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.
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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $3,147 |
Inspection citations (73 in the current record)
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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
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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
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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
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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
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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
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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
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Potential for harm · D December 4, 2025
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected January 1, 2026 · Environmental
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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
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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
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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
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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
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Potential for harm · D June 11, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 3, 2025 · Pharmacy Service
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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
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Potential for harm · D June 11, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected July 3, 2025 · Administration
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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
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Potential for harm · E June 11, 2025
Provide and implement an infection prevention and control program.
Corrected July 3, 2025 · Infection Control
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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
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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
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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
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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
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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
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Potential for harm · F December 18, 2024
Provide and implement an infection prevention and control program.
Corrected January 14, 2025 · Infection Control
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Potential for harm · D December 18, 2024
Implement a program that monitors antibiotic use.
Corrected January 14, 2025 · Infection Control
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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
| Date | Type | Amount / length |
|---|---|---|
| May 15, 2024 | Payment Denial | 39 days |
| July 31, 2023 | Fine | $3,147 |
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 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.