Quail Run Health Care Center

In the surveyor’s words

From the most serious findings on record at Quail Run Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Mar 27, 2026

  Based on observation, interview and record review, the facility failed to treat residents with dignity and respect with dining when the facility allowed one resident (Resident #24) to eat a meal in his/her room while setting next to his/her soiled bed and when staff stood to assist four residents (Resident #1, #8, #22, #42) with eating while in the dining room. This affected five of 15 sampled residents. The facility census was 55.Review of the undated facility policy titled, Resident Rights, showed:-Residents have the right to a dignified existence;-Residents have the right to personal privacy, including accommodations;-Residents have the right to be free from involuntary seclusion;-The facility shall care for its residents in a manner that promotes enhancement of each resident's quality… […]

• No harm, potential for more than minimal, patternF569Mar 27, 2026

  Based on interview and record review, the facility failed to provide personal funds and a final accounting within thirty days upon discharge for six residents (Resident #11, #63, #64, #65, #66 and #67). This affected six of 14 residents sampled. Facility census was 55. Resident policy on the management of discharged resident fund accounts not provided;1. Review of the facility's Accounts Receivable Aging Report, dated 3/24/26, showed:- Resident #11 discharged on 7/4/23 and had an outstanding credit of $176.38 to his/her private pay account. […]

• No harm, potential for more than minimal, patternF582Mar 27, 2026

  Based on interview and record review, the facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice (SNFABN-form CMS-10055) or a denial letter at the initiation, reduction or termination of Medicare Part A services and Notice of Medicare Non-Coverage (NOMNC-form CMS-10123, a notice that indicates when care is set to end from a skilled nursing facility) for two sampled residents (Resident #39 and Resident #62) This affected two of the 14 sampled residents. The facility census was 55.The facility was unable to provide a SNF/ABN policy when requested. […]

• No harm, potential for more than minimal, patternF584Mar 27, 2026

  Based on observation, interview, and record review the facility failed to ensure a safe, clean, comfortable, and homelike environment, ensuring that the resident can receive care and services safely and that the physical layout of the facility maximizes resident independence and does not pose a safety risk when the facility failed to ensure that flooring, baseboards, and windows were in good repair for two residents (Resident #11 and #18). Failed to allow one resident (Resident #29) to sit where he/she would like during meals in the dining room with a broken window in view of all residents, and when the facility staff served Resident #28 a peanut butter and jelly sandwich in a plastic bag rather than on a plate, and when the facility failed to ensure the small shower room on the North hall… […]

• No harm, potential for more than minimal, patternF656Mar 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure they developed and implemented a comprehensive person-centered plan of care which included measurable objectives and timeframes to address and meet each resident's specific medical, nursing, mental, and psychosocial needs when the facility staff failed to ensure call light within reach and ensure anti-slip material in place to ensure safety (Resident #8); when the facility had conflicting information regarding discharge planning in resident's current care plan (Resident #10); when the facility failed to develop a plan of care regarding resident wandering or exit seeking behavior and when the facility failed to initiate a care plan for a resident that required meal intake in a specific location that was not… […]