Quality Life Services - Mercer

In the surveyor’s words

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

• Actual harm, isolatedF600Apr 5, 2023

  Based on review of facility policy, clinical records and facility documentation and staff interviews, it was determined that the facility failed to provide services to create an environment free from neglect by transferring a resident improperly, resulting in actual harm of a laceration to the head that required staples for one of four residents reviewed (Resident R1). Findings include: Review of the facility policy entitled Resident Protection From Abuse, Neglect or Exploitation, dated 1/16/23, revealed abuse means the willful infliction of injury, .with resulting physical harm, pain, or mental anguish. […]

• No harm, potential for more than minimal, widespreadF882Jun 18, 2025

  Based on review of facility infection control program and staff interview, it was determined that the facility failed to ensure the designated Infection Preventionist (IP) was qualified with specialized training in infection prevention and control. Findings include: Review of the facility infection control program revealed there was no evidence of staff with specialized training to function as the IP and fulfill the responsibility for the Infection Prevention and Control Program. During an interview on 6/18/25, at approximately 10:00 a.m the Director of Nursing (DON) disclosed that as of 6/02/25, the IP no longer worked at the facility and that the DON had been covering the position since the IP left and as of 6/18/25, had not successfully completed the required specialized IP training. […]

• No harm, potential for more than minimal, patternF812Aug 10, 2026

  Based on observation, review of facility policy and documents, and staff interviews it was determined that the facility failed to maintain sanitary conditions related to utensil storage and failed to monitor operating temperatures of the dish machine in the main kitchen.Findings include:A current facility policy entitled Cleaning Dishes/Dish Machine indicated that dish machines will be checked prior to meals to assure proper functioning and appropriate temperatures for cleaning and sanitation; and during the unloading process, visually inspect all items for cleanliness, if dishes are not clean repeat prep and wash steps.Review of the facility document entitled High Temperature Dish Machine Log Form provided by the facility on 8/10/26, revealed missing documentation of the operating… […]

• No harm, potential for more than minimal, patternF686Jan 24, 2025

  Based on review of clinical records and facility policy, and staff interview, it was determined that the facility failed to ensure evidence for provision of documentation of pressure ulcers for two of eight residents identified for pressure ulcers (Residents R1 and R2). Findings include: A facility policy entitled, Skin integrity and wound management with a policy and procedure review date of September 2, 2021, revealed, Perform skin inspection on admission and weekly by a licensed nurse. Document in PCC [Point Click Care]. […]

• No harm, potential for more than minimal, patternF686Jan 5, 2023

  Based on review of facility policies and clinical records and staff interviews, it was determined that the facility failed to comprehensively assess and monitor pressure ulcers within required timeframes for three of three residents with pressure ulcers reviewed (Residents R1, R2, and Closed Record CR3). Findings include: Review of current facility policy entitled, Skin Integrity and Wound Management dated 2/9/22, indicated Perform wound assessment and complete proper forms upon initial identification of altered skin integrity, weekly, and with any deterioration of wound. Review of Resident R1's clinical record revealed an admitted [DATE], with diagnoses that included high blood pressure, Alzheimer's disease, and dysphagia (difficulty swallowing). […]