Quincy Healthcare & SR Living

In the surveyor’s words

From the most serious findings on record at Quincy Healthcare & SR Living, in the surveyor’s own words.

• Actual harm, isolatedF550Jun 6, 2026

  Based on observation, interview, and record review the facility failed to ensure a resident's call light was answered promptly and the resident received timely incontinence care for one of three residents (R3) reviewed for dignity in the sample of five. These failures resulted in R3 sitting in urine for an extended period of time, experiencing feelings of disgust and anger, feeling insulted and uncomfortable, and experiencing pain and burning to her buttocks. Findings include:The facility's Resident Rights policy dated 2/21 documents, Employees shall treat all resident with kindness, respect, and dignity.The facility Dignity policy dated 2/21 documents, Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life,… […]

• Actual harm, isolatedF686Jul 9, 2025

  Based on observation, interview, and record review, the facility failed to identify and provide necessary treatment and services to promote healing and prevent worsening of pressure injuries, assess and document wound conditions, perform weekly wound assessments with measurements, notify the physician of wound progression, administer the correct treatment per the physician's order, and failed to properly apply a wound vacuum for three of four residents (R26, R53 and R62) reviewed for pressure ulcers. […]

• Actual harm, isolatedF550Apr 26, 2025

  Based on observation, interview and record review, the facility failed to ensure a resident's call light was answered timely to provide toileting assistance for one of three residents (R1) reviewed for call lights in the sample of three. This failure resulted in R1 soiling herself while waiting for assistance and sitting for several hours and causing her emotional distress. Findings include: The facility's Resident Rights policy, dated 2/2021, documents Employees shall treat all residents with kindness, respect, and dignity. Federal and state laws guarantee certain basic rights to all residents of this facility. […]

• Actual harm, isolatedF689Nov 2, 2023

  Based on observation, interview, and record review, the facility failed to remove a resident's wheelchair pedals during a sit to stand transfer from the wheelchair to the recliner for one of four resident (R52) reviewed for accidents in the sample of 33. This failure resulted in R52 hitting her left outer calf on the wheelchair pedal during the transfer, resulting in R52 sustaining a seven cm (centimeter) long full thickness, painful, gaping laceration of the left, lower leg requiring R52 to be transferred to the emergency room to received internal and external sutures of the laceration. […]

• Actual harm, isolatedF726Jul 25, 2023

  Based on interview and record review the facility failed to ensure staff were knowledgeable about an implanted urinary sphincter device, assessing for low urine output, sudden weight gain, and development of edema for one of three (R1) residents reviewed for competent nursing staff in a sample of three. These failures resulted in R1 requiring hospitalization where R1 was diagnosed with not having R1's bladder drained enough, with 2 (two) liters of urine found on ultrasound in R1's bladder, a weight gain of 35 pounds in four days, Congestive heart Failure (CHF) and small pleural effusions. […]