All states › North Carolina › Kinston › Harmony Hall Nursing and Rehabilitation Center
312 Warren Avenue Kinston, NC 28501 · Lenoir County
All 3 nursing homes in Kinston, NC (3 take Medicaid)
CMS certification number 345156 · See this home on Medicare Care Compare
Is Harmony Hall Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Harmony Hall Nursing and Rehabilitation Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.39 hours per resident per day at Harmony Hall Nursing and Rehabilitation Center, below the North Carolina median of 3.57 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 2.99 hours, 12% below its all-week average. 31.2% of nursing staff left within a year (North Carolina median 48.5%). That is lower than most homes in North Carolina, a sign of a steadier team.
About this nursing home
Paying for care at Harmony Hall Nursing and Rehabilitation Center: Medicare and Medicaid
Harmony Hall Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 27, 2026 and found 2 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at Harmony Hall Nursing and Rehabilitation Center across 4 inspection dates, 5 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on August 25, 2023. The most common areas cited were quality of life and care (7) and pharmacy service (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, August 25, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.
February 27, 2026 · 3 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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, 2025 · 2 citations · includes complaint inspection
DEnsure 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.
DTry 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.
October 30, 2024 · 4 citations · includes complaint inspection
DAllow residents to self-administer drugs if determined clinically appropriate.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide 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, 2023 · 12 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GEnsure that residents are free from significant medication errors.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProtect each resident from the wrongful use of the resident's belongings or money.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EImplement 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.
DHonor 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.
DProvide enough food/fluids to maintain a resident's health.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
BHonor 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.
BEnsure each resident receives an accurate assessment.
Questions to ask on a tour of Harmony Hall Nursing and Rehabilitation Center
- Inspectors cited the home at the actual-harm level on August 25, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 25, 2023. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 53% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 3/5 |
| August 2026 | 3/5 | 3/5 | 4/5 | 2/5 |
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Location
Hospitals near Harmony Hall Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.2 mi
Lenoir Memorial Hospital KinstonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 14m for patients treated and sent home
- 1.8 mi
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22.5 mi
Wayne Memorial Hospital GoldsboroEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 10m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Harmony Hall Nursing and Rehabilitation Center › All nursing homes in Kinston ›
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Other Principle Long Term Care nursing homes in North Carolina
- Jacob's Creek Nursing and Rehabilitation Center · Madison · 5 stars
- Carolina Rivers Nursing and Rehabilitation Center · Jacksonville · 5 stars
- Maple Grove Health and Rehabilitation Center · Greensboro · 5 stars
- Grantsbrook Nursing and Rehabilitation Center · Grantsboro · 5 stars
- Kerr Lake Nursing and Rehabilitation Center · Henderson · 4 stars
- Lake Park Nursing and Rehabilitation Center · Indian Trail · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.