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Nursing home report card · Kinston, NC

Harmony Hall Nursing and Rehabilitation Center

312 Warren Avenue, Kinston, NC 28501

Call this home: (252) 523-0082

View this home on Medicare.gov ↗

Quick summary

About average Medicare rating

A 3-star overall rating is common. Compare staffing hours and recent citations with nearby homes, and visit before you decide.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
Feb 27, 2026

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
3out of 5

Combines inspection, staffing, and care measures.

About average for U.S. nursing homes

Health inspections
3out of 5

Based on problems found during health inspections.

About average for U.S. nursing homes

Nursing staff
4out of 5

Based on staffing levels and related measures.

Above average

Health and care results
2out of 5

Based on reported health and care results.

Below-average Medicare rating

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
21

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$15,593

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 345156

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Caused actual harm · isolated case

    Aug 25, 2023 · Inspection rule 0689

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

  • Caused actual harm · isolated case

    Aug 25, 2023 · Inspection rule 0760

    Ensure that residents are free from significant medication errors.

  • Could have caused harm · isolated case

    Feb 27, 2026 · Inspection rule 0689

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

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
0.67hours per resident per day

about 40 minutes per resident per day

All nursing staff
3.52hours per resident per day

about 3 hr 31 min per resident per day

Registered nurse time on weekends
0.40hours per resident per day

about 24 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 3 stars
  • Health inspection rating: 3 stars
  • Staffing rating: 4 stars
  • Registered nurse time per resident: 0.67 hours/day
  • Total nurse time per resident: 3.52 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; North Carolina averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Inspectors have listed an unusually high number of problems
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Caused actual harm2 citations
  • Could have caused harm17 citations
  • Low risk of harm2 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
21
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Corporation.

  • We do not have individual owner names for this home.

Other homes in this group: All Principle Long Term Care nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

February 27, 20263 findings
  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0658 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

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

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code D

    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.

July 9, 20252 findings
  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0693 · code D

    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.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0700 · code D

    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 r…

October 30, 20244 findings
  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0554 · code D

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

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0582 · code D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0690 · code D

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

August 25, 202312 findings
  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0867 · code D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  • Resident Rights problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0584 · code B

    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.

  • Resident Assessment and Care Planning problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code B

    Ensure each resident receives an accurate assessment.

  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code G

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

  • Pharmacy Service problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0760 · code G

    Ensure that residents are free from significant medication errors.

  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code F

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

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0602 · code E

    Protect each resident from the wrongful use of the resident's belongings or money.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0756 · code E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0758 · code E

    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…

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0578 · code D

    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.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0692 · code D

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

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Fine · Aug 25, 2023$7,796
  • Fine · Aug 25, 2023$7,797

Other homes in this chain

Principle Long Term Care · other locations in North Carolina

Related topics

Questions about Harmony Hall Nursing and Rehabilitation Center

What is Harmony Hall Nursing and Rehabilitation Center's Medicare star rating?
As of August 1, 2026, Harmony Hall Nursing and Rehabilitation Center in Kinston, North Carolina has an overall CMS rating of 3 out of 5 stars. Other CMS scores: health inspection 3 of 5, staffing 4 of 5, quality measures 2 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Harmony Hall Nursing and Rehabilitation Center been fined?
As of August 1, 2026, the imported penalty records list $15,593 in reported fines for Harmony Hall Nursing and Rehabilitation Center. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Harmony Hall Nursing and Rehabilitation Center have a Medicare abuse warning?
No. The current CMS Care Compare extract does not show an abuse warning icon for Harmony Hall Nursing and Rehabilitation Center in Kinston, North Carolina.
How does Harmony Hall Nursing and Rehabilitation Center compare with other nursing homes in North Carolina?
Its overall CMS rating is 3 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the North Carolina report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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