Quincy Retirement Community

In the surveyor’s words

From the most serious findings on record at Quincy Retirement Community, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 12, 2026

  Based on facility policy review, clinical record review, employee file review, and staff interviews, it was determined that the facility displayed past non-compliance in its failure to provide adequate supervision and assistance devices to prevent accidents, which resulted in harm as evidenced by a fall and fractured nose for one of three residents reviewed (Resident 1).Findings include: Review of facility policy, titled Falls Management Program, dated December 29, 2025, revealed, in part, The facility will ensure the resident environment remains as free of accident hazards as possible. [Facility] is committed to promoting resident autonomy by providing an environment that remains as free of accident hazards as possible. […]

• No harm, potential for more than minimal, patternF842Feb 7, 2025

  Based on clinical record review and resident and staff interviews, it was determined that the facility failed to ensure that residents' medical records were complete and accurately documented for one of 18 residents reviewed (Resident 5). Findings include: Review of Resident 5's clinical record revealed diagnoses that included fracture of the left ulna (break of the bone in the forearm) and anxiety disorder (excessive and persistent worrying). Review of Resident 5's January TAR (Treatment Administration Record - form used to document physician orders as well as when and how treatments are administered to a resident) revealed the following order was not documented as being completed on the dates noted: splint - three times a day, ensure left arm splint on left arm at all times; not… […]

• No harm, potential for more than minimal, patternF641Mar 7, 2024

  Based on clinical record review and staff interviews, it was determined that the facility failed to ensure that the resident assessment accurately reflected the resident's status for five of 18 residents reviewed (Residents 8, 19, 49, 56, and 76). Findings include: Review of Resident 8's clinical record revealed diagnoses that included chronic kidney disease (CKD - longstanding disease of the kidneys leading to renal failure) and diabetes mellitus type II (disease that occurs when your blood glucose, also called blood sugar, is too high, but does not require the use of insulin). Further review of Resident 8's clinical record revealed their admission progress note dated January 2, 2024, which indicated the presence of an unstageable deep tissue injury. […]

• No harm, potential for more than minimal, patternF657Mar 7, 2024

  Based on facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure the care plan was reviewed and revised for three of 21 residents reviewed (Residents 8, 19, and 56). Findings include: Review of facility policy, titled Care Planning, with a last review date of December 7, 2023, revealed, in part: Presbyterian Senior Living will comprehensively evaluate and re-evaluate a resident's need for service and develop a plan to promote their highest practicable level of functioning as set forth by our Mission Statement as well as State and Federal guidelines . 10. The care plan will be updated electronically as needed; and 11. […]

• No harm, potential for more than minimal, patternF684Mar 7, 2024

  Based on facility policy review, observations, clinical record review, and staff interviews, it was determined that the facility failed to ensure care and services are provided in accordance with professional standards of practice to meet each resident's physical, mental, and psychosocial needs for one of 18 residents reviewed (Resident 19). Findings include: Review of facility policy, titled Wound Care, with a last approved date of December 12, 2023, revealed, in part: Care of wounds is provided in accordance with current research and practice guidelines in order to facilitate healing and/or provide comfort and symptom control as appropriate. […]