Quality Life Services - Henry Clay

In the surveyor’s words

From the most serious findings on record at Quality Life Services - Henry Clay, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF842Jun 18, 2026

  Based on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to document notifications of medical providers of increased and decreased capillary blood glucose levels and/or failed to document recheck of out-of-range blood sugar levels for three of seven residents (R25, R25, and R72).Findings:Review of the facility policy, Physician Notification dated 1/22/26, indicated, Upon identification of a resident who has clinical changes, change in condition, or abnormal lab values, a licensed nurse will perform appropriate clinical observations and data collection and report to physician as indicated. […]

• No harm, potential for more than minimal, isolatedF908Jun 18, 2026

  Based on review of facility documentation, observations, and staff interviews, it was determined that the facility failed to make certain that equipment was in safe operating condition for one of five suction units (Harmony Hills Hall Room-29 D).Findings include: Review of a facility document Facility Assessment last reviewed 4/24/26, indicated the facility has a list of medical equipment identified for routine inspection, maintenance checks weekly and recommended maintenance through the manufacturer. Included in the list for routine inspection, maintenance for medical equipment are suction machines (suction used to keep an airway open by removing mucus or other material that a person cannot clear from their airway). During an observation completed on 6/18/26, at 9:00 a.m. […]

• No harm, potential for more than minimal, isolatedF656Jul 31, 2025

  Based on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to develop and implement a comprehensive care plan for resident and care needs for one of eight residents (Resident R3). Findings include:Review of the facility policy Care Plan and Interdisciplinary Care Conference dated 1/29/25, indicated an individualized, interdisciplinary care plan is initiated within 24 hours for each resident as part of the delivery process. […]

• No harm, potential for more than minimal, isolatedF689Apr 1, 2024

  Based on review of facility policy, facility submitted documents, clinical records, and staff interviews, it was determined that the facility failed to make certain each resident received adequate supervision and assistance to prevent accidents for one out of 12 residents reviewed (Resident R1). Findings include: The facility Accidents and Incidents policy dated 1/25/24, indicated that it is the policy of the facility to promote a safe environment for all residents. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE], with diagnoses that included cerebral infarct (stroke - interruption of blood flow within your brain that causes death of brain cells), hemiplegia (paralysis or weakness of one side of the body) affecting right dominant side, and aphasia… […]

• No harm, potential for more than minimal, isolatedF689Aug 31, 2023

  Based on review of facility policies, clinical records, and staff interview, it was determined that the facility failed to provide ordered fall mats to prevent possible injuries for one of four residents (Resident R60). Findings include: Review of the facility policy Accidents and Incidents dated 1/26/23, indicated the facility will promote a safe environment for all residents. The policy further indicated the licensed nurse responsible for the resident will update residents plan of care as necessary related to the incident / accident. Review of Resident R60's admission record indicated she was admitted to the facility on [DATE]. […]