Harmony Hall Nursing & Rehab

    312 Warren Ave, Kinston, NC, 28501
    2.2 · 24 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglectful care despite compassionate staff

    I had a very mixed but mostly negative experience. I cannot recommend this facility - I witnessed unwatched rehab, an unmonitored fall and seizures with delayed emergency response (staff didn't call 911), missed dialysis/appointments and meds not called in or given on time, refusal of discharge, and residents left in urine/odor with trash and matter on the floor. Management was unhelpful and the building felt outdated and prison-like. That said, several nurses, aides (Makayla), PT and housekeeping were compassionate, attentive and went above and beyond - rehab and therapy were the only real positives. My strong advice: find somewhere else.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.17 · 24 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.8
    • Staff

      2.9
    • Meals

      4.0
    • Amenities

      3.0
    • Value

      1.0

    Pros

    • Highly skilled healthcare professionals
    • Compassionate and attentive nursing staff
    • Nurse aides who provide family-like care
    • Supportive physical therapy/rehab services (in some stays)
    • Attentive housekeeping and generally clean areas (in some reports)
    • Good, varied food options
    • Frequent communication with families (in some cases)
    • Proactive medication management (reported by some families)
    • Transportation to external appointments provided
    • Residents form strong bonds with staff and other residents
    • Rooms accommodate chairs and wheelchairs and include individual bedside stands/eating tables
    • Specific staff praised by name (example: Makayla the nurse)

    Cons

    • Chronic understaffing and staff overwhelmed
    • Serious sanitation issues reported (urine/fecal odor in hallways, trash or fecal matter in rooms)
    • Inconsistent cleanliness and housekeeping
    • Poor emergency response and missed critical medical needs (missed dialysis, delayed or no 911 call during crisis)
    • Unmonitored patients leading to falls, bruises, and unattended medical events
    • Inconsistent or poor communication and difficulty obtaining updates
    • Medication administration problems (timing delays, night meds not given)
    • Management and social worker concerns (bullying, unhelpful, lack of accountability)
    • Refusal or improper handling of discharge requests
    • Conflicting reports on rehab quality (both praised and strongly criticized)
    • Lack of activities and entertainment (no TV, few activities)
    • Facility odor, outdated building, and prison-like atmosphere reported
    • Incidents of staff disrespect or insults toward residents
    • Perceived profit-driven care and neglect

    Summary review

    Overall sentiment in the reviews is sharply mixed and polarizing. Many families and residents describe deeply positive experiences: skilled clinical staff, compassionate nurses and aides who treat residents like family, helpful physical therapy, and attentive housekeeping in some areas. Multiple reviews highlight staff who go above and beyond, frequent and proactive communication, reliable medication handling (in some cases), transportation to appointments, and good, varied food. Residents in positive reports often appear comfortable, well-dressed, and socially engaged, forming friendships and close bonds with staff. Specific staff members were singled out for praise, demonstrating that individual caregivers can strongly influence family perceptions.

    Counterbalancing the positive reports are numerous, severe concerns that families raised repeatedly. The most serious themes relate to safety, sanitation, and emergency care. Several reviews allege unsanitary conditions such as urine and fecal odors in hallways, trash or fecal matter left in rooms, and inconsistent cleaning. There are also alarming accounts of missed or delayed urgent medical care: failure to ensure dialysis appointments, delayed or absent 911 response during crises, seizures occurring without immediate intervention, and patients left unattended after falls leading to bruising or worse. Medication management is inconsistent across reports; some families praise proactive handling while others report delayed dosing or missed night medications.

    Staffing and management issues are another major pattern. Many reviewers say the facility appears understaffed and overwhelmed, leading to unmonitored patients, long waits for updates, and an overall sense of inadequate supervision. Communication and administrative accountability are inconsistent—some families receive frequent updates and feel supported, while others describe difficulty getting information, prescriptions not called in, appointments not scheduled, and managers or social workers who were unhelpful or even bullying. This variability suggests uneven processes and possibly high staff turnover or poor training/oversight in certain units or shifts.

    Rehab services receive mixed feedback. Some reviewers found physical therapy supportive and counted rehab as a positive aspect of care, while others labeled the rehab experience as horrible or unwatched, indicating inconsistent program quality. The building and amenities also elicit mixed reactions: some note a clean facility and adequate room arrangements (including space for chairs/wheelchairs and individual bedside tables), while others describe an outdated, prison-like atmosphere with limited activities, no TV, or minimal engagement for residents.

    Taken together, the reviews reveal a facility with strong individual caregivers and meaningful, positive experiences for many residents, but with recurring and serious systemic issues affecting safety, sanitation, staffing, and management accountability. Prospective residents and families should weigh both sides: look for the praised strengths (compassionate staff, good food, helpful rehab where available) but be vigilant about the documented risks. Practical next steps before placement include touring multiple units at different times/shifts, asking specific questions about staffing ratios and emergency protocols, requesting examples of how missed appointments and medications are escalated and documented, checking sanitation and odor during the visit, inquiring about activities/entertainment schedules, and asking for names of staff frequently praised by families. Where possible, seek recent, time-stamped references from current families and confirm rehabilitation and dialysis coordination procedures to ensure the facility's practices align with the positive experiences reported rather than the concerning incidents.

    Location

    Map showing location of Harmony Hall Nursing & Rehab

    About Harmony Hall Nursing & Rehab

    Harmony Hall Nursing & Rehab sits at 312 Warren Ave in Kinston, North Carolina, and fills a space that once held the old Lenoir Memorial Hospital, which makes for wide hallways and big windows that let in lots of light, and folks here will find 175 certified beds in this licensed skilled nursing facility, although the daily census lately shows about 119 residents, and even though the nurse staffing per resident each day is 3.01 hours-less than the state average-it does have a lower nurse turnover rate (37.3%) than what's seen in the rest of North Carolina. The management is handled by Principle Long Term Care, Inc., and both Principle It Services, Inc. and Principle Long Term Care, Inc. share full ownership, with the Hill family leading since January 2011. Regular inspections show there have been 18 total deficiencies documented, including 4 noted in the most recent report, and the home works to keep up with all CMS and state safety guidance, using tools like HEPA filters and cold plasma air treatment, and masks for staff and visitors when needed to keep folks as safe as possible.

    Residents who need both long-term help or short-term recovery receive support from a team focused on nursing and rehab, including high acuity care and special help for folks with Alzheimer's, and every resident gets a care plan that looks at their health, emotional state, and even spiritual needs, which the team calls interdisciplinary care. A restaurant-style dining room and a full dietary team handle personalized meal plans, and the facility provides both private and semi-private rooms, call bells, and assigned nurse stations on every hall. Physical, occupational, and speech therapies happen on-site in a rehab center with equipment for exercise, balance, and daily living training, so residents can work on their recovery or maintain strength in a setting that tries to feel supportive rather than overwhelming. Daily activities, a beauty salon, lounges, and outdoor spaces help folks stay engaged and social, while laundry, housekeeping, and regular trash removal add some convenience.

    Security and safety are built into the design, with secure access, staff supervision, and equipment to help residents move around, along with indoor air quality steps and adaptive technology. The place can't take new patients at this time, but it does accept Medicare and Medicaid when beds become available. It serves adults and elderly residents who can't live alone and who may have chronic illnesses or need help after injury or surgery, offers respite care, and has policies for self-administered medication when it's safe, and it treats Medicaid and Medicare coverage rules honestly with residents and families. With its past as a hospital, open spaces and thoughtful layout, Harmony Hall Nursing & Rehab keeps its aim on providing nursing, rehab, and personal care to those who need ongoing help or time to recover, always looking to balance dignity, safety, and social supports, so people can focus on living day by day with some measure of peace.

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