Quail Ridge Living Center, Inc

In the surveyor’s words

From the most serious findings on record at Quail Ridge Living Center, Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF847Aug 23, 2024

  Based on record review and interview, the facility failed to inform the residents and their representatives of their right to rescind an arbitration agreement within 30 calendar days of signing it. The administrator reported the census was 84 and all the residents had signed an arbitration agreement. Findings: An undated excerpt from the facility admission packet, titled Arbitration read in part, .this Arbitration Provision may be rescinded by written notice to the facility from the resident within 3 business days of signature. If not rescinded within 3 business days, this Arbitration Provision shall remain in effect . On 08/23/24 at 8:11 a.m., the Administrator stated residents had not given 30 days to rescind the arbitration agreement after it was signed.

• No harm, potential for more than minimal, patternF689Jul 2, 2026

  Based on observation, record review, and interview, the facility failed to:a. ensure residents did not fall during a transfer for 1 (#84) of 2 sampled residents reviewed for accident hazards; b. ensure safety interventions were in place while smoking for 1 (#6) of 2 sampled residents reviewed for accident hazards; andc. ensure the electrical room door was secured for 1 of 1 electrical room observed.The DON identified 29 residents required two person assistance with transfer, 18 residents smoked, and 85 residents resided in the facility. Findings: 1. […]

• No harm, potential for more than minimal, patternF812Jul 2, 2026

  Based on observation, record review, and interview, the facility failed to ensure the ice machine was maintained in a sanitary manner. The administrator identified 85 residents received nourishment from the kitchen. Findings: On 06/29/26 at 10:03 a.m., the ice machine was observed to have a black slimy substance on the underside of the plastic rim inside the ice compartment. A maintenance log titled Monthly Deep Cleaning Schedule 2026 was reviewed. The log showed the ice machine had been cleaned in March 2026, April 2026, and May 2026. On 06/29/26 at 10:15 a.m., the dietary manager stated the black substance on the ice machine appeared to be grime and it should not have been in the ice machine. They stated the ice machine was due for a weekly cleaning.

• No harm, potential for more than minimal, patternF623Aug 23, 2024

  Based on record review and interview, the facility failed to provide written notices of transfer or discharge prior to residents being transfer or discharged from the facility for three (#2, #9, and #228) of four sampled residents reviewed for hospitalization s. The DON denitrified 71 residents who had been discharged or transferred to from the facility to a hospital in the previous six months. Findings: A facility policy titled Transfer or Discharge, Facility Initiated, dated 2001, documented under the subheading Notice of Transfer or Discharge (Emergent or Therapeutic Leave that the resident would be given the notice as soon as practicable but before the transfer or discharge. 1. […]

• No harm, potential for more than minimal, patternF727Aug 23, 2024

  Based on record review and interview, the facility failed to have RN coverage for two days, 01/22/24 and 01/26/24. The administrator identified 84 residents living in the facility. Findings: Based on record review, and interview the facility failed to submit accurate direct care staffing payroll data for the PBJ report for 01/01/24 to 03/31/24 (Quarter 2). The Administrator identified 84 residents resided in the facility. Findings: On 08/22/24 at 1:37 p.m., HR#1 was asked about the five dates listed on the PBJ report (01/20/24, 01/22/24. 01/25/24. 01/27/24 and 02/25/24 . HR#1 stated they were unsure of why there was no RN coverage listed on those reports. HR#1 then provided punch detail for scheduled RN coverage for three of the five dates listed on the PBJ report. […]