Neighborhoods at Quail Creek, The

In the surveyor’s words

From the most serious findings on record at Neighborhoods at Quail Creek, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Apr 27, 2022

  Based on interview and record review, facility staff failed to initiate cardio-pulmonary resuscitation (CPR-an emergency procedure consisting of chest compressions and emergency breathing), in a timely manner upon finding the resident unresponsive, failed to call 911 immediately, and failed to continue CPR until EMS arrived for one resident (Resident #1). The facility failed to have a system in place to ensure staff could notify other staff of the need for assistance with performing CPR in a timely manner without leaving the resident. The facility had 29 residents with full code status. Facility census was 72. The Administrator, Director of Nursing (DON) and Assistant Director of Nursing (ADON) were notified on [DATE], at 9:49 P.M., of an Immediate Jeopardy (IJ) which began on [DATE]. […]

• Actual harm, isolatedF689Oct 13, 2021

  Based on record review and interviews, the facility failed to ensure all residents were kept free from possible accident hazards when the facility staff did not adequately asses the use of a cushion prior to placing it in one resident's (Resident #1's) speciality wheelchair, resulting in a fall with fracture, and when the facility staff failed to transfer one resident (Resident #1) per his/her care plan and facility policy by not having sufficient staff present for the transfer. The facility census was 86. 1. […]

• No harm, potential for more than minimal, widespreadF812Aug 16, 2024

  Based on observation, interview, and record review, the facility failed to keep all food safe from potential contamination at all times when staff failed to where hairnets properly while in working in the facilities kitchens. The facility census was 99. Review of the facility's policy titled Dietary Employee Personal Hygiene, dated 01/01/24, showed the following information: -The purpose was to prevent contamination of food by food service employees; -All dietary staff must wear hair restraints (e.g., hairnet, hat and/or beard restraint) to prevent hair from contacting food; -Head coverings must be clean. Review of the Food and Drug Administration (FDA) 2013 Food Code showed the following: -Consumers are particularly sensitive to food contaminated by hair. […]

• No harm, potential for more than minimal, widespreadF921Aug 16, 2024

  Based on observation, interview, and record review the facility failed to provide a sanitary environment for all residents and staff when staff failed to ensure ceiling vents, light covers, walls, and non-contact food surfaces were clean. The facility census was 99. Review of the facility's policy titled Standard Operating Procedure, Cleanliness and Sanitation of the Dining Room, dated 01/01/24, showed staff to routinely clean all areas of the dining room, including equipment such as service refrigerators, etc. […]

• No harm, potential for more than minimal, patternF919Jun 26, 2026

  Based on interview, and record review, the facility failed to provide residents with a complete and fully functional call light system when the facility failed to have a process in place to notify staff of call light notifications when call light pagers where not functioning, when the nursing station notification terminal was not receiving notifications, and when the system would reset a call light without it being answered by staff for four residents (Resident #16, #107, #115, and #62). […]