Quality Life Services - Sarver

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF882Nov 14, 2025

  Based on a review of facility policy and staff interviews, it was determined the facility failed to designate a consistent qualified individual(s) onsite, who is responsible for implementing programs and activities to prevent and control infections for 12 out of 14 months. Findings included: Review of facility Infection Prevention Program policy dated 10/13/25, indicated the infection program is comprehensive in that it addresses detection, prevention, and control of infections among residents and personnel. During entrance meeting on 11/12/25, at 9:30 a.m. Assistant Director of Nursing (ADON) was identified as the facilities Infection Preventionist (IP). During a review of the facilities Infection Control Program on 11/13/25, the ADON/IP Employee E10 stated, I just started in this role. […]

• No harm, potential for more than minimal, patternF836Aug 6, 2024

  Based on review of facility provided documents it was determined that the facility failed to ensure sufficient nursing staff to comply with state laws regarding mandated minimum staffing requirements (Time Period 7/15/24 -8/5/24). Findings include: Review of 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, S211.12, dated 7/1/24, indicated the following subsections: (3) Effective July 1, 2024, a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight. […]

• No harm, potential for more than minimal, patternF947Nov 9, 2023

  Based on review of facility policy, personnel files and staff interview it was determined that the facility failed to complete required training on dementia management, communication, and behavioral interventions for five out of five nurse aide personnel files (Nurse aide- NA Employee E1, NA Employee E2, NA Employee E3, NA Employee E4, and NA Employee E5). Findings include: The facility assessment dated [DATE], indicated that staff competencies are necessary to provide the level and types of care needed for the resident population. Annual mandatory education consist of test to determine competency. Education is formal and informal and includes dementia management, communication and behavioral interventions. Review of Nurse aide Employee E1's personnel record on 11/8/23, at 11:30 a.m. […]

• No harm, potential for more than minimal, patternF578Dec 3, 2021

  Based on review of clinical records and staff interview, it was determined that the facility failed to provide the opportunity to formulate an advance directive (a written instruction such as a living will or durable power of attorney for health care for when the individual is incapacitated) for five of eight residents (Residents R20, R26, R33, R44, and R48). Findings include: A review of the clinical record indicated Resident R20 was admitted to the facility on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of the clinical record failed to reveal an advanced directive or documentation that Resident R20 was given the opportunity to formulate an Advanced Directive. […]

• No harm, potential for more than minimal, patternF609Dec 3, 2021

  Based on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to report allegations of abuse or neglect for 6 of 12 residents (Residents R15, R22, R25, R32, R52 and R201) Findings include: A review of the facility policy, Resident protection from abuse, neglect or exploitation, reviewed 5/13/21, states that any situation of abuse or suspected abuse will be reported as follows: a. The Administrator or DON (Director of Nursing) must be notified immediately. b. The Administrator or DON will notify the PA Department of Health/Long Term Care Division via electronic reporting system within 24 hours of the incident. c. […]