Quaker Hill Manor

In the surveyor’s words

From the most serious findings on record at Quaker Hill Manor, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 3, 2025

  The facility reported a census of 47 residents. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility, and to prevent the potential for food borne bacteria in one of one kitchen. Findings included: - During an initial tour of the resident kitchenette, on 12/02/25 at 09:37 AM, the following areas of concern were noted in the facility kitchen:1. The vent on the front of the ice machine had a build-up of dust and debris.2. A cart holding clean, plastic trays for serving residents' food contained food debris.3. Eight plastic containers holding cold cereal had a sticky, dusty substance on the lids.4. […]

• No harm, potential for more than minimal, widespreadF812Feb 15, 2024

  The facility reported a census of 44 residents. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria. Findings included: - During an initial tour of the resident kitchenette, on 02/12/24 at 01:12 PM, the following areas of concern were noted in the resident refrigerator/freezer: 1. One box of store-bought pizzas that were undated and unlabeled. 2. An opened can of soda, half full, was undated and unlabeled. 3. One resident's half-eaten meal tray which was undated and unlabeled. 4. One bowl of mixed fruit was undated and unlabeled. 5. One bowl of a dessert was undated and unlabeled. 6. […]

• No harm, potential for more than minimal, widespreadF921Feb 15, 2024

  The resident reported a census of 44 residents. Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents and staff. Findings included: - During the initial tour of the kitchen on 02/12/24 at 01:22 PM, the following area of concern was noted: The floor throughout the kitchen floor had areas which contained a dried, liquid, sticky substance and the parameter of the floor had a heavy build-up of dirt and grime. On 02/14/24 at 01:24 PM, Dietary Staff CC confirmed the kitchen floor parameter had a heavy build-up of dirt and grime. […]

• No harm, potential for more than minimal, isolatedF550Dec 3, 2025

  The facility reported a census of 47 residents with 12 residents sampled, including one resident reviewed for dignity. Based on observation, interview and record review, the facility failed to show respect and dignity to one Resident (R)30, when the resident sat with her bare legs, including her upper thighs, exposed. Findings included:- R30's Electronic Medical Record (EMR) revealed a diagnosis of cerebral infarction (stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain). R30's Annual Minimum Data Set (MDS), dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. […]

• No harm, potential for more than minimal, isolatedF628Dec 3, 2025

  The facility reported a census of 47 residents; the sample included 12 residents including two residents reviewed for hospitalization. Based on interview and record review, the facility failed to provide Resident (R)15 and R1, and/or their representative, a written notification explaining the purpose of the discharge.Findings included:-R15's Electronic Medical Record (EMR) documented a diagnosis of Parkinson's disease (a slowly progressive neurologic disorder characterized by resting tremors, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity, and weakness). R15's admission Minimal Data Set (MDS), dated [DATE], documented the resident admitted to the facility from a short-term, acute hospital on [DATE]. […]