Qualicare Nursing Home

In the surveyor’s words

From the most serious findings on record at Qualicare Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF684Jul 24, 2025

  This citation pertains to intake 2561232. Based on interview and record review the facility failed to timely and appropriately assess a new onset leg pain for one Resident (R901) of three residents reviewed for quality of care, resulting in R901 experiencing prolonged signs and symptoms of severe pain with subsequent hospitalization to address the pain. Findings include:On 7/23/25 at 12:52 p.m. the complainant was contacted regarding the allegations reported to the state agency. The complainant said on 7/7/25 approximately at 2:45 p.m., R901 could be heard screaming through the hall while receiving care. The hip area was observed by the complainant who stated, It looked like a bone was sticking out of the upper thigh. R901 was crying, screaming, and did not want the area touched. […]

• No harm, potential for more than minimal, widespreadF880Feb 26, 2026

  Based on observation, interview and record review, the facility failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility. Findings Include:On 02/24/2026 at 10:02 AM, observation of the kitchen found a faucet on the back wall of the cookline. When the cold and hot handles were turned no water came out, Certified Dietary Manager (CDM) B stated it is not used by kitchen staff.On 02/24/2026 at 10:45 AM, observation of the first-floor tub room revealed a domestic water fixture above the tub faucet. […]

• No harm, potential for more than minimal, widespreadF921Feb 26, 2026

  Based on observation and interview the facility failed to maintain general cleanliness and repair of the premises. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living, affecting all residents. Findings Include:On 02/24/2026 at 10:35 AM, the Kitchen Supervisor (KS) C was observed draining sanitizer from the three-compartment sink. As the sink drained, the discharge pipe began dripping onto the floor. At this time an interview conducted with Certified Dietary Manager (CDM) B revealed that they were aware of the problem and had entered it into the maintenance repair system. […]

• No harm, potential for more than minimal, isolatedF687Jul 14, 2026

  This citation pertains to Intake 3065458. Based on observation, interview and record review, the facility failed to ensure podiatry care was provided to one (R101) of three residents reviewed for foot care. Findings include: A complainant reported to the State Agency that the facility failed to obtain podiatry services for R101. On 07/14/2026 at 11:35 AM, R101 was interviewed at the facility. R101's feet were observed with long, hard, discolored, dry and brittle toenails which extended beyond his toe bed. Flaking debris, which resembled dead skin, was observed on the white bed sheet underneath R101's feet. R101 stated, Yes when asked if R101 wanted to see a Podiatrist to have his toenails cut. […]

• No harm, potential for more than minimal, isolatedF644Feb 26, 2026

  Based on interview and record review the facility failed to ensure timely follow-up of a PASSAR referral and level II evaluation for one resident (R13) of two residents reviewed for PASSAR requirements. This failure placed (R13) at risk for not receiving specialized services and supports recommended for individuals with serious mental illness or cognitive impairment.Findings include:Record review revealed that R13 was admitted to the facility on [DATE] with the diagnosis as follows: Metabolic Encephalopathy, Vascular Dementia, Delusional Disorder and Major Depressive Disorder.Review of Quarterly Minimum Data Set (MDS) dated for 2/11/2026 revealed R13 Brief Interview for Mental Status (BIMS) was an 8 out of 15, which indicated R13 was moderately impaired.On 02/26/2026 10:12 AM, Social… […]