01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-07 | 11 | 2025-05-07 | 4 |
| Cycle 2 | 2024-03-28 | 28 | 2024-03-28 | 8 |
| Cycle 3 | 2022-12-21 | 29 | 2022-12-21 | 8 |
CMS CCN 2352592026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Harmony Village Of Warren
11525 East Ten Mile Road · Warren, MI 48089 · Macomb County
Certified beds178CMS provider file
Recent citation rows88current CMS citation release
Penalty rows4current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
88 rows in the current release
3 rows carry G–L scope/severity codes; 2 carry J–L. 21 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-12 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-05-13 · complaint2025-05-07 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-05-07 · FIREK0781Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-17 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-05-02 · complaint2025-04-08 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-04-25 · complaint2025-04-08 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-04-25 · complaint2024-11-14 · HEALTHF0921Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-11-26 · complaint2024-09-17 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-09-30 · complaint2024-08-13 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-08-26 · complaint2024-07-03 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-07-20 · complaint2024-07-03 · HEALTHF0921Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-07-20 · complaint2024-03-28 · FIREE0018Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2024-05-2703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-04-08 | Fine | $83,899 | 0 |
| 2024-01-10 | Fine | $15,879 | 0 |
| 2024-01-10 | Payment Denial | $0 | 11 |
| 2023-12-11 | Fine | $3,496 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JM AND MAZEL LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2025
- MAZEL FAMILY TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2025
- DIPASQUA, JASONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- FISHMAN, SHMUELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- CHM MI LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2025
- BRAXTON, LASHAWNDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2025
- HOWARD, SHANNONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2025
- SALEH, MOHAMMADIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2025
- GITBERK LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- GITBERK TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- HARMONY VILLAGE PROPCO HOLDCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- JBL 120 LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- JBL 120 TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- JM AND MAZEL LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- MAZEL FAMILY TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- WARREN MP REALTY HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- BRAXTON, LASHAWNDAIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/24/2026
- DIPASQUA, JASONIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.70per resident day
RN hours0.56per resident day
Weekend nurse hours3.20per resident day
Staff turnover25.0%CMS reported field
06 / LOCAL RECORDS
Open the Warren ledger →Other published facilities nearby
Autumn Woods Residential Health293 beds · CMS overall 2/560 citation rowsSt. Anthony Healthcare Center142 beds · CMS overall 4/544 citation rowsThe Orchards At Warren134 beds · CMS overall 1/552 citation rowsThe Villa At City Center152 beds · CMS overall 4/529 citation rowsWindemere Park Health And Rehabilitation Center92 beds · CMS overall 4/553 citation rows