Nursing homeActive
Harmony Hall Nursing and Rehabilitation Center
312 Warren Avenue, Kinston, NC 285012525230082175 certified beds · 102 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
21
● 2● 17● 2
Penalties · 3 yrs
—
none on file
Last survey
2026-02-27
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-27 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-07-09 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-10-30 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-08-25 | Standard | 282 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 345156-20260227-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 345156-20260227-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 345156-20260227-F761
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-30Record 345156-20250709-F693
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-30Record 345156-20250709-F700
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-13Record 345156-20241030-F554
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-13Record 345156-20241030-F582
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-13Record 345156-20241030-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-13Record 345156-20241030-F690
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-02-15Record 345156-20230825-F689
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-25Record 345156-20230825-F760
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 345156-20230825-F578
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-28Record 345156-20230825-F602
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 345156-20230825-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 345156-20230825-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 345156-20230825-F756
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 345156-20230825-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 345156-20230825-F812
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 345156-20230825-F867
F584Honor 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.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2023-09-25Record 345156-20230825-F584
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2023-09-25Record 345156-20230825-F641
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-08-25 | Civil money penalty | $7,796 | CMS · Penalties |
| 2023-08-25 | Civil money penalty | $7,797 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.67
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.52
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.19
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover29%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover20%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.9% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.7% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.7% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.5% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.0% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.8% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.3% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Karstetter, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Principle Long Term Care, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Boice, Gale Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boice, Gale Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boice, Gale Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hill, Raymond Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hill, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hill, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Johnson, Dianne Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Krishnaraj, Ramesh Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Krishnaraj, Ramesh Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vick, Hope Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Vick, Hope Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Principle Long Term Care — 40 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Lenoir.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Signature Healthcare of Kinston Kinston | 1.9 mi | 2025-12-09 | 2120 |
| NC State Veterans Home-Kinston Kinston | 2.4 mi | 2025-11-14 | 127 |
| Greendale Forest Nursing and Rehabilitation Center Snow Hill | 12.1 mi | 2026-06-18 | 5132 |
| Ayden Court Nursing and Rehabilitation Center Ayden | 15.8 mi | 2026-05-12 | 2201 |
| PruittHealth-Farmville Farmville | 21.2 mi | 2025-08-07 | 081 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |