Inn at Quail Haven Village

In the surveyor’s words

From the most serious findings on record at Inn at Quail Haven Village, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 23, 2023

  Based on record review, observation, and interviews with the Physician Assistant (PA) and staff, the facility failed to provide supervision and effective interventions to prevent repeated falls to a resident who was assessed as high risk for falls for 1 of 5 sampled residents reviewed for accidents (Resident #9). On 12/5/22, Resident # 9 sustained an acute mildly displaced fracture of the right subtrochanteric femoral neck from a fall and underwent open reduction and internal fixation (ORIF) of the right periprosthetic femur fracture and revision of the right hip arthroplasty (a surgical procedure to replace damaged joint with an artificial joint) on 12/6/22. […]

• No harm, potential for more than minimal, widespreadF812Mar 23, 2023

  Based on observation and staff interviews the facility failed to date leftover food in 1 of 2 walk-in refrigerators; failed to maintain a clean kitchen floor; failed to store clean and dirty knives separately; and failed to thaw meat in sanitary conditions to prevent the potential for cross contamination. The failures had the potential to affect food served to residents. The findings included: 1. An initial observation of 1 of 2 walk-in coolers on 03/20/23 at 9:38 AM revealed an open, undated package of parmesan cheese. During an interview with the Dietary Manager (DM) on 03/20/23 at 9:39 AM, he stated the parmesan cheese was probably opened during the weekend and it should have been dated when it was opened. 2. […]

• No harm, potential for more than minimal, patternF812Jun 19, 2025

  Based on observation and staff interviews, the facility failed to label opened food items stored in 1 of 2 walk-in freezers with the date opened and use-by or expiration dates. This deficient practice had the potential to affect foods served to the residents. The findings included: On 6/16/25 at 10:45 AM an observation of the walk-in freezer was conducted with the Dietary Director. The observation revealed the following: --bag of opened chicken nuggets with no date opened, use by or expiration date labels posted on the bag that was sitting on a shelf. --carton of tilapia was opened with the inner plastic bag opened and exposing the tilapia to room air. […]

• No harm, potential for more than minimal, patternF565Mar 23, 2023

  Based on observation, record review and staff and resident interviews, the facility failed to resolve repeat grievances related to dietary services which were reported in the Resident Council meetings for 7 out of 9 months reviewed (June 2022, July 2022, August 2022, October 2022, December 2022, January 2023, and February 2023). The findings included: Review of the Resident Council minutes dated 06/24/22 indicated a resident was concerned because her Sunday meal was not enough to help her with her blood sugar through the night. Residents discussed recent patterns of not being offered evening snack items. […]

• No harm, potential for more than minimal, patternF867Mar 23, 2023

  Based on record reviews, observations, Physician Assistant, residents and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedures and monitor interventions the committee put into place following a focused infection control and complaint survey completed on 10/5/20. This was for two deficiencies that were cited in the areas of Respiratory Care and Infection Control. In addition, four additional deficiencies were cited during the annual recertification and complaint survey on 8/25/21 in the areas of Resident/Family Group and Response, Accuracy of Assessments, Treatment/Services to Prevent/Heal Pressure Ulcers and Resident Records. […]