| 2024-03-27 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-27 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-03-27 | F0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-03-27 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-03-27 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-03-27 | F0641 | Resident Assessment and Care Planning Deficiencies | B | not recorded |
| 2024-03-27 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-27 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-27 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-27 | F0697 | Quality of Life and Care Deficiencies | K | not recorded |
| 2024-03-27 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-03-27 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-03-27 | F0755 | Pharmacy Service Deficiencies | K | not recorded |
| 2024-03-27 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-27 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-27 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-27 | F0867 | Administration Deficiencies | F | not recorded |
| 2024-03-27 | F0880 | Infection Control Deficiencies | K | not recorded |
| 2022-12-01 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2022-12-01 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2022-12-01 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-12-01 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-12-01 | F0725 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2022-12-01 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-12-01 | F0760 | Pharmacy Service Deficiencies | E | not recorded |