Quality Life Services - Markleysburg

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 25, 2026

  Based on review of the clinical records and facility documents, resident and staff interviews, and observations it was determined that the facility failed to properly temperature the hot water prior to giving it to a resident (Resident R11) which resulted in actual harm of second-degree burn (a burn marked by pain, blistering, and damage to the outer layer of skin with redness and swelling of the tissues beneath the burn) to abdomen, and pelvic area. Findings include: Review of the facility policy Safe Provision of Hot Beverages to Residents - Activities last reviewed 5/1/26, indicated its purpose was to ensure the safe preparation, handling, and distribution of hot beverages to residents in order to prevent burns and other avoidable injuries, while supporting resident comfort, dignity,… […]

• Actual harm, isolatedF656Apr 2, 2026

  Based on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to develop and/or update person-centered care plans related transfer and bed mobility assistance levels for three of 17 residents (Residents R1, R2, R3) that resulted in the actual harm of a nasal fracture and knee fracture for one of four residents (Resident R1) . This was identified as past noncompliance.Findings include: Review of facility policy Care Plan and Interdisciplinary Care Conferences dated 6/9/25, indicated the care plan is a working tool that is reviewed and revised at specific intervals and as needed to reflect response to care and changing needs and goals. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF689Apr 2, 2026

  Based on review of facility policies and documents, clinical record review, and staff interview, it was determined that the facility failed to provide adequate supervision to prevent falls for two of four residents (Resident R1 and R2) that resulted in the actual harm of a nasal fracture and knee fracture for one of four residents (Resident R1).Findings include: Review of the facility policy, Falls: Care During and After dated 6/9/25, indicated, All residents experiencing a fall will receive appropriate care and investigation and interventions will be conducted by the interdisciplinary team. Included in the procedure were the following steps: 5. Remove any causes to fall and implement preventative measures to prevent reoccurrence. 6. Update care plan to reflect new interventions. […]

• Actual harm, isolatedF686Jul 31, 2025

  Number of residents sampled: Number of residents cited: Based on the review of professional standards of practice, facility policy, clinical record review and staff interview, it was determined that the facility failed to develop and implement care and services consistent with professional standards of practice to prevent the development of a pressure ulcer that developed into a Stage III pressure ulcer (full thickness skin loss that extends into the subcutaneous or fat layer) to the right lateral ankle and a Stage I pressure ulcer (non-blanchable reddened area) to the right inner and outer aspect of the right knee from a immobilizer brace worn due to a fracture. […]

• Actual harm, isolatedF689Jul 31, 2025

  Number of residents sampled: Number of residents cited: Based on a review of facility policies, clinical records, investigation report and staff interviews, it was determined that the facility failed to ensure that the environment was free of accident hazards for one of two residents (Resident R3) resulting in harm when hot soup spilled onto Resident R3's right upper, inner thigh area causing a second- degree burn measuring 2 cm x 1.5 cm x <0.1 cm blister requiring treatment. Findings include:Review of the facility policy Accidents and Incidents dated 6/9/25, with a previous review date of 6/11/24, indicated that if an accident/incident occurs involving a resident are reported and investigated for corrective actions and quality improvement. […]